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Eliciting Population Preferences for Mass Colorectal Cancer Screening Organization

Author

Listed:
  • Maximilien Nayaradou

    (IFD (Institut Finance Dauphine), Université Paris, Dauphine, France, ERI3 INSERM “Cancers & Populations†, CHU Caen, France)

  • Célia Berchi

    (ERI3 INSERM “Cancers & Populations†, CHU Caen, France)

  • Olivier Dejardin

    (ERI3 INSERM “Cancers & Populations†, CHU Caen, France)

  • Guy Launoy

    (ERI3 INSERM “Cancers & Populations†, CHU Caen, France, guy.launoy@unicaen.fr)

Abstract

Introduction. The implementation of mass colorectal cancer (CRC) screening is a public health priority. Population participation is fundamental for the success of CRC screening as for any cancer screening program. The preferences of the population may influence their likelihood of participation. Objectives. The authors sought to elicit population preferences for CRC screening test characteristics to improve the design of CRC screening campaigns. Methods. A discrete choice experiment was used. Questionnaires were compiled with a set of pairs of hypothetical CRC screening scenarios. The survey was conducted by mail from June 2006 to October 2006 on a representative sample of 2000 inhabitants, aged 50 to 74 years from the northwest of France, who were randomly selected from electoral lists. Questionnaires were sent to 2000 individuals, each of whom made 3 or 4 discrete choices between hypothetical tests that differed in 7 attributes: how screening is offered, process, sensitivity, rate of unnecessary colonoscopy, expected mortality reduction, method of screening test result transmission, and cost. Results. Complete responses were received from 656 individuals (32.8%). The attributes that influenced population preferences included expected mortality reduction, sensitivity, cost, and process. Participants from high social classes were particularly influenced by sensitivity. Conclusions. The results demonstrate that the discrete choice experiment provides information on patient preferences for CRC screening: improving screening program effectiveness, for instance, by improving test sensitivity (the most valued attribute) would increase satisfaction among the general population with regard to CRC screening programs. Additional studies are required to study how patient preferences actually affect adherence to regular screening programs.

Suggested Citation

  • Maximilien Nayaradou & Célia Berchi & Olivier Dejardin & Guy Launoy, 2010. "Eliciting Population Preferences for Mass Colorectal Cancer Screening Organization," Medical Decision Making, , vol. 30(2), pages 224-233, March.
    • Handle: RePEc:sae:medema:v:30:y:2010:i:2:p:224-233
    DOI: 10.1177/0272989X09342747
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    References listed on IDEAS

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    1. Rochelle Belkar & Denzil G. Fiebig & Marion Haas & Rosalie Viney, 2006. "Why worry about awareness in choice problems? Econometric analysis of screening for cervical cancer," Health Economics, John Wiley & Sons, Ltd., vol. 15(1), pages 33-47, January.
    2. Célia Berchi & Jean-Marc Dupuis & Guy Launoy, 2006. "The reasons of general practitioners for promoting colorectal cancer mass screening in France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(2), pages 91-98, June.
    3. Drakopoulos, S A, 1994. "Hierarchical Choice in Economics," Journal of Economic Surveys, Wiley Blackwell, vol. 8(2), pages 133-153, June.
    4. Celia Berchi, 2006. "The reasons of general practitioners for promoting colorectal cancer mass screening in France," Post-Print halshs-00109389, HAL.
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    Cited by:

    1. Maximilien Nayaradou & Sébastien Nouet & Manuel Plisson, 2016. "Les mécanismes économiques et financiers associés à la couverture dépendance : une analyse exploratoire sur données bancaires," Revue d'économie financière, Association d'économie financière, vol. 0(2), pages 273-326.
    2. Rebekah Hall & Antonieta Medina-Lara & Willie Hamilton & Anne E. Spencer, 2022. "Attributes Used for Cancer Screening Discrete Choice Experiments: A Systematic Review," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 15(3), pages 269-285, May.
    3. Pierre-Alexandre Mahieu & Romain Craste & Bengt Kriström & Pere Riera, 2014. "Non-market valuation in France: An overview of the research activity," Working Papers hal-01087365, HAL.

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