与支付癌症预防费用意愿相关的因素：一项前列腺癌筛查研究

Factor associated with willingness to pay for prevention of cancer: a study of prostate cancer screening.

作者信息

Farabi Hiro, Moradi Najmeh, Ahmadzadeh Aziz, Agamir Seyed Mohammad Kazem, Mohammadi Abdolreza, Rezapour Aziz

机构信息

Barts and the London Pragmatic Clinical Trials Unit, Centre for Evaluation and Methods, Wolfson Institute of Population Health, Queen Mary University of London, London, UK.

Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.

出版信息

Cost Eff Resour Alloc. 2023 Nov 21;21(1):89. doi: 10.1186/s12962-023-00494-0.

DOI:10.1186/s12962-023-00494-0

PMID:37990328

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10664311/

Abstract

INTRODUCTION

This study investigates Iranian men's willingness to pay (WTP) for prostate cancer (PCa) screening and influencing factor, along with the impact of information.

METHOD

We assessed preferences for prostate cancer screening in 771 Iranian men aged 40 and above using an internet-based questionnaire survey. Participants received basic and complementary information, and their willingness to pay was determined through a payment card approach. A Wilcoxon test assessed the impact of information. We also analyzed prostate cancer screening demand and employed Heckman's two-step model to evaluate factors influencing the willingness to pay. Additionally, reasons for unwillingness to pay were explored.

RESULTS

Willingness to pay significantly decreased with complementary information relative to basic information (16.3$ vs 17.8$). Heckman model, using WTP based on basic information shows age, education, and monthly household expenditure positively influenced the decision to pay. In contrast, health status, expectations of remaining life and prostate problems history positively affect amount of WTP for PCa screening, and insurance coverage has a negative impact on it. Majority of respondents (91%) supported PCa screening, with 82% expressing a willingness to pay. Common reasons for not paying include seeing screening as a public good (43%), financial constraints (35%), and having insurance (20%). The screening demand is price-sensitive.

CONCLUSION

The basic mindset of Iranian men exaggerates the risk of prostate cancer. Reduced willingness to pay after receiving information reassures the reliability of their financial expectation. Taking into account the factors that influence PCa screening is essential for accurate planning and the successful implementation of this program.

摘要

引言

本研究调查了伊朗男性对前列腺癌筛查的支付意愿（WTP）及其影响因素，以及信息的影响。

方法

我们通过基于互联网的问卷调查评估了771名40岁及以上伊朗男性对前列腺癌筛查的偏好。参与者收到了基本信息和补充信息，并通过支付卡方法确定了他们的支付意愿。采用Wilcoxon检验评估信息的影响。我们还分析了前列腺癌筛查需求，并采用Heckman两步模型评估影响支付意愿的因素。此外，还探讨了不愿支付的原因。

结果

相对于基本信息，补充信息后支付意愿显著降低（16.3美元对17.8美元）。使用基于基本信息的支付意愿的Heckman模型显示，年龄、教育程度和家庭月支出对支付决定有积极影响。相比之下，健康状况、预期剩余寿命和前列腺问题病史对前列腺癌筛查的支付意愿金额有积极影响，而保险覆盖对其有负面影响。大多数受访者（91%）支持前列腺癌筛查，82%表示愿意支付。不支付的常见原因包括将筛查视为公共物品（43%）、经济限制（35%）和拥有保险（20%）。筛查需求对价格敏感。