Perception of the economic value of primary care services: a Willingness to Pay study

Health Policy
Jesús Martín-FernándezTeresa Sanz-Cuesta

Abstract

Identify the economic value the user attributes to the visit to the family physician, in a setting of a National Health System, by the Willingness to Pay (WTP) expressed. Economic evaluation study, by the contingent valuation method. Questions were asked about WTP using a payment card format. Interviews were conducted with 451 subjects, in areas with different socioeconomic characteristics. An ordered probit was used to evaluate model's validity. Median WTP expressed was euro18 (interquartile range euro8-28), not including "zero-answers" of thirty-four subjects (7.5%). This value represents 2% of average adjusted family incomes. Patients with higher incomes or with chronic illnesses presented a probability of 5-14 percentage points of expressing a high WTP. For every point of increase of patient satisfaction, the probability of presenting a WTP in the lowest range decreases 7.0 percentage points. Subjects with a low education level and those older than 65 expressed a lower WTP. Accessibility, risk perception, nationality and having private insurance were not related to the WTP expressed. Users of primary care have a clear perception of the economic value of care received from the family physician, even in a framework of providi...Continue Reading

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Citations

May 13, 2010·BMC Public Health·Jesús Martín-FernándezFrancisco Javier Pérez-Rivas
Feb 2, 2011·BMC Public Health·Isabel Del-Cura GonzálezUNKNOWN GRUPO PRESEVAC
Apr 1, 2014·Evaluation and Program Planning·Marko M MihicVladimir Lj Obradovic
Sep 11, 2012·Cirugía española·Jesús Martín Fernández
Jul 6, 2014·BMC Health Services Research·Jesus Martín-FernándezSonia García-Pérez
Oct 22, 2016·Journal of Adolescent and Young Adult Oncology·Sapna KaulAnne C Kirchhoff
Dec 6, 2017·PloS One·Jesús Martín-FernándezIsabel Del Cura-González
Aug 9, 2017·BMC Health Services Research·Julie Gleason-ComstockPhillip Levy
Apr 4, 2021·International Journal of Environmental Research and Public Health·Christy PuI-Jen Wang

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