关于癌症查的决定中,公众 (不) 愿意权衡利益和危害:一个离散选择实验
Rebecca A Dennison1, Stuart Wright2, Georgios Lyratzopoulos3
1Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Journal of medical screening
|March 5, 2026
概括
大多数人强烈喜欢癌症查,以减少癌症死亡,即使有潜在的危害. 少数人衡量好处与危害,影响他们的查决策.
科学领域:
- 公共卫生 公共卫生
- 卫生决策制定 卫生决策
- 癌症查 癌症查
背景情况:
- 了解公众对癌症查的偏好对于有效的公共卫生战略至关重要.
- 在查利益和危害之间量化可接受的权衡,可以为政策决策提供信息.
研究的目的:
- 量化英国公众愿意接受癌症查带来的各种好处的危害.
- 调查关于癌症查属性的公众偏好异质性.
主要方法:
- 在1018名英国参与者中进行了一项在线离散选择实验.
- 属性包括癌症诊断/预防死亡 (益处) 和过度诊断,错误阳性/负面 (危害).
- 隐性类别分析确定了偏好组及其查吸收概率.
主要成果:
- 预防癌症死亡是最有价值的好处;错误的阳性/阴性是最关心的危害.
- 三个不同的偏好类别出现了:一个优先考虑预防死亡 (76%-92%的吸收率),两个交易利益/危害 (68%-87%的吸收率).
- 大多数人强烈喜欢查,重点关注减少癌症死亡率.
结论:
- 大多数个人在查决策中优先考虑减少癌症死亡,而不是平衡好处和危害.
- 少数公众认为利益和危害之间的权衡,影响他们的查参与.
- 公共卫生机构应仔细评估查益处和危害的证据,以指导计划的制定.
相关概念视频
Nursing Ethical Principles II
2.4K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.4K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
510
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
510
Cancer Prevention
8.5K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
8.5K
Cancer Survival Analysis
806
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
806
Hazard Ratio
664
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
664
Combination Therapies and Personalized Medicine
6.3K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.3K


