| 常 璇,谢 静,李秋霞,等.山东省农村居民癌症联合筛查支付意愿分析[J].中国肿瘤,2025,34(2):138-144. |
| 山东省农村居民癌症联合筛查支付意愿分析 |
| Willingness-to-Pay for Combined Cancer Screening Among Rural Residents in Shandong Province |
| 投稿时间：2024-03-12 |
| DOI：10.11735/j.issn.1004-0242.2025.02.A008 |
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| 中文关键词: 农村居民 癌症联合筛查 条件估值法 支付意愿 山东 |
| 英文关键词:rural residents combined cancer screening conditional valuation method willingness-to-pay Shandong |
| 基金项目:齐鲁卫生与健康领军人才培育工程 |
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| 中文摘要: |
| 摘 要：［目的］ 了解山东省农村居民对常见癌症联合筛查的接受度和支付意愿及其影响因素。［方法］ 采用条件估值法中的双界二分选择和开放式问题相结合的方法设计调查问卷，在山东省3个县（市、区），以村为单位整群随机抽取40~70岁农村居民进行面对面调查，采用单因素和普通最小二乘回归分析支付意愿强度的影响因素。［结果］ 回收有效问卷962份，有效回收率为97.57%；89.19%的研究对象接受癌症联合筛查，其中，62.00%愿意自付部分费用，平均支付意愿为963.67元，占总费用的32.12%；76.49%的研究对象支付意愿值在1 500元以内。年龄、性别、收入对支付意愿的影响有统计学意义，随年龄的增长，居民愿意支付的金额逐步减少；男性支付意愿值高于女性；高收入者愿意支付的金额更高。［结论］ 农村居民对癌症联合筛查的接受度较高，但其支付意愿额度有限；应探索建立癌症筛查多元筹资机制，这有助于提高居民筛查依从性和促进癌症筛查的可持续发展。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the acceptance and willingness-to-pay (WTP) of combined cancer screening among rural residents in Shandong Province， and to analyze its influencing factors. ［Methods］ A face-to-face questionnaire survey was conducted among rural residents aged 40~70 in villages setected by cluster sampling from three counties (county level city or district) in Shandong Province. The questionnaire was developed using the method of double-bound dichotomous choice combined with open-ended questions in contingent valuation. The factors influencing intensity of WTP was analyzed with using single-factor and ordinary least squares regression models. ［Results］ A total of 962 subjects were surveyed. 89.19% of the respondents were willing to accept cancer combined screening， and 62.00% were willing to pay part of the costs. The average of WTP was 963.67 CNY， which accounted for 32.12% of the total cost. The proportion of respondents who were willing to pay between 0~1 500 CNY was the highest(76.49%). In the multivariate analysis， age， sex and income had significant effects on the maximum payment of multi-cancer screening. ［Conclusion］ The acceptance of multi-cancer screening among rural residents in the study sites is high， but the willingness-to-pay is limited. The out-of-pocket payment for multi-cancer screening should be controlled， and a co-payment mechanism among government， enterprises， social organizations and individuals should be explored. |
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