背景:财政支付能力在医疗保健服务的可及性方面具有独特的作用,这表明政府有必要筹集足够的资金。然而,多少家庭愿意为接受特定服务支付(WTP)?哪些因素影响他们的WTP?当前的系统审查旨在,首先,WTP用于唐氏综合征(DS)筛查的综述研究,and,其次,确定影响DS筛查WTP的因素。方法:我们系统地搜索了Scopus,PubMed,WebofSciences(ISI),和Embase数据库,以确定从开始到2020年6月的相关研究;搜索策略于2021年12月更新。最初,确定了157篇文章,5人被发现符合全文审查条件。如果有任何分歧,使用了第三个审阅者。提取的WTPs于2018年采用汇率平价和现值公式进行换算,进行比较。所选研究的质量评估是使用“LancsarandLouvier”和Smith检查表进行的;投票计数用于评估因素的影响。结果:五项符合条件的研究,发表于2005年至2020年,进行了全面审查。所有最终研究都被评为质量好。在英国和加拿大,提取的WTP从169美元到1118美元不等,分别。收入和有关筛查测试的信息/知识是最常见的调查因素。教育水平,检测率,女人的年龄,成本,家族史与较高的DS筛查WTP水平显著相关。结论:这项研究表明,在各个国家/地区,WTP在DS筛查中存在显着差距。妇女是WTP更高的费用,进行更高的筛查。此外,为收入确定了一个独特的角色,职业,信息,WTP中DS家族史用于DS筛查。此外,发现年龄变量呈正相关.
Background:Financial ability to pay has a unique role in the accessibility of health care services, which indicates the necessity of raising enough funds by governments. However, how much households are willing to pay (WTP) for receiving a particular service? And what factors influence their WTP? The current systematic review aimed to, firstly, review studies on the WTP for Down syndrome (DS) screening, and, secondly, to identify factors that affect WTP for DS screening. Methods:We systematically searched the Scopus, PubMed, Web of Sciences (ISI), and Embase databases to identify relevant studies from their inception to June 2020; the search strategy was updated on December 2021. Initially, 157 articles were identified, and 5 were found eligible for full-text review. In event of any disagreement, a third reviewer was used. Extracted WTPs were converted to US dollars in 2018 using exchange rate parity and the present value formula to make a comparison. The quality assessment of the selected studies was done using the \"Lancsar and Louvier\" and Smith checklist; also, vote counting was used to assess the influence of factors. Results:Five eligible studies, published from 2005 to 2020, were fully reviewed. All final studies were scored as good quality. The extracted WTPs varied from $169 to $1118 in UK and Canada, respectively. Income and information/knowledge about screening tests were the most frequently investigated factors. Education level, detection rate, women\'s age, cost, and family history were significantly associated with higher levels of WTP for DS screening. Conclusion:This study demonstrated a significant gap in WTP for DS screening in various countries. Women are WTP higher costs for tests with higher screenings. Also, a unique role was identified for income, occupation, information, and family history of DS in WTP for DS screening. In addition, a positive association was found for the variable of age.