Willingness-to-Pay for Combined Cancer Screening Among Rural Residents in Shandong Province
10.11735/j.issn.1004-0242.2025.02.A008
- VernacularTitle:山东省农村居民癌症联合筛查支付意愿分析
- Author:
Xuan CHANG
1
;
Jing XIE
;
Qiuxia LI
;
Yukun FENG
;
Yanling ZHENG
;
Nan ZHANG
Author Information
1. 山东第一医科大学附属省立医院,山东济南 250021
- Publication Type:Journal Article
- Keywords:
rural residents;
combined cancer screening;
conditional valuation method;
willing-ness-to-pay;
Shandong
- From:
China Cancer
2025;34(2):138-144
- CountryChina
- Language:Chinese
-
Abstract:
[Purpose]To investigate the acceptance and willingness-to-pay(WTP)of combined can-cer 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 Shan-dong Province.The questionnaire was developed using the method of double-bound dichotomous choice combined with open-ended questions in contingent valuation.The factors influencing inten-sity 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 respon-dents who were willing to pay between 0～1 500 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-can-cer screening should be controlled,and a co-payment mechanism among government,enterprises,social organizations and individuals should be explored.
