Perception of the economic value of primary care services: A willingness to pay study

Health Policy

Volumn 94, Issue 3, 2010, Pages 266-272

  Martín Fernández, Jesús ^a   Gómez Gascón, Tomás ^b   Oliva Moreno, Juan ^c   del Cura González, María Isabel ^d   Domínguez Bidagor, Julia ^e   Beamud Lagos, Milagros ^b   Sanz Cuesta, Teresa ^f  

^a Centro de Salud San Martin de Valdeiglesias   (Spain)

^b UNIVERSIDAD COMPLUTENSE DE MADRID   (Spain)

^c UNIVERSITY OF CASTILLA LA MANCHA   (Spain)

^d UNIVERSIDAD REY JUAN CARLOS   (Spain)

^e Health Education   (Spain)

^f Research Unit   (Spain)

Author keywords

Economics; Health services needs and demand; Health services research; Patient satisfaction; Primary health care

Indexed keywords

ADULT; ARTICLE; CHRONIC DISEASE; CONTINGENT VALUATION; ECONOMIC ASPECT; ECONOMIC EVALUATION; EDUCATIONAL STATUS; FAMILY; FEMALE; GENERAL PRACTITIONER; HEALTH CARE; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; INCOME; INTERVIEW; MALE; PATIENT SATISFACTION; PRIMARY MEDICAL CARE; PROBABILITY; QUESTIONNAIRE; SOCIOECONOMICS; TAX; VALIDITY;

AGE FACTORS; AGED; ATTITUDE TO HEALTH; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH CARE SURVEYS; HEALTH EXPENDITURES; HEALTH STATUS; HUMANS; INCOME; MALE; MIDDLE AGED; MODELS, ECONOMIC; PATIENT SATISFACTION; PRIMARY HEALTH CARE; SOCIOECONOMIC FACTORS; SPAIN;

EID: 77349093530     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2009.11.001     Document Type: Article

References (40)

1. Sánchez Martínez F.I., Abellán Perpiñán J.M., Martínez Pérez J.E. How should health and healthcare priorities be set and evaluated? Prioritization methods and regional disparities, 2008 SESPAS report. Gac Sanit 2008, (Suppl. 1):126-136.
2. Dirección General de Salud Pública y Alimentación. Informe 2007 del estado de salud de la población de la comunidad de Madrid. Available at: [consulted on September 24, 2009]. http://www.madrid.org/cs/Satellite%3Fcid=1142404413760%26language=es%26p agename=PortalSalud%252FPage%252FPTSA_pintarContenidoFinal%26vest=115632 9914003.
3. Fusté J., Séculi E., Brugulat P., Medina A., Juncà S. Public healthcare coverage versus double healthcare coverage: what are the differences?. Gac Sanit 2005, 19:15-21.
4. Olsen J.A., Smith R.D. Theory versus practice: a review of 'willingness-to-pay' in health and health care. Health Econ 2001, 10:39-52.
5. Yasunaga H., Ide H., Imamura T., Ohe K. Willingness to pay for health care services in common cold, retinal detachment, and myocardiac infarction: an internet survey in Japan. BMC Health Serv Res 2006, 6:12.
6. Busch S., Falba T., Duchovny N., Jofre-Bonet M., O'Malley S., Sindelar J. Value to smokers of improved cessation products: evidence from a willingness-to-pay survey. Nicotine Tob Res 2004, 6:631-639.
7. Yasunaga H., Ide H., Imamura T., Ohe K. Analysis of factors affecting willingness to pay for cardiovascular disease-related medical services. Int Heart J 2006, 47:273-286.
8. Phillips K.A., Van Bebber S., Marshall D., Walsh J., Thabane L. A review of studies examining stated preferences for cancer screening. Prev Chronic Dis 2006, 3:A75.
9. Yasunaga H. Willingness to pay for mass screening for prostate cancer: a contingent valuation survey. Int J Urol 2008, 15:102-105.
10. Mataria A., Giacaman R., Khatib R., Moatti J.P. Impoverishment and patients' " willingness" and " ability" to pay for improving the quality of health care in Palestine: an assessment using the contingent valuation method. Health Policy 2006, 75:312-328.
11. Borghi J., Jan S. Measuring the benefits of health promotion programmes: application of the contingent valuation method. Health Policy 2008, 87:235-248.
12. O'Shea E., Gannon B., Kennelly B Eliciting preferences for resource allocation in mental health care in Ireland. Health Policy 2008, 88:359-370.
13. Pereira A.G., Pearson S.D. Patient attitudes toward continuity of care. Arch Intern Med 2003, 163:909-912.
14. Kao A.C., Krasny A.J. Preferences for patient cost sharing among medicare beneficiaries after HMO plan withdrawals. J Gen Intern Med 2002, 17:446-450.
15. Servicio Madrileño de Salud. Dirección General de Atención al Paciente. Evaluación de la satisfacción de los usuarios de los Servicios de la Asistencia Sanitaria Pública de la Comunidad de Madrid. Atención Primaria. Available at: [consulted on October 1, 2009]. http://www.madrid.org/cs/Satellite%3Fc=PTSA_Multimedia_FA%26cid=11425371 58446%26pagename=PortalSalud%252FPTSA_Multimedia_FA%252FPTSA_documentoWe beditpro.
16. Borghi J. Aggregation rules for cost-benefit analysis: a health economics perspective. Health Econ 2008, 17:863-875.
17. O'Brien B., Gafni A. When do the " dollars" make sense? Toward a conceptual framework for contingent valuation studies in health care. Med Decis Making 1996, 16:288-299.
18. Bush K., Kivlahan D.R., McDonell M.B., Fihn S.D., Bradley K.A. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med 1998, 158:1789-1795.
19. Mingote J., Moreno-Jiménez B., Rodríguez-Carvajal R., Gálvez M., Ruiz-López P. Psychometric validation of the Spanish version of the Patient-Doctor Relationship Questionnaire (PDRQ). Actas Esp Psiquiatr 2009, 37:94-100.
20. Domingo Salvany A., Marcos Alonso J. Proposal of an indicator of " social class" based on the occupation. Gac Sanit 1989, 3:320-326.
21. Drumond M.F., O'Brien B., Stoddart G.L., Torrance G.W. Methods for the economic evaluation of health care programmes 1997, Oxford University Press, New York, p. 226. 2nd ed.
22. Green W.H., Hensher D.A. A latent class model for discrete choice analysis: contrasts with mixed logit. Transport Res Part B: Method 2003, 37(8):681-698.
23. Decreto 164/2008, de 17 de julio, por el que se establecen las tarifas de los servicios sanitarios prestados en los centros dependientes del Servicio Gallego de Salud y en las fundaciones públicas sanitarias. Diario Oficial de Galicia, no. 150, 5 de agosto de 2008, p. 15060-74.
24. ORDEN 629/2009, de 31 de agosto, de la Consejería de Sanidad, por la que se fijan los precios públicos por la prestación de los servicios y actividades de naturaleza sanitaria de la red de centros de la Comunidad de Madrid. B.O.C.M no. 215, de 15 de septiembre de 2009, p. 15-35.
25. Costa-Font J., Rovira-Forns J. Who is willing to pay for long-term care insurance in Catalonia?. Health Policy 2008, 86:72-84.
26. Lostao L., Regidor E., Geyer S., Aïach P. Patient cost sharing and social inequalities in access to health care in three western European countries. Soc Sci Med 2007, 65:367-376.
27. Rückert I.M., Böcken J., Mielck A. Are German patients burdened by the practice charge for physician visits ('Praxisgebuehr')? A cross-sectional analysis of socio-economic and health related factors. BMC Health Serv Res 2008, 12(8):232.
28. Smith R.D. Construction of the contingent valuation market in health care: a critical assessment. Health Econ 2003, 12:609-628.
29. Smith R.D. Contingent valuation in health care: does it matter how the 'good' is described?. Health Econ 2008, 17:607-617.
30. Thomas R., Donaldson C., Torgerson D Who answers 'willingness to pay' questions?. J Health Serv Res Policy 2000, 5:7-11.
31. Klose T. Contingent valuation methods in health care. Health Policy 1999, 47:97-123.
32. Ryan M., Watson V. Comparing welfare estimates from payment card contingent valuation and discrete choice experiments. Health Econ 2009, 18:389-401.
33. Heinzen R.R., Bridges J.F. Comparison of four contingent valuation methods to estimate the economic value of a pneumococcal vaccine in Bangladesh. Int J Technol Assess Health Care 2008, 24:481-487.
34. Arrow K., Solow R., Portney P.R., Leamer E.E., Radner R., Schuman H. Report of the NOAA panel of contingent valuation. Federal Register 1993, 58:4601-4614.
35. Domínguez-Berjón F., Borrell C., Rodríguez-Sanz M., Pastor V. The usefulness of area-based socioeconomic measures to monitor social inequalities in health in Southern Europe. Eur J Public Health 2006, 16:54-61.
36. Sáez M. Factors conditioning primary care services utilization. Empirical evidence and methodological inconsistencies. Gac Sanit 2003, 17:412-419.
37. Cheraghi-Sohi S., Hole A.R., Mead N., McDonald R., Whalley D., Bower P., et al. What patients want from primary care consultations: a discrete choice experiment to identify patients' priorities. Ann Fam Med 2008, 6:107-115.
38. Bergmo T.S., Wangberg S.C. Patients' willingness to pay for electronic communication with their general practitioner. Eur J Health Econ 2007, 8:105-110.
39. Bärnighausen T., Liu Y., Zhang X., Sauerborn R. Willingness to pay for social health insurance among informal sector workers in Wuhan, China: a contingent valuation study. BMC Health Services Res 2007, 7:114.
40. Yeung R., Abdullah A.S., McGhee S.M., Hedley A.J. Willingness to pay for preventive travel health measures among Hong Kong Chinese residents. J Travel Med 2005, 12:66-71.