Articles producció científica> Economia

Women's preference to apply shared decision-making in breast cancer screening: a discrete choice experiment

  • Identification data

    Identifier: imarina:9286420
  • Authors:

    Hernández-Leal MJ
    Pérez-Lacasta MJ
    Cardona-Cardona A
    Codern-Bové N
    Vidal-Lancis C
    Rue M
    Forné C
    Carles-Lavila M
    Pro-Share Group
  • Others:

    Author, as appears in the article.: Hernández-Leal MJ; Pérez-Lacasta MJ; Cardona-Cardona A; Codern-Bové N; Vidal-Lancis C; Rue M; Forné C; Carles-Lavila M; Pro-Share Group
    Department: Economia
    URV's Author/s: Carles Lavila, Misericòrdia / Hernández Leal, María José / Pérez Lacasta, Maria José
    Keywords: Primary care Preventive medicine Health-care Health economics Breast tumours primary care preventive medicine breast tumours barriers
    Abstract: To analyse women's stated preferences for establishing the relative importance of each attribute of shared decision-making (SDM) and their willingness to pay (WTP) for more participatory care in breast cancer screening programmes (BCSP).A discrete choice experiment was designed with 12 questions (choice tasks). It included three attributes: 'How the information is obtained', regarding benefits and harms; whether there is a 'Dialogue for scheduled mammography' between the healthcare professional and the woman; and, 'Who makes the decision', regarding participation in BCSP. Data were obtained using a survey that included 12 choice tasks, 1 question on WTP and 7 socioeconomic-related questions. The analysis was performed using conditional mixed-effect logit regression and stratification according to WTP.Data collection related to BCSP was conducted between June and November 2021 in Catalonia, Spain.Sixty-five women aged between 50 and 60.Women's perceived utility of each attribute, trade-off on these attributes and WTP for SDM in BCSP.The only significant attribute was 'Who makes the decision'. The decision made alone (coefficient=2.879; 95% CI=2.297 to 3.461) and the decision made together with a healthcare professional (2.375; 95% CI=1.573 to 3.177) were the options preferred by women. The former contributes 21% more utility than the latter. Moreover, 52.3% of the women stated a WTP of €10 or more for SDM. Women's preferences regarding attributes did not influence their WTP.The participant women refused a current paternalistic model and preferred either SDM or informed decision-making in BCSP.© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.
    Thematic Areas: Saúde coletiva Psicología Odontología Nutrição Medicine, general & internal Medicine (miscellaneous) Medicine (all) Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Farmacia Ensino Enfermagem Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciência da computação Biotecnología
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: mariajose.hernandezl@estudiants.urv.cat mariajose.hernandezl@estudiants.urv.cat mariajose.perez@urv.cat misericordia.carles@urv.cat
    Author identifier: 0000-0002-4002-6454 0000-0002-4002-6454 0000-0001-5906-5632 0000-0003-3796-3014
    Record's date: 2024-07-20
    Papper version: info:eu-repo/semantics/publishedVersion
    Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Bmj Open. 12 (11): e064488-e064488
    APA: Hernández-Leal MJ; Pérez-Lacasta MJ; Cardona-Cardona A; Codern-Bové N; Vidal-Lancis C; Rue M; Forné C; Carles-Lavila M; Pro-Share Group (2022). Women's preference to apply shared decision-making in breast cancer screening: a discrete choice experiment. Bmj Open, 12(11), e064488-e064488. DOI: 10.1136/bmjopen-2022-064488
    Article's DOI: 10.1136/bmjopen-2022-064488
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    Medicine (Miscellaneous),Medicine, General & Internal
    Primary care
    Preventive medicine
    Health-care
    Health economics
    Breast tumours
    primary care
    preventive medicine
    breast tumours
    barriers
    Saúde coletiva
    Psicología
    Odontología
    Nutrição
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Farmacia
    Ensino
    Enfermagem
    Educação física
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciência da computação
    Biotecnología
  • Documents:

  • Cerca a google

    Search to google scholar