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

作　　者：常璇 谢静 李秋霞 冯玉坤 郑衍玲 张楠 CHANG Xuan;XIE Jing;LI Qiuxia;FENG Yukun;ZHENG Yanling;ZHANG Nan(Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Center for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Health Commission Key Laboratory of Health Economics and Policy Research(Shandong University),Jinan 250012,China;School of Public Health,Weifang Medical College,Weifang 261053,China;Shandong Cancer Research Institute(Shandong Cancer Hospital),Shandong First Medical University(Shandong Academy of Medical Sciences),Jinan 250117,China;Shandong Medical College,Jinan 250002,China)

机构地区：[1]山东第一医科大学附属省立医院,山东济南250021 [2]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,国家卫生健康委卫生经济与政策研究重点实验室(山东大学),山东济南250012 [3]潍坊医学院公共卫生学院,山东潍坊261053 [4]山东省肿瘤防治研究院(山东省肿瘤医院),山东第一医科大学(山东省医学科学院),山东济南250117 [5]山东医学高等专科学校,山东济南250002

出　　处：《中国肿瘤》2025年第2期138-144,共7页China Cancer

基　　金：齐鲁卫生与健康领军人才培育工程。

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。[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 0~1500 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.

关 键 词：农村居民 癌症联合筛查 条件估值法 支付意愿 山东 

分 类 号：R73-31[医药卫生—肿瘤]