患者的偏好和支付乳腺癌过渡期护理的意愿:一个离散选择实验
Wenjuan Zhu1,2, Liping Cui1, Hui Yang2
1Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China.
概括
乳腺癌患者更喜欢由专家提供的过渡性护理 (TC),专注于症状管理和康复. 他们愿意为这些服务支付费用,特别是低自付费用,显著增加了参与率.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 过渡期护理 (TC) 对于在医院之外管理化疗副作用至关重要.
- 患者对TC的偏好尚不清楚,需要进一步调查.
研究的目的:
- 调查乳腺癌患者对过渡期护理 (TC) 的偏好.
- 确定患者愿意为TC的不同方面支付费用.
主要方法:
- 在中国北部,对261名乳腺癌患者进行了一项离散选择实验.
- 条件逻辑和混合逻辑模型分析了TC属性的偏好和支付意愿.
- 模拟评估了各种TC场景下的吸收概率.
主要成果:
- 患者强烈喜欢由专业医生和护士提供的TC (愿意支付CNY¥105,381).
- 首选的TC内容包括症状管理,心理护理和康复 (愿意支付CNY¥32.606).
- 门诊诊所的交付被青 (愿意支付27285元人民币),而低的自付费用是关键因素.
结论:
- 乳腺癌患者对TC提供者,内容和交付格式表现出明确的偏好.
- 尽量减少自付费用是患者的一个重要考虑因素.
- 优化的TC,结合专业护理,综合服务和负担得起的成本,可以实现高患者参与率 (91.39%).
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