年轻成年人对便免疫化学测试的个人偏好:一个离散选择实验
Kailu Wang1, Ho-Man Shum2, Carrie Ho-Kwan Yam2
1Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China. kailuwang@cuhk.edu.hk.
PharmacoEconomics - open
|September 4, 2025
概括
大多数50岁以下的成年人可以通过便免疫化学检测 (FIT) 进行结直肠癌查. 偏好不同,降低死亡率是最有价值的属性,影响了接受和潜在的补贴.
科学领域:
- 公共卫生
- 健康经济学
- 预防医学
背景情况:
- 结肠直肠癌 (CRC) 查对于早期发现和减少死亡率至关重要.
- 了解年轻成年人 (<50岁) 对查方法如便免疫化学测试的偏好对于有效的公共卫生策略至关重要.
- 查吸收的差异需要研究小组偏好.
研究的目的:
- 在50岁以下的成年人中量化便免疫化学测试 (FIT) 的偏好,以进行结直肠癌 (CRC) 查.
- 确定不同的人口和健康相关小组对FIT的偏好有何差异.
- 估计各种FIT属性的边际支付意愿.
主要方法:
- 在香港对50岁以下的成年人进行了离散选择实验 (DCE).
- 使用混合逻辑和隐性类型来分析偏好异质性.
- 分析包括对属性水平变化的边际支付意愿的估计.
主要成果:
- 降低死亡率是影响FIT接受的最重要属性,其次是测试频率和早期检测概率.
- 对于自付金额来说,FIT的接受非常敏感.
- 潜在类别分析显示出基于年龄,教育和自我报告的健康状况的显著偏好差异.
结论:
- 大多数50岁以下的成年人愿意考虑FIT进行CRC查,只要有合适的选择.
- 在沟通策略中强调降低死亡率可能会提高查的普及率.
- 建议提供财政补贴和针对个人的偏好进行量身定制的方法, 以提高FIT的接受度.
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