Analysing public preferences for cancer screening programmes
Analysing public preferences for cancer screening programmes
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DOI：
10.1002/hec.622
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发表时间：
2001-10-01
期刊：
影响因子：
2.1
通讯作者：
Sogaard, J
中科院分区：
文献类型：
--
作者：
Gyrd-Hansen, D;Sogaard, J
经济评估通常未能纳入无形成本和收益的要素，例如与筛查测试和诊断测试相关的焦虑和不适，以及与减少死于癌症的风险相关的效用程度。在本分析中，对750名答复者进行了面谈，并要求他们根据优先次序对若干备选的筛选方案安排进行排名。重点是结肠直肠癌筛查和乳腺癌筛查。备选方案在进行检查的次数、减少风险的可能性、假阳性结果的可能性和共同支付的程度等方面有所不同。使用离散排名模型和确定的节目属性的相对权重来分析陈述偏好。应用离散选择方法，以引出偏好在这一领域的医疗保健似乎合理的表面有效性的结果。系数的符号与先验假设一致。这篇论文表明，关注个人对癌症筛查计划的偏好的大规模调查可能对这一卫生保健领域的经济评估质量做出重大贡献。版权所有John Wiley & Sons， Ltd。
Economic evaluations generally fail to incorporate elements of intangible costs and benefits, such as anxiety and discomfort associated with the screening test and diagnostic test, as well as the magnitude of utility associated with a reduction in the risk of dying from cancer. In the present analysis, 750 respondents were inter-viewed and asked to rank, according to priority, a number of alternative screening programme set-ups. Focus was on colorectal cancer screening and breast cancer screening. The alternative programmes varied with respect to number of tests performed, risk reduction obtained, probability of a false positive outcome and extent of co-payment. Stated preferences were analysed using discrete ranking modelling and the relative weighting of the programme attributes identified. Applying discrete choice methods to elicit preferences within this area of health care seems justified by the face validity of the results. The signs of the coefficients are in accordance with a priori hypotheses. This paper suggests that large-scale surveys focusing on individuals' preferences for cancer screening programmes may contribute significantly to the quality of economic evaluations within this field of health care. Copyright (C) 2001 John Wiley & Sons, Ltd.