评估中国患者对辅助生殖技术的偏好:一个离散选择实验
Jiali Chen1, Yuwen Bao1, Yanyan Liu1,2
1Department of Health Policy, Nanjing Medical University, Nanjing, Jiangsu, China.
BMJ open
|February 3, 2025
概括
不孕症患者优先考虑活产率和辅助生殖技术 (ART) 的共享决策. 对ART的偏好各不相同,有着不同的特点.
科学领域:
- 生殖医学 生殖医学
- 卫生经济学 卫生经济学
- 患者报告的结果
背景情况:
- 中国面临着低生育率,增加了对辅助生殖技术 (ART) 的需求.
- 了解患者的偏好对于有效的ART服务提供和政策制定至关重要.
研究的目的:
- 分析患者对辅助生殖技术 (ART) 关键属性的偏好.
- 确定在中国不育患者中对ART属性的相对重要性 (RI) 和支付意愿 (WTP).
主要方法:
- 在中国江苏省,对465名年龄在20-45岁的女性患者进行了离散选择实验.
- 评估了六个ART属性,包括治疗决策 (TDM),成功率,并发症风险和自付费用.
- 混合逻辑和隐性类模型被用来估计偏好和确定偏好异质性.
主要成果:
- 活产率 (RI=29.05%) 和参与治疗决策 (RI=21.91%) 是患者最重要的属性.
- 确定了两个不同的患者群体:"结果驱动"和"成本驱动".
- 患者的偏好受到年龄,家庭月收入和地理位置的影响.
结论:
- 患者对ART的偏好是多方面的,强调临床结果和参与决策.
- 这些发现支持基于证据的患者咨询,共享决策,并为中国未来的ART政策提供信息.
- 认识到偏好异质性是定制ART服务以满足不同患者需求的关键.
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