健康发展与政策研究2025，Vol.28Issue(1)：43-50,8.DOI:10.12458/HDPR.202405002
基于优劣尺度法的女性不孕症患者对辅助生殖技术项目的偏好研究
Preferences of women with infertility for assisted reproductive technology programs:a best-worst scaling survey
摘要
Abstract
Objective This study aims to investigate the preferences of women with infertility for different attributes of assisted reproductive technology(ART)programs,and to promote rational allocation of health resources.Methods A best-worst scaling(BWS)questionnaire was developed using a balanced incomplete block design(BIBD),and a face-to-face paper-based survey was conducted among women with infertility to investigate their preferences for assisted reproductive technology programs.Results were analyzed using a count method and a mixed logit model.Results A total of 150 questionnaires were collected,with 129 deemed valid for analysis.The results of the count method and mixed logit model analyses of preferences were highly consistent,showing that all attributes having a statistically significant effect on patients'choices(P＜0.05).The most valued attribute was the healthy live birth rate(P＜0.05;Preference Share 36.7%),while the least valued was the timing of health consultations(Std.BW Score-0.61).The top six attributes in terms of relative importance were:healthy live birth rate,pregnancy rate,maternal complications,miscarriage rate,adverse reactions or side effects,and neonatal complications.Cluster analysis revealed preference heterogeneity among patients,although statistical differences were only observed in the number of years spend preparing for pregnancy(P＜0.05).Conclusion Women with infertility prioritize the effectiveness and safety of ART treatments and their preferences vary across individuals.关键词
辅助生殖/偏好/优劣尺度法/医患共享决策Key words
assisted reproduction/preference/best-worst scaling/shared decision-making分类
预防医学引用本文复制引用
陈佳丽,李歆..基于优劣尺度法的女性不孕症患者对辅助生殖技术项目的偏好研究[J].健康发展与政策研究,2025,28(1):43-50,8.基金项目
国家自然科学基金面上项目(72074123) （72074123）
2023年江苏省研究生科研创新计划(KYCX23_1901) （KYCX23_1901）
