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基于离散选择实验的试管婴儿治疗偏好属性及水平开发研究

Research on the Development of Preferences and Attribute Levels of the In Vitro Fertilization Treatment Based on Discrete Choice Experiment

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目的:本研究以试管婴儿治疗偏好研究为例详述其属性及水平确定的全过程,为国内离散选择实验(discrete choice experiment,DCE)研究属性及水平开发工作提供借鉴.方法:系统检索试管婴儿治疗偏好相关文献,确定概念属性与访谈提纲;于2022 年7 月,招募 20 名相关患者与医生进行一对一访谈,根据访谈内容提取主要属性;邀请5 名专家,通过专家咨询明确属性及水平;开展预实验检验属性及水平的合理性.结果:通过文献回顾梳理12 篇相关文献,确定5 个概念属性;利用定性访谈提取8 个情景属性;借助专家咨询排除就诊距离、医生的态度和治疗连续性,并根据既往文献和开发原则为纳入的 5 个属性分配合理的水平范围;运用预实验最终确定5 个属性,分别为每周期就诊次数、副作用、每周期治疗费用、医患信息告知和临床妊娠率.结论:确定属性及水平是实施DCE的重要环节,但国内研究有限,学界尚未达成共识,今后有必要制定相关手册或专家共识,逐步提高DCE研究的质量.
Objective:To report the entire process of developing attributes and levels for preference studies on in vitro fertili-zation(IVF)treatment,and to provide a reference for the development of preferences and attribute levels of the discrete choice ex-periment(DCE)research in China.Methods:Conduct a systematic review of literature related to preferences for in vitro fertiliza-tion(IVF)treatments to determine conceptual attributes and interview outlines.In July 2022,recruit 20 relevant patients and doc-tors for one-on-one interviews to extract key attributes from the interview content.Invite 5 experts to clarify the attributes and levels through expert consultation.Conduct a pilot study to test the reasonableness of the attributes and levels.Results:Through literature review,12 relevant literatures were reviewed and 5 conceptual attributes were identified.8 situational attributes were determined in the stage of qualitative interviews.Travel time,the attitude of doctors,and the continuity of doctors were excluded with the help of expert consultations.Based on the previous literature and development principles,a reasonable level range was assigned to the 5 in-cluded attributes.5 attributes were identified through a pilot study,including the number of visits per cycle,side effects,treatment cost per cycle,doctor-patient information communication,and clinical pregnancy rate.Conclusion:Developing attributes and lev-els is a crucial and indispensable step of DCE studies.However,relevant studies are limited in China and no consensus for develo-ping attributes and levels has yet been formed in the field of DCE.Therefore,it is necessary to develop relevant manuals or expert consensus in the future to gradually improve the quality of DCE studies.

Health Technology AssessmentIn Vitro FertilizationDiscrete Choice ExperimentAttributeLevel

吕玉玉、李顺平、路立勇、袁佳麒、邵家琛

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山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,山东济南,250012

国家卫生健康委员会卫生经济与政策研究重点实验室 (山东大学),山东济南,250012

山东大学健康偏好研究中心,山东济南,250012

卫生技术评估 试管婴儿 离散选择实验 属性 水平

国家自然科学基金资助项目

72174110

2024

医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
年,卷(期):2024.37(7)
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