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To investigate the individual and household-level factors influencing the willingness to pay for cataract surgery among patients aged 50 years and older in rural China: a cross-sectional study

OBJECTIVES: To investigate the factors influencing the willingness to pay (WTP) for cataract surgery among patients aged 50 years and older in rural China at both individual and household levels. DESIGN: A cross-sectional study. SETTING: The study was conducted in Gansu, China. PARTICIPANTS: Patient...

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Autores principales: Ding, Yuxiu, Chen, Xiangzhe, Guan, Hongyu, Du, Kang, Zhang, Yunyun, Shi, Yaojiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10407343/
https://www.ncbi.nlm.nih.gov/pubmed/37541756
http://dx.doi.org/10.1136/bmjopen-2022-069985
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author Ding, Yuxiu
Chen, Xiangzhe
Guan, Hongyu
Du, Kang
Zhang, Yunyun
Shi, Yaojiang
author_facet Ding, Yuxiu
Chen, Xiangzhe
Guan, Hongyu
Du, Kang
Zhang, Yunyun
Shi, Yaojiang
author_sort Ding, Yuxiu
collection PubMed
description OBJECTIVES: To investigate the factors influencing the willingness to pay (WTP) for cataract surgery among patients aged 50 years and older in rural China at both individual and household levels. DESIGN: A cross-sectional study. SETTING: The study was conducted in Gansu, China. PARTICIPANTS: Patients aged ≥50 years who were diagnosed with cataracts indicated for surgery and lived rural in Gansu from October to December 2020 were included in the study. PRIMARY AND SECONDARY OUTCOME MEASURES: The main study outcome was the patients’ WTP for cataract surgery. The association of individual characteristics, knowledge about cataracts, health status and household characteristics with patients’ WTP was also evaluated based on the collected data using structured questionnaires. RESULTS: A total of 324 (85.94%) patients in the study reported that they were willing to pay for their cataract surgery. However, only 179 (47.48%) patients were willing to pay over ¥1000 to cover the cost of cataract surgery under the New Rural Cooperative Medical System (NRCMS). Patients aged 75 years and older were significantly less likely to pay for cataract surgery (p=0.037). Better visual status (p=0.032), self-reported severe poor visual status (p=0.001), higher annual household income (p=0.052) and a higher level of children’s education (p=0.076) were significantly more likely to pay for cataract surgery. CONCLUSIONS: The WTP for cataract surgery in rural China is still insufficient. More than half of patients’ WTP for surgery do not cover the cost of cataract surgery after reimbursement by the NRCMS. Both individual and household characteristics contribute to the low WTP for cataract surgery.
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spelling pubmed-104073432023-08-09 To investigate the individual and household-level factors influencing the willingness to pay for cataract surgery among patients aged 50 years and older in rural China: a cross-sectional study Ding, Yuxiu Chen, Xiangzhe Guan, Hongyu Du, Kang Zhang, Yunyun Shi, Yaojiang BMJ Open Public Health OBJECTIVES: To investigate the factors influencing the willingness to pay (WTP) for cataract surgery among patients aged 50 years and older in rural China at both individual and household levels. DESIGN: A cross-sectional study. SETTING: The study was conducted in Gansu, China. PARTICIPANTS: Patients aged ≥50 years who were diagnosed with cataracts indicated for surgery and lived rural in Gansu from October to December 2020 were included in the study. PRIMARY AND SECONDARY OUTCOME MEASURES: The main study outcome was the patients’ WTP for cataract surgery. The association of individual characteristics, knowledge about cataracts, health status and household characteristics with patients’ WTP was also evaluated based on the collected data using structured questionnaires. RESULTS: A total of 324 (85.94%) patients in the study reported that they were willing to pay for their cataract surgery. However, only 179 (47.48%) patients were willing to pay over ¥1000 to cover the cost of cataract surgery under the New Rural Cooperative Medical System (NRCMS). Patients aged 75 years and older were significantly less likely to pay for cataract surgery (p=0.037). Better visual status (p=0.032), self-reported severe poor visual status (p=0.001), higher annual household income (p=0.052) and a higher level of children’s education (p=0.076) were significantly more likely to pay for cataract surgery. CONCLUSIONS: The WTP for cataract surgery in rural China is still insufficient. More than half of patients’ WTP for surgery do not cover the cost of cataract surgery after reimbursement by the NRCMS. Both individual and household characteristics contribute to the low WTP for cataract surgery. BMJ Publishing Group 2023-08-04 /pmc/articles/PMC10407343/ /pubmed/37541756 http://dx.doi.org/10.1136/bmjopen-2022-069985 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Ding, Yuxiu
Chen, Xiangzhe
Guan, Hongyu
Du, Kang
Zhang, Yunyun
Shi, Yaojiang
To investigate the individual and household-level factors influencing the willingness to pay for cataract surgery among patients aged 50 years and older in rural China: a cross-sectional study
title To investigate the individual and household-level factors influencing the willingness to pay for cataract surgery among patients aged 50 years and older in rural China: a cross-sectional study
title_full To investigate the individual and household-level factors influencing the willingness to pay for cataract surgery among patients aged 50 years and older in rural China: a cross-sectional study
title_fullStr To investigate the individual and household-level factors influencing the willingness to pay for cataract surgery among patients aged 50 years and older in rural China: a cross-sectional study
title_full_unstemmed To investigate the individual and household-level factors influencing the willingness to pay for cataract surgery among patients aged 50 years and older in rural China: a cross-sectional study
title_short To investigate the individual and household-level factors influencing the willingness to pay for cataract surgery among patients aged 50 years and older in rural China: a cross-sectional study
title_sort to investigate the individual and household-level factors influencing the willingness to pay for cataract surgery among patients aged 50 years and older in rural china: a cross-sectional study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10407343/
https://www.ncbi.nlm.nih.gov/pubmed/37541756
http://dx.doi.org/10.1136/bmjopen-2022-069985
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