女性对预测乳腺癌风险的测试的偏好 - 一个离散的选择实验
Yi Wang1, Peh Joo Ho2,3,4, Langming Mou2
1Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, 117549, Republic of Singapore. ephwyi@nus.edu.sg.
Journal of translational medicine
|January 21, 2025
概括
了解女性对乳腺癌风险评估的偏好是关键. 财政激励和减少晚期诊断的可能性显著影响了接受测试的意愿.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 卫生经济学 卫生经济学
背景情况:
- 基于风险的乳腺癌查是基于年龄的方法的有针对性的替代方案.
- 了解女性的偏好对于有效采用风险评估至关重要.
研究的目的:
- 调查女性的偏好和愿意接受乳腺癌风险评估测试.
- 确定影响基于风险的查决策的关键因素.
主要方法:
- 在新加坡,对21-59岁的女性进行了离散选择实验 (DCE).
- 评估了六个属性:测试成本,晚期癌症减少,查费用,保险覆盖,家庭风险和风险沟通.
主要成果:
- 两个不同的群体出现了:测试支持者和非支持者,都优先考虑成本属性.
- 减少晚期乳腺癌诊断的潜力是最有影响力的非成本因素.
- 保险覆盖对愿意产生了积极影响;风险沟通没有显著影响. 家庭史对非支持者产生了负面影响.
结论:
- 财务激励对于增加风险预测测试的普及非常重要.
- 解决患者的不同偏好,特别是对于具有高家庭风险的犹群体,对于计划的成功至关重要.
- 需要超越成本的策略,让所有女性参与基于风险的查.
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