对于新兴癌症查方式的公众偏好:对离散选择实验的系统审查
Chee Ern Har1, Qi Gao1, Wenjia Chen1
1Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, 12 Science Drive 2, Singapore, 117549, Singapore.
The patient
|October 2, 2025
概括
对于新的癌症查技术的公众偏好取决于临床有效性,方便性和信任性. 量身定制的参与策略至关重要,以确保公平获取和采用这些创新.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 卫生技术评估 卫生技术评估
背景情况:
- 传统的癌症查在可访问性和侵入性方面面临限制.
- 新兴的癌症查技术提供了潜在的解决方案,但需要公众接受.
- 本综述综合了关于公众偏好新型癌症查方法的证据.
研究的目的:
- 系统地审查对新兴癌症查技术的人口偏好的离散选择实验 (DCE) 研究.
- 确定影响公众接受这些新方法的关键属性.
- 了解推动或阻碍采用新癌症查工具的因素.
主要方法:
- 在多个数据库 (PubMed,Embase,Scopus,Web of Science,EconLit) 中按照PRISMA指南进行系统的文献搜索,直到2025年8月.
- 包括DCE研究,评估液体活检,多种癌症早期检测测试,人工智能,基因检测,mHealth,纳米药片和呼吸分析等方法.
- 使用描述性统计和叙事综合的数据综合,使用DIRECT检查清单进行质量评估.
主要成果:
- 包括23项研究 (2014-2025年),主要是基因组测试和液体活检.
- 关键的影响属性包括临床有效性,可访问性,最小干扰,敏感性,数据隐私和提供商信誉.
- 在研究和模式之间观察到偏好和预测摄入的显著异质性.
结论:
- 新兴癌症查技术的公众接受受临床性能,方便性,成本和可信度的影响.
- 偏好中的异质性需要定制策略,以促进公平的吸收,避免扩大健康差异.
- 强有力的治理和监管框架对于成功和公平地将这些技术转化为临床实践至关重要.
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