青少年口腔正畸方案选择偏好研究——基于离散选择实验
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张雁群(1996—),女,安徽合肥人,硕士研究生在读,研究方向为卫生经济学

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R780.1

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教育部人文社会科学研究青年基金项目“儿童龋病预防经济学评价及预算影响研究——基于Semi?Markov模型”(20YJCZH157)


Preferences for orthodontic treatment options of teenager patients ——based on Discrete Choice Experiment
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    摘要:

    健康偏好对改善服务质量、提高患者满意度具有重要意义。为研究青少年口腔正畸治疗方案的患方选择偏好,文章基于离散选择实验(discrete choice experiment,DCE)方法,通过文献综述和专家咨询,最终纳入研究属性共四个(矫正器美观度、矫正器舒适度、治疗费用、复诊间隔时间)。借助软件 Ngene1.2 采用 D?efficiency 设计创建选择集,对安徽省某三级口腔专科医院 12~17 岁青少年的家长/监护人进行问卷调查,采用条件 Logit 回归模型进行偏好分析。结果显示,除复诊间隔时间外,其他三个研究属性均显著影响患者正畸方案的选择。治疗费用是影响正畸治疗方案选择最重要的属性,其次是矫正器舒适度和美观度。与舒适度“略差”相比,患方愿意为获得舒适度“非常好”的矫正器多支付 2.15 万元。将矫正器美观度水平从“略差”提升至 “非常好”,方案选择概率预期提高 62.43%。DCE 研究为口腔正畸治疗方案精准供给提供了参考,也为其他临床方案决策偏好的研究提供了参考。

    Abstract:

    Patients’ health preferences are important for improving service quality and patients’ satisfaction. The aim of this study was to quantitatively measure patient preference for orthodontic treatment options for adolescents and to provide a reference for the accurate provision of orthodontic treatment options. This study was based on the Discrete Choice Experiment(DCE)method,and a total of four attributes (orthodontic aesthetics,orthodontic comfort,treatment cost,and follow ? up interval)were included through literature review and expert consultation. A D?efficiency design was used to create a choice set with the aid of the software Ngene 1.2,and a questionnaire survey was conducted with parents/guardians of adolescents aged 12~17 years in a tertiary dental specialist hospital in Anhui Province. A conditional Logit regression model was used for preference analysis. DCE results showed that,except for the follow?up interval,the other three research attributes significantly influenced orthodontic treatment options. Treatment cost was the most important attribute influencing orthodontic treatment options,followed by orthodontic comfort and aesthetics. Compared with the slightly poor comfort,the patients were willing to pay 21 500 yuan more for the orthotics with very good comfort. The aesthetic level of orthotics was raised from slightly poor to very good,and the probability of scheme selection was expected to increase by 62.43%. This study is the first application of DCE research in the field of oral health in China and provides a reference for the extension of other clinical options decision preferences.

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张雁群,徐文华,王丽丹,徐建光,顾源远.青少年口腔正畸方案选择偏好研究——基于离散选择实验[J].南京医科大学学报(社会科学版),2022,22(3):300~305

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  • 在线发布日期: 2022-06-30
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