对乳腺癌查的偏好:离散选择实验的结果
Na Xiao1, Menghao Yang1, Lingli Zhang2
1School of Nursing, Guizhou Medical University, Guiyang, Guizhou, 550025, China.
Public health
|January 24, 2025
概括
中国的乳腺癌患者更喜欢由经验丰富的员工和较低的成本每年进行查. 推个性化查计划,以满足不同患者的需求,并提高参与度.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 乳腺癌查对于早期检测和改善结果至关重要.
- 了解患者的偏好是设计有效和可访问的查计划的关键.
- 以前的研究还没有完全捕捉到中国乳腺癌患者对查服务的细微偏好.
研究的目的:
- 评估乳腺癌患者对中国查服务的偏好,使用离散选择实验 (DCE) 和潜阶级建模 (LCM).
- 确定影响患者在查服务中的选择的关键属性.
- 为开发以患者为中心的乳腺癌查计划提供信息.
主要方法:
- 一个横截面的,基于医院的调查,使用离散选择实验 (DCE) 方法.
- 从贵州省一家三级医院招募了278名乳腺癌患者.
- 采用混合逻辑和隐性类型建模 (LCM) 来分析偏好,并根据查频率,工作人员经验,推来源和自付费用来确定患者子组.
主要成果:
- 查频率,医务人员的经验和自付费用显著影响了患者的偏好.
- 患者强烈喜欢经验丰富的医务人员提供的年度查和服务.
- 较低的自费费用与参与意愿的增加有关;确定了两个患者子组 ("流程驱动"和"效率驱动").
结论:
- 乳腺癌患者对查服务的偏好不同,需要个性化的方法.
- 开发灵活,以患者为中心的查计划可以提高参与度和满意度.
- 未来的政策制定应该考虑实施个性化查策略的实际挑战.
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