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利用优劣尺度法确定陈述性偏好研究的属性:以抗抑郁药选择偏好为例

陶颖 刘世蒙 任延峰 谢飞 陈英耀

健康发展与政策研究2024,Vol.27Issue(6):482-491,10.
健康发展与政策研究2024,Vol.27Issue(6):482-491,10.DOI:10.12458/HDPR.202405033

利用优劣尺度法确定陈述性偏好研究的属性:以抗抑郁药选择偏好为例

Using best-worst scaling for attribute selection in stated preference research:a case study on antidepressant preferences

陶颖 1刘世蒙 1任延峰 1谢飞 2陈英耀1

作者信息

  • 1. 复旦大学公共卫生学院,上海 200032||国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海 200032
  • 2. 上海交通大学医学院附属精神卫生中心,上海 200030
  • 折叠

摘要

Abstract

Objective To explore the use of Best-Worst Scaling(BWS-1,object case)in the attribute selection process of stated preference research,providing methodological guidance for researchers.Methods A BWS-1 questionnaire was created using a balanced incomplete block design.The study surveyed depressed and depression-prone individuals online to assess their preferences for antidepressant selection.Data were analyzed using counting methods and a conditional logit model.The preference heterogeneity was also examined.Results The BWS-1 results obtained from the counting method and modelling approach showed high consistency.Liver or kidney injury(both ranked first in importance),headache or dizziness(ranked second and third,respectively)and relapse rates(ranked fourth and second,respectively)were highly prioritized by both depressed patients and depression-prone respondents.Monthly out-of-pocket costs exhibited substantial preference heterogeneity in both groups.Based on qualitative research and BWS-1 quantitative findings,six attributes were ultimately included in the subsequent stated preference study:the risk of liver or kidney injury,the risk of headache or dizziness,the risk of gastrointestinal adverse effects,sleep disturbances,remission rate,and monthly out-of-pocket costs.Most of these attributes were highly ranked in the BWS-1 results.Conclusions BWS-1 can provide valid and reliable evidence for attribute selection in stated preference research.However,it should be complemented by qualitative research that considers research questions,decision-making contexts,and stakeholder opinions to address attributes not covered by BWS-1,thereby enhancing the study's rigor.

关键词

抑郁症患者/陈述性偏好/优劣尺度法/属性选择/抗抑郁药物

Key words

depression/stated preference/best-worst scaling/attribute selection/antidepressant

分类

医药卫生

引用本文复制引用

陶颖,刘世蒙,任延峰,谢飞,陈英耀..利用优劣尺度法确定陈述性偏好研究的属性:以抗抑郁药选择偏好为例[J].健康发展与政策研究,2024,27(6):482-491,10.

基金项目

国家自然科学基金面上项目(72074047) (72074047)

国家自然科学基金青年项目(72404059) (72404059)

健康发展与政策研究

OA北大核心CSTPCD

1007-953X

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