一个离散的选择实验,以了解公众对风险分层肠癌查计划的偏好和优先事项在英国
Rebecca A Dennison1, Chloe V Thomas2, Stephen Morris1
1Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge CB2 0SR, UK.
Preventive medicine
|November 20, 2023
概括
公众对肠癌查的偏好优先考虑预防更多的死亡. 个人接受一些查危害,以获得更大的拯救生命的好处,影响程序设计.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 遗传学 遗传学 是一个
背景情况:
- 保持公众的接受度对于肠癌查计划至关重要,特别是随着风险分层的引入.
- 了解公众的偏好是设计有效和可接受的查策略的关键.
研究的目的:
- 描述和量化英国人口对风险分层肠癌查计划属性的偏好.
- 确定影响公众决定应邀请谁参加查的关键因素.
主要方法:
- 在1196名英国受访者中进行了离散选择实验 (DCE).
- 属性包括风险因素,反个性化,分层战略,危害和益处 (预防死亡).
- 条件逻辑回归模型分析了偏好和权衡.
主要成果:
- 预防死亡是最重要的因素 (58.8%的选择),其次是遭受的伤害 (15.9%).
- 受访者接受每10万人增加1次额外伤害,以防止每3次额外死亡.
- 风险因素和分层策略的影响较小,但个性化反更受欢迎.
结论:
- 公众最喜欢的肠癌查计划最大限度地提高了癌症的结果,特别是通过防止更多的死亡.
- 优先考虑的重点应该是优化风险预测,公众沟通和实施基础设施.
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