Ramezani Doroh Vajiheh, Delavari Alireza, Yaseri Mehdi, Emamgholipour Sefiddashti Sara, Akbarisari Ali
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences , Tehran, The Islamic Republic of Iran.
Digestive Oncology Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences , Tehran, The Islamic Republic of Iran.
Int J Health Care Qual Assur. 2019 May 13;32(4):677-687. doi: 10.1108/IJHCQA-08-2017-0151.
The purpose of this paper is to explore the preferences of the average risk Iranian population for colorectal cancer (CRC) screening tests.
DESIGN/METHODOLOGY/APPROACH: A standard stated-preferences method with discrete choice models was used to identify the preferences. Data about socio-demographic status, health status and preferences for CRC screening tests were collected by a structured questionnaire that was completed by 500 people aged 50-75 years. Mixed logit model was used to analyze the preferences.
The regression model showed that the test process, pain, place, frequency, preparation, sensitivity, complication risk, mortality rate and cost were the final attributes; that had a statistically significant correlation with the preferences of the people in choosing CRC screening tests. The socio-demographic and health status of participants had no significant correlation with the individuals' preferences.
This study provides insight into how different characteristics of a CRC screening test might influence the preferences of individuals about that test.
ORIGINALITY/VALUE: This was the first study of this type in Iran to elicit the preferences of the average risk population for CRC screening tests using a discrete choice model.
本文旨在探究伊朗一般风险人群对结直肠癌（CRC）筛查测试的偏好。
设计/方法/途径：采用带有离散选择模型的标准陈述偏好法来确定偏好。通过一份结构化问卷收集有关社会人口统计学状况、健康状况以及对CRC筛查测试的偏好的数据，该问卷由500名年龄在50 - 75岁的人完成。使用混合逻辑模型分析偏好。
回归模型表明，测试过程、疼痛程度、地点、频率、准备工作、敏感性、并发症风险、死亡率和成本是最终属性；这些属性与人们在选择CRC筛查测试时的偏好具有统计学上的显著相关性。参与者的社会人口统计学和健康状况与个人偏好无显著相关性。
本研究深入了解了CRC筛查测试的不同特征可能如何影响个体对该测试的偏好。
原创性/价值：这是伊朗此类首次使用离散选择模型来引出一般风险人群对CRC筛查测试偏好 的研究。
