澳大利亚人对产前查的偏好:一项区分选择实验,比较大都市和农村/区域地区
Amber Salisbury1,2, Sarah Norris3, Alison Pearce4,5
1Menzies Centre for Health Policy and Economics, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia. amber.salisbury@sydney.edu.au.
Applied health economics and health policy
|January 17, 2025
概括
澳大利亚对非侵入性产前检测 (NIPT) 的偏好因地点而异. 农村社区优先考虑更广泛的疾病查和更短的等待时间,从而影响支付遗传查服务的意愿.
科学领域:
- 生殖遗传学 生殖遗传学
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 非侵入性产前检测 (NIPT) 在澳大利亚具有作为遗传查工具的潜力.
- 人们对NIPT的成本,商业化,心理影响以及农村人口的获取差异存在担忧.
研究的目的:
- 为了确定澳大利亚对NIPT特征的偏好.
- 调查大都会和农村/区域个体之间的偏好差异.
- 使用支付意愿 (WTP) 和等待意愿量化权衡.
主要方法:
- 采用了一个离散选择实验 (DCE),其中有12个选择任务.
- 参与者从澳大利亚大都市 (n=160) 和农村/区域 (n=168) 招募.
- 混合逻辑和隐性类分析被用于计算WTP和等待意愿.
主要成果:
- 假阳性率,假阴性率和成本显著影响了这两组人的偏好.
- 农村偏好还受到条件范围,不确定的利率和等待时间的影响.
- WTP的估计有所不同,从13澳元以避免1%的假阳性率增加到323澳元用于广泛的条件查.
结论:
- 农村和大都市人口之间的不同偏好必须在NIPT交付中考虑.
- 为经济评估产前查计划提供澳大利亚特定的WTP估计.
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