Centre for Health Economics Research and Evaluation, UTS Business School, University of Technology Sydney, Sydney, Australia.
Centre for Health Economics Research and Evaluation, UTS Business School, University of Technology Sydney, Sydney, Australia.
Value Health. 2021 Dec;24(12):1835-1844. doi: 10.1016/j.jval.2021.05.014. Epub 2021 Aug 31.
Screening for anxiety and depression in cancer care is recommended, as identification is the first step in managing anxiety and depression. Nevertheless, patient preferences for anxiety and depression screening in cancer care are unknown. The objective of this study was to investigate and identify the aspects of an anxiety and depression screening program cancer patients value most, to inform decision-makers about ways to improve patient uptake and ultimately, the provision of patient-centered care.
A discrete choice experiment was designed and implemented within an Australian cancer population sample. Participants were presented with a series of hypothetical screening programs labeled as "screening program 1" and "screening program 2" and were asked to choose their preferred one. The discrete choice experiment was administered using an online survey platform. A mixed logit and a latent class analysis was conducted.
Participants (n = 294) preferred screening to be conducted by a cancer nurse, face-to-face, and at regular intervals (monthly or every 3 months). Participants also preferred follow-up care to be delivered by mental health professionals embedded within the cancer care team. Factors that influenced preferences were the low cost and short waiting times for access to care.
Cancer patients prefer cancer services with integrated mental healthcare services. To maximize patient uptake, anxiety and depression screening programs should be routinely offered, delivered by oncology healthcare staff in a face-to-face format, and, postscreening, to be care for by mental health professionals embedded within the cancer service.
癌症护理中建议进行焦虑和抑郁筛查，因为识别是管理焦虑和抑郁的第一步。然而，患者对癌症护理中焦虑和抑郁筛查的偏好尚不清楚。本研究旨在调查和确定癌症患者最看重的焦虑和抑郁筛查计划的各个方面，为决策者提供有关如何提高患者参与度并最终提供以患者为中心的护理的信息。
在澳大利亚癌症人群样本中设计并实施了离散选择实验。参与者被呈现一系列假设的筛查计划，标记为“筛查计划 1”和“筛查计划 2”，并被要求选择他们更喜欢的一个。离散选择实验通过在线调查平台进行管理。进行了混合对数和潜在类别分析。
参与者（n=294）更喜欢由癌症护士、面对面和定期（每月或每 3 个月）进行筛查。参与者还更喜欢将心理健康专业人员纳入癌症护理团队来提供随访护理。影响偏好的因素是获得护理的低费用和短等待时间。
癌症患者更喜欢具有综合心理健康服务的癌症服务。为了最大限度地提高患者的参与度，应常规提供焦虑和抑郁筛查计划，由肿瘤学医护人员以面对面的形式提供，并在筛查后由嵌入癌症服务的心理健康专业人员进行护理。
