Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 13 1 2024 12 01 Public Heterogeneous Preferences for Low-Dose Computed Tomography Lung Cancer Screening Service Delivery in Western China: A Discrete Choice Experiment 1 11 4612 10.34172/ijhpm.8259 EN Wenjuan Tao Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China 0000-0002-5926-2545 Ting Bao Health Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China 0000-0003-3543-7344 Tao Gu Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China School of Business Administration, Faculty of Business Administration, Southwestern University of Finance and Economics, Chengdu, China 0000-0001-7711-1196 Jay Pan HEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China School of Public Administration, Sichuan University, Chengdu, China 0000-0001-9501-1535 Weimin Li Department of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China Institute of Respiratory Health, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China Precision Medicine Center, Precision Medicine Key Laboratory of Sichuan Province, West China Hospital, Sichuan University, Chengdu, China State Key Laboratory of Respiratory Health and Multimorbidity, West China Hospital, Chengdu, China 0000-0003-0985-0311 Ruicen Li Health Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China 0000-0001-9693-5166 Journal Article 2023 08 28 Background Lung cancer screening (LCS) with low-dose computed tomography (LDCT) is an efficient method that can reduce lung cancer mortality in high-risk individuals. However, few studies have attempted to measure the preferences for LDCT LCS service delivery. This study aimed to generate quantitative information on the Chinese population’s preferences for LDCT LCS service delivery. Methods The general population aged 40 to 74 in the Sichuan province of China was invited to complete an online discrete choice experiment (DCE). The DCE required participants to answer 14 discrete choice questions comprising five attributes: facility levels, facility ownership, travel mode, travel time, and out-of-pocket cost. Choice data were analyzed using mixed logit and latent class logit models. Results The study included 2,529 respondents, with 746 (29.5%) identified as being at risk for lung cancer. Mixed logit model analysis revealed that all five attributes significantly influenced respondents’ choices. Facility levels had the highest relative importance (44.4%), followed by facility ownership (28.1%), while out-of-pocket cost had the lowest importance (6.4%). The atrisk group placed relatively more importance on price and facility ownership compared to the nonrisk group. Latent class logit model identified five distinct classes with varying preferences. Conclusion This study revealed significant heterogeneity in preferences for lung cancer screening service attributes among the Chinese population, with facility level and facility ownership being the most important factors. The findings underscore the need for tailored strategies targeting different subgroup preferences to increase screening participation rates and improve early detection outcomes.

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