使用离散选择实验来告知放弃实施乳房扫描过度查:美国一项全国调查
Nathalie Moise1, Dallas Wood2,3, Jennifer Mizhquiri Barbecho4
1Columbia University Irving Medical Center, New York, NY, USA. nm2562@cumc.columbia.edu.
Journal of general internal medicine
|January 27, 2026
概括
年龄较大的女性更愿意与提供者或独立讨论乳房扫描停止,更愿意提供有关利弊的信息. 对交付方法的偏好有所不同,而不是决策工具.
科学领域:
- 老年医学 老年医学
- 预防性健康 预防性健康
- 健康决策的制定方法
背景情况:
- 在75岁及以上的女性中,乳房镜过度查仍然存在,特别是那些预期寿命有限的女性.
- 这种做法有助于不必要的查和潜在的伤害.
研究的目的:
- 为了确定老年妇女对停止实施乳房镜过度查的偏好.
- 为制定有效的以患者为中心的撤销实施策略提供信息.
主要方法:
- 一项全国性调查使用了与70岁及以上的女性进行的离散选择实验 (DCE).
- 该DCE探索了一个假设的患者激活解除实施策略的偏好 (重新思考资源).
- 用随机实用模型分析了参与者的偏好.
主要成果:
- 几乎一半的参与者 (49.6%) 同意根据年龄和健康状况停止乳房扫描.
- 关键的偏好包括与医疗保健提供者或独立审查信息,并收到利弊.
- 通过纸张或电子格式的交付是首选的,而不是亲自交付,希望每年交付一次.
结论:
- 妇女对如何和与谁分享有关停止乳房造影的信息有明确的偏好.
- 像计算器或检查清单这样的决策原则并没有得到强烈的偏好.
- 这些研究结果可以指导设计乳房扫描的脱离实施干预措施.
相关概念视频
Surveys
16.8K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
16.8K
Introduction to Surveying, Plane Surveying and Geodetic Surveys
1.0K
Surveying is the art and science of mapping the earth's surface. It involves measuring distances, angles in horizontal or vertical directions, and levels to understand the shape and size of land features. Surveying techniques are essential for various tasks, such as identifying the levels of a land area with reference to a specific point, and mapping undulations and water bodies.There are two main types of surveying: plane surveys and geodetic surveys. Plane surveys assume the earth is flat,...
1.0K
National Nursing Organizations I
3.0K
Nursing organizations assume a significant role in consistently developing the nursing profession through education, research studies, establishing practice standards, and reforming health policies. Typically, nursing organizations operate at the regional, national, and international levels. For example, the International Council of Nurses (ICN) represents more than 28 million nurses worldwide. In contrast, the American Nurses Association (ANA) is a membership organization representing nurses...
3.0K
Factors Affecting α-Alkylation of Ketones: Choice of Base
3.6K
α-Alkylation of ketones is achieved in the presence of alkyl halides and a base. The reaction proceeds via the formation of an enolate ion followed by nucleophilic substitution. The choice of base employed is essential as it is the key factor in determining the reaction outcome.
The reaction involving bases like EtO− whose conjugate acid EtOH (pKa = 15.9) is stronger than the ketone (pKa = 19.2) results in an equilibrium mixture with higher ketone concentration. As a consequence,...
The reaction involving bases like EtO− whose conjugate acid EtOH (pKa = 15.9) is stronger than the ketone (pKa = 19.2) results in an equilibrium mixture with higher ketone concentration. As a consequence,...
3.6K
National Nursing Organizations II
2.0K
Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
2.0K
Discrete Fourier Transform
886
The Discrete Fourier Transform (DFT) is a fundamental tool in signal processing, extending the discrete-time Fourier transform by evaluating discrete signals at uniformly spaced frequency intervals. This transformation converts a finite sequence of time-domain samples into frequency components, each representing complex sinusoids ordered by frequency. The DFT translates these sequences into the frequency domain, effectively indicating the magnitude and phase of each frequency component present...
886


