| 引用本文：孙菊,韩文晶,李浩淼,等.农村心血管疾病高危人群健康干预措施选择偏好及优化策略基于离散选择实验的分析[J].中国卫生政策研究,2025,18(6):41-50 |
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| 农村心血管疾病高危人群健康干预措施选择偏好及优化策略基于离散选择实验的分析 |
| 投稿时间：2025-06-09 修订日期：2025-06-20 PDF全文浏览 HTML全文浏览 |
| 孙菊1,2，韩文晶1，李浩淼1,2，祝淑珍3 |
| 1.武汉大学政治与公共管理学院 湖北武汉 430072;2.武汉大学健康治理研究中心 湖北武汉 430072;3.湖北省疾病预防控制中心 湖北武汉 430079 |
| 摘要:目的 考察农村心血管疾病高危群体的干预措施选择偏好及其异质性特征，为制定循证的CVD干预策略，提供新的经验证据和路径参考。方法 采用整群抽样方法，设计离散选择实验，线下调研湖北省一个CVD高危筛查点的345个高危对象，运用混合logit模型进行数据分析。结果 “基层医护人员+县级医护人员+县级以上专家”“每月或更久”“非药物干预”“药物干预+非药物干预”“一小时”等属性水平均会显著提升高危人群方案选择概率，而“线上”方式和“个性化服务包”会显著降低受访者的方案选择概率，且不同性别、年龄、受教育程度、收入水平、健康状况的高危群体选择偏好存在显著差异。结论 农村CVD高危人群明显偏好服务主体水平高、线下开展、低频次、中等强度、非药物干预或与药物干预结合、无偿性基础服务内容的干预模式，有必要依据需方偏好及其异质性特征，探索更为高效且适应农村高危群体的CVD干预方案。 |
| 关键词:心血管疾病 高危人群 健康干预措施 选择偏好 优化策略 |
| 基金项目:湖北省疾病预防控制中心项目（202505004） |
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| Selection preference and optimization strategy of health intervention in high-risk population of cardiovascular disease in rural area： Based on a Discrete Choice Experiment |
| SUN Ju1,2, HAN Wen-jing1, LI Hao-miao1,2, ZHU Shu-zhen3 |
| 1.School of Political Science and Public Administration， Wuhan University， Wuhan Hubei 430072， China;2.The Research Center for Health Governance， Wuhan University， Wuhan Hubei 430072， China;3.Hubei Provincial Center for Disease Control and Prevention， Wuhan Hubei 430079， China |
| Abstract:Objective To investigate the selection preference and heterogeneity of intervention measures for high-risk population of Cardiovascular Disease in rural areas， and to provide new empirical evidence and path reference for evidence-based CVD intervention strategies.Methods Using cluster sampling method， a discrete choice experiment was designed to conduct an offline survey on 345 CVD high-risk subjects in one of the CVD high-risk screening sites in Hubei Province. Mixed logit model was used for data analysis.Results The attributes of“Primary medical staff + County-level medical staff + Experts above county-level”， “Monthly or longer”， “Non-drug intervention”， “Drug intervention + non-drug intervention”， “One hour”， all significantly increased the probability of high-risk population to choose the project， and“Online” mode and“Personalized service package” will significantly reduce the probability of respondents to choose a solution， there were significant differences in the selection preferences of high-risk population with different gender， age， education level， income level and health status.Conclusion The rural CVD high-risk population obviously prefer the intervention model with high level of service subject， off-line implementation， low frequency， medium intensity， non-drug intervention or combined with drug intervention， and free basic service content. It is necessary to explore a more efficient and suitable intervention scheme for CVD in rural high-risk population according to the demand-side preference and its heterogeneity. |
| Key words:Cardiovascular disease High risk population Health interventions： Selection preference Optimization strategy |
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