西南地区产妇对无创基因检测的知晓情况、支付意愿及满意度研究
Study on the awareness,willingness to pay and satisfaction with non-invasive prenatal testing among parturient woman in southwest region
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摘要: 目的 研究产妇对无创产前基因检测(non-invasive prenatal testing, NIPT)的知晓情况和支付意愿,及其对NIPT满意度的影响因素。方法 对西南地区某省级妇幼保健院的1201名产妇进行问卷调查,建立二分类Logistic回归模型,分析满意度的影响因素。结果 有效问卷1197份,有效问卷率99.7%,产妇对NIPT的知晓率为88.5%,主要知晓途径是通过医生获得NIPT相关信息。支付意愿分析结果为:产妇对NIPT的平均支付意愿为1091元/次;当NIPT价格降到900元/次时,84.5%的产妇愿意个人支付。产妇对NIPT各项满意度调查结果为:各项满意度平均评分偏低,为3.83,其中NIPT费用的满意度最低,为3.36;对护士服务态度和NIPT检测结果的解释满意度最高,为3.96。产妇对NIPT筛查和传统唐筛的了解程度越高,对NIPT各项满意度越低;产妇的居住地和参与的医疗保险类型造成的NIPT的各项满意度差异无统计学意义(P>0.05)。结论 在我国妇幼健康服务网络基础上,拓宽NIPT的宣传途径,提高孕产妇的知晓情况。同时将孕产妇的支付意愿与本地的经济水平相结合,探索适宜的NIPT支付方式,提高人群的满意度,推进NIPT在临床实践中的应用,充分发挥其在出生缺陷防控中的作用。Abstract: Objective To study parturient women's awareness, willingness to pay and satisfaction for non-invasive prenatal genetic testing(NIPT), and influencing factors of satisfaction with NIPT.Methods A questionnaire survey was performed on 1201 women in the Maternal and Child Health Hospital in southwest China. A binary logistic regression model was established to analyze the influencing factors of satisfaction.Results 1197 valid questionnaires were collected with the valid rate of 99.7%. The awareness rate of NIPT reached 88.5%. The main way was through doctors to obtain NIPT information. The average willingness to pay for NIPT was¥1091 per time, and 84.5% of women were willing to pay personally when its price was ¥900 per time. The satisfaction of parturient women with NIPT showed that the average score of satisfaction rate was low at 3.83 points(out of 5 points), the satisfaction rate of NIPT charges was the lowest(3.36 points), and the satisfaction of nurses' service attitude and the interpretation of NIPT result were the highest(3.96 points). The higher the knowledge of NIPT and traditional Down's screening, the lower the satisfaction of parturient woman with NIPT. There was no significant difference in the satisfaction of NIPT caused by the place of residence of pregnant women and the type of medical insurance they participated in.Conclusion On the basis of China's Maternal and Child Health Service Network,the publicity channels of NIPT should be expanded to improve the awareness of pregnant women. Meanwhile, in order to improve the NIPT's satisfaction and promote the application of NIPT in clinical practice, policy-makers should explore appropriate NIPT payment methods, combining the local economic level and the willingness to pay of pregnant women.