医学最大化美国成年人对癌症的偏好和信仰
Alexander S Chiu1, Ines Hoxha1, Catherine B Jensen1,2
1Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison.
JAMA network open
|June 14, 2024
概括
医疗过度利用与更高的癌症担忧和高估癌症发病率有关. 对癌症风险的个性化教育可能会减少不必要的瘤护理利用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗决策的制定 医疗决策的制定
- 公共卫生 公共卫生
背景情况:
- 医疗过度利用导致医疗保健成本增加,患者因不必要的手术而面临风险.
- 了解公众对医疗利用的态度对于解决医疗保健效率低下至关重要.
研究的目的:
- 检查公众对医疗使用的态度.
- 调查这些关于癌症的态度和信仰之间的联系.
主要方法:
- 一项针对美国成年人的横截面调查是使用Prolific Academic进行的.
- 参与者的医疗使用偏好被评估使用最大限度-最小限度诱导问题.
- 后勤回归分析了与最大化医疗利用相关的因素,包括癌症信仰和担忧.
主要成果:
- 25.4%的参与者被归类为"最大化者" (更喜欢在模糊的医疗情况下采取行动).
- 最大化偏好与自我报告的良好健康,黑人种族,高癌症担忧和高估癌症发病率有关.
- 对个人癌症风险更高的信念也与最大化癌症相关,尽管在回归方面并不显著.
结论:
- 美国成年人的医学最大化倾向与增加的癌症担忧和对癌症发病率的不准确看法有关.
- 针对癌症及其风险因素的有针对性,个性化的教育可以帮助缓解瘤护理的过度利用.
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