评估女性对乳腺癌查的声明偏好:系统性审查和元分析
Shirin Nosratnejad1, Shiva Rahmani1,2, Mahmood Yousefi1
1Department of Health Economics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC health services research
|November 28, 2024
概括
改善乳腺癌查需要了解患者的偏好. 降低成本和提高可访问性,特别是与女性医疗保健提供者,可以显著增加参与至关重要的查计划.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
背景情况:
- 乳腺癌是全球妇女死亡的主要原因.
- 有效的查计划对于早期检测和改善结果至关重要.
- 了解个人偏好可以优化查计划设计和政策.
研究的目的:
- 为了确定个人对加强乳腺癌查计划的偏好.
- 分析影响支付乳腺癌查费用意愿的因素.
- 为更有效的查举措提供政策制定信息.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Embase,Cochrane,SID) 进行系统的文献搜索,截至2022年10月.
- 包含原创和评论文章,评估支付意愿和有效选属性.
- 进行元分析以确定平均支付意愿 (WTP) 和对相关变量进行投票计数.
主要成果:
- 分析显示,对乳腺癌查的支付意愿在人均国内生产总值的0.28% (95% CI:0.14-0.43) 之间具有统计学意义.
- 分层分析证实,人均国内生产总值的0.22% (95%CI:0.07-0.37) 的支付意愿显著.
- 个人收入和查服务成本被确定为影响参与的关键因素.
结论:
- 增加妇女参与需要提供明确的信息和消除障碍.
- 提供低成本,快速查测试,方便访问和女性医护人员,可以提高参与的意愿.
- 解决财务和后勤障碍对于改善乳腺癌查的普及至关重要.
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