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Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations
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: Economi...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633834/ https://www.ncbi.nlm.nih.gov/pubmed/23626858 http://dx.doi.org/10.1371/journal.pone.0062840 |
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author | 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 |
author_facet | 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 |
author_sort | Martín-Fernández, Jesús |
collection | PubMed |
description | 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: Economic study using contingent valuation methodology. A total of 662 users of nursing consultation from 23 health centers were included. Data on demographic and socioeconomic characteristics, health needs, pattern of usage, and satisfaction with provided service were compiled. The validity of the response was evaluated by an explanatory mixed-effects multilevel model in order to assess the factors associated with the response according to the welfare theory. Response reliability was also evaluated. Subjects included in the study indicated an average Willingness to Pay (WTP) of €14.4 (CI 95%: €13.2–15.5; median €10) and an average Willingness to Accept [Compensation] (WTA) of €20.9 (CI 95%: €19.6–22.2; median €20). Average area income, personal income, consultation duration, home visit, and education level correlated with greater WTP. Women and older subjects showed lower WTP. Fixed parameters explained 8.41% of the residual variability, and response clustering in different health centers explained 4–6% of the total variability. The influence of income on WTP was different in each center. The responses for WTP and WTA in a subgroup of subjects were consistent when reassessed after 2 weeks (intraclass correlation coefficients 0.952 and 0.893, respectively). CONCLUSIONS: The economic value of nursing services provided within PC in a public health system is clearly perceived by its user. The perception of this value is influenced by socioeconomic and demographic characteristics of the subjects and their environment, and by the unique characteristics of the evaluated service. The method of contingent valuation is useful for making explicit this perception of value of health services. |
format | Online Article Text |
id | pubmed-3633834 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-36338342013-04-26 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 Research Article 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: Economic study using contingent valuation methodology. A total of 662 users of nursing consultation from 23 health centers were included. Data on demographic and socioeconomic characteristics, health needs, pattern of usage, and satisfaction with provided service were compiled. The validity of the response was evaluated by an explanatory mixed-effects multilevel model in order to assess the factors associated with the response according to the welfare theory. Response reliability was also evaluated. Subjects included in the study indicated an average Willingness to Pay (WTP) of €14.4 (CI 95%: €13.2–15.5; median €10) and an average Willingness to Accept [Compensation] (WTA) of €20.9 (CI 95%: €19.6–22.2; median €20). Average area income, personal income, consultation duration, home visit, and education level correlated with greater WTP. Women and older subjects showed lower WTP. Fixed parameters explained 8.41% of the residual variability, and response clustering in different health centers explained 4–6% of the total variability. The influence of income on WTP was different in each center. The responses for WTP and WTA in a subgroup of subjects were consistent when reassessed after 2 weeks (intraclass correlation coefficients 0.952 and 0.893, respectively). CONCLUSIONS: The economic value of nursing services provided within PC in a public health system is clearly perceived by its user. The perception of this value is influenced by socioeconomic and demographic characteristics of the subjects and their environment, and by the unique characteristics of the evaluated service. The method of contingent valuation is useful for making explicit this perception of value of health services. Public Library of Science 2013-04-23 /pmc/articles/PMC3633834/ /pubmed/23626858 http://dx.doi.org/10.1371/journal.pone.0062840 Text en © 2013 Martín-Fernández et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article 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 Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations |
title | Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations |
title_full | Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations |
title_fullStr | Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations |
title_full_unstemmed | Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations |
title_short | Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations |
title_sort | economic valuation of health care services in public health systems: a study about willingness to pay (wtp) for nursing consultations |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633834/ https://www.ncbi.nlm.nih.gov/pubmed/23626858 http://dx.doi.org/10.1371/journal.pone.0062840 |
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