为运动肿瘤学服务付费的意愿：一项混合方法研究。

Willingness to pay for exercise oncology services: a mixed methods study.

作者信息

Cormie Prue, Bradford Ashleigh, Doran Christopher M, Potts Boyd A, Martin Peter, Chiswell Meg, Krishnasamy Mei

机构信息

Department of Health Services Research, Peter MacCallum Cancer Centre, Victoria, Australia.

Department of Oncology, Sir Peter MacCallum, The University of Melbourne, Victoria, Australia.

出版信息

Support Care Cancer. 2025 Jan 8;33(2):77. doi: 10.1007/s00520-024-09105-x.

DOI:10.1007/s00520-024-09105-x

PMID:39775110

Abstract

PURPOSE

To evaluate cancer patients' willingness to pay for exercise services and oncology health professionals' perception of patients' willingness to pay.

METHODS

A mixed-methods design was used. Online questionnaires and semi-structured interviews were administered to people with any type of cancer and oncology health professionals delivering clinical care. Questionnaires assessed patients' willingness to pay for one consultation with a cancer-trained exercise specialist (i.e. exercise physiologist/physiotherapist) and regular group exercise sessions supervised by cancer-trained exercise specialists. Interviews probed factors associated with the out-of-pocket cost of adopting exercise guidelines. Data were analysed using standard descriptive statistics and an interpretive descriptive approach to qualitative analysis.

RESULTS

Participants included 450 cancer patients and 300 oncology health professionals. A randomly selected sub-set of 30 patients and 31 health professionals completed interviews. The majority of patients surveyed would pay for an exercise consultation (94%) and regular group exercise sessions (58.4% extremely likely; 24.7% moderately likely; standard 7-point Likert scale response options). A greater proportion of patients who were employed (97.2% p = 0.030), below average general health (97.0% p = 0.031), were female (96.1% p = 0.013), and insufficiently active (95.3% p = 0.048) were willing to pay for exercise services. Oncology health professionals perceived fewer patients would be willing to pay for exercise services (p < 0.001; consultation = 7.0% extremely likely, 32.7% moderately likely; regular supervised sessions = 5.3% extremely likely; 32.0% moderately likely).

CONCLUSIONS

When briefly informed of the benefits and costs of exercise, the majority of patients in this study would pay for cancer-specific exercise services. There is an opportunity to align perceptions of willingness to pay among patients and health professionals involved in their care to help facilitate the uptake of exercise guidelines.

摘要

目的

评估癌症患者为运动服务付费的意愿以及肿瘤学专业医护人员对患者付费意愿的认知。

方法

采用混合方法设计。对患有任何类型癌症的患者以及提供临床护理的肿瘤学专业医护人员进行了在线问卷调查和半结构化访谈。问卷评估了患者为与癌症运动专家（即运动生理学家/物理治疗师）进行一次咨询以及由癌症运动专家监督的定期团体运动课程付费的意愿。访谈探讨了与采用运动指南的自付费用相关的因素。使用标准描述性统计和定性分析的解释性描述方法对数据进行了分析。

结果

参与者包括450名癌症患者和300名肿瘤学专业医护人员。随机抽取的30名患者和31名医护人员完成了访谈。接受调查的大多数患者愿意为运动咨询付费（94%）以及定期团体运动课程付费（58.4%极有可能；24.7%有可能；标准7点李克特量表回答选项）。就业患者（97.2%，p = 0.030）、一般健康状况低于平均水平的患者（97.0%，p = 0.031）、女性患者（96.1%，p = 0.013）以及运动不足的患者（95.3%，p = 0.048）中，愿意为运动服务付费的比例更高。肿瘤学专业医护人员认为愿意为运动服务付费的患者较少（p < 0.001；咨询 = 7.0%极有可能，32.7%有可能；定期监督课程 = 5.3%极有可能；32.0%有可能）。