TITLE

Differences between willingness to pay and willingness to accept for visits by a family physician: A contingent valuation study

AUTHOR(S)
Martín-Fernández, Jesús; Cura-González, Ma Isabel del; Gómez-Gascón, Tomás; Oliva-Moreno, Juan; Domínguez-Bidagor, Julia; Beamud-Lagos, Milagros; Pérez-Rivas, Francisco Javier
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10, p236
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The economic value attributed by users of health services in public health systems can be useful in planning and evaluation. This value can differ from the perspectives of Willingness to Pay (WTP) and Willingness to Accept [Compensation] (WTA). Our objective was to study the perceptions of the patient about the service provided by the family physician by means of the WTA/WTP ratio. Methods: An economic evaluation study by the Contingent Valuation Method was designed. Interviews were conducted with 451 subjects at six health centres (four urban and two rural) in areas with different socioeconomic characteristics. A payment card was used to measure the WTP and WTA. Other characteristics of the subject or service that could influence these responses were collected. An explicative model was constructed to study the WTA/WTP relationship. Results: Four hundred and four subjects (89.6%) expressed a WTP and WTA different from zero. The WTA/WTP quotient showed a median of 1.55 (interquartile range 1-3.08) and a mean of 3.30 (IC 95%: 2.84-3.75). The WTA/WTP ratio increases with age and in low-income areas. It decreases in professional groups with more specialized activities, with growing family income, and in the chronically ill. Other characteristics related to the perception of state of health, accessibility to the service, satisfaction, or perception of risk were not explicative. Conclusions: Subjects who were older and had a less favourable socioeconomic situation expressed a higher WTA/ WTP ratio when valuing the visit to the family physician. These characteristics could identify a profile of "aversion to loss" with respect to this service.
ACCESSION #
52037076

 

Related Articles

  • Assessing willingness to pay for cancer prevention. Milligan, Michael; Bohara, Alok; Pagán, José // International Journal of Health Care Finance & Economics;Dec2010, Vol. 10 Issue 4, p301 

    Cancer is the second leading cause of death in the U.S. and its economic cost is very high. The objective of this study is to analyze the socioeconomic and demographic factors that are related to the willingness to pay (WTP) for cancer prevention. Data from an experimental module in the 2002...

  • Estimating the willingness to pay for a quality-adjusted life year in Thailand: does the context of health gain matter? Thavorncharoensap, Montarat; Teerawattananon, Yot; Natanant, Sirin; Kulpeng, Wantanee; Yothasamut, Jomkwan; Werayingyong, Pitsaphun // ClinicoEconomics & Outcomes Research;2013, Vol. 5, p29 

    Background: This study aims to elicit the value of the willingness to pay (WTP) for a quality-adjusted life year (QALY) and to examine the factors associated with the WTP for a QALY (WTP/QALY) value under the Thai health care setting. Methods: A community-based survey was conducted among 1191...

  • Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations. Martín-Fernández, Jesús; del Cura-González, Mª Isabel; Rodríguez-Martínez, Gemma; Ariza-Cardiel, Gloria; Zamora, Javier; Gómez-Gascón, Tomás; Polentinos-Castro, Elena; Pérez-Rivas, Francisco Javier; Domínguez-Bidagor, Julia; Beamud-Lagos, Milagros; Tello-Bernabé, Mª Eugenia; Conde-López, Juan Francisco; Aguado-Arroyo, Óscar; Bayona, Mª Teresa Sanz-; Gil-Lacruz, Ana Isabel // PLoS ONE;Apr2013, Vol. 8 Issue 4, p1 

    Background: Identifying the economic value assigned by users to a particular health service is of principal interest in planning the service. The aim of this study was to evaluate the perception of economic value of nursing consultation in primary care (PC) by its users. Methods and Results:...

  • Socioeconomic patterns in the use of public and private health services and equity in health care. Regidor, Enrique; Martínez, David; Calle, María E.; Astasio, Paloma; Ortega, Paloma; Domínguez, Vicente // BMC Health Services Research;2008, Vol. 8, Special section p1 

    Background: Several studies in wealthy countries suggest that utilization of GP and hospital services, after adjusting for health care need, is equitable or pro-poor, whereas specialist care tends to favour the better off. Horizontal equity in these studies has not been evaluated appropriately,...

  • Factors influencing willingness to pay for healthcare. Aizuddin, Azimatun Noor; Sulong, Saperi; Mohamed Aljunid, Syed // BMC Public Health;2012, Vol. 12 Issue Suppl 2, p1 

    An abstract of the article "Factors influencing willingness to pay for healthcare," by Azimatun Noor Aizuddin, Saperi Sulong, and Syed Mohamed Aljunid is presented.

  • Does your physician see your needs? Trarbach, Judith; Vogt, Bodo // NeuroPsychoEconomics Conference Proceedings;2013, p63 

    In clinics, resources are limited. Here, cost/utility considerations are often used to make allocation decisions. Namely, physicians have a fixed budget and must prioritize whom to heal. Each disease, especially when pain is strong, corresponds to a utility loss of the patient. Hence, physicians...

  • Patients’ willingness to pay for electronic communication with their general practitioner. Bergmo, Trine Strand; Wangberg, Silje Camilla // European Journal of Health Economics;Jun2007, Vol. 8 Issue 2, p105 

    Despite the common use of electronic communication in other aspects of everyday life, its use between patients and health care providers has been slow to diffuse. Possible explanations are security issues and lack of payment mechanisms. This study investigated how patients value secure...

  • Which factors influence willingness-to-pay for orthognathic treatment? Smith, A. S. A.; Cunningham, S. J. // European Journal of Orthodontics;Oct2004, Vol. 26 Issue 5, p499 

    The aims of this interview-based questionnaire study were to establish which factors influence willingness-to pay (WTP) for orthognathic treatment and to compare WTP values, from both members of the general public and orthognathic patients, with the actual cost of treatment, the hypothesis being...

  • Health Care for the Chinese Community in Boston. Li, Frederick P.; Schlief, Nyuk Yoong; Chang, Caroline J.; Gaw, Albert C. // American Journal of Public Health;Apr1972, Vol. 62 Issue 4, p536 

    Poor health and low living standards prevail in Chinese-American communities. This report discusses some social and cultural origins of health needs among Chinese-Americans and describes the role of community participation in health programming for one Chinese community, the Chinatown of Boston.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics