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Preferences of Cancer Survivors for Follow-Up Care: A Systematic Review of Discrete Choice Experiments

Author

Listed:
  • Tongyu Zhang

    (Tianjin University of Traditional Chinese Medicine)

  • Zhuobing Bai

    (Central University of Finance and Economics)

  • Bingyan Zhao

    (Tianjin University of Traditional Chinese Medicine)

  • Yu Chen

    (Tianjin University of Traditional Chinese Medicine)

  • Chunmei Zhang

    (Tianjin University of Traditional Chinese Medicine)

Abstract

Background and Objective Cancer survivors frequently encounter multiple challenges, including physical, psychological, social, emotional, and financial difficulties. These challenges significantly impact their quality of life and recovery process. This systematic review intends to delineate and assess the evidence gathered from discrete choice experiments, aiming to unravel the preferences of cancer survivors towards their follow-up care. Methods A systematic literature review was conducted across PubMed, Web of Science, Embase, CINAHL, PsycINFO, CNKI, Wanfang, and SinoMed databases up to July 2024. Two reviewers independently conducted the screening, data extraction, and quality appraisal of the studies. The collected data were synthesized through a narrative approach. Additionally, semi-quantitative analyses were used to evaluate the frequency, importance, and significance of each attribute. Results Eight studies conducted across four countries were analyzed, yielding 41 distinct attributes grouped into eight main categories and 14 subcategories, further refined by subject matter. Despite the differences in payment systems between countries, the type of provider topped the list of preferences for cancer survivors’ follow-up care. Next in preference was the contact modality. Service quality (comprehensive plans, personalized service, detailed information) was also valued. However, opinions diverged on continuity, additional support, and service frequency. Conclusions The attributes of follow-up care preferences integrated in this review demonstrate a diverse range among cancer survivors. Generally, they prioritize skilled professionals, flexible contact modality, and other high-quality follow-up care elements. Future studies should analyze cancer survivors’ preferences for follow-up care from the perspectives of different stakeholders, and further consider internal and external factors to ensure authentic decision making.

Suggested Citation

  • Tongyu Zhang & Zhuobing Bai & Bingyan Zhao & Yu Chen & Chunmei Zhang, 2025. "Preferences of Cancer Survivors for Follow-Up Care: A Systematic Review of Discrete Choice Experiments," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 18(2), pages 115-129, March.
    • Handle: RePEc:spr:patien:v:18:y:2025:i:2:d:10.1007_s40271-024-00722-6
    DOI: 10.1007/s40271-024-00722-6
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    References listed on IDEAS

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    1. Noort, Bart A.C. & Ahaus, Kees & van der Vaart, Taco & Chambers, Naomi & Sheaff, Rod, 2020. "How healthcare systems shape a purchaser’s strategies and actions when managing chronic care," Health Policy, Elsevier, vol. 124(6), pages 628-638.
    2. Jiawei Geng & Ran Li & Xinyu Wang & Rongfang Xu & Jibin Liu & Haiyan Jiang & Gaoren Wang & Therese Hesketh, 2024. "Eliciting Older Cancer Patients’ Preferences for Follow-Up Care to Inform a Primary Healthcare Follow-Up Model in China: A Discrete Choice Experiment," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 17(5), pages 589-601, September.
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