000064345 001__ 64345
000064345 005__ 20190709135701.0
000064345 0247_ $$2doi$$a10.1371/journal.pone.0188969
000064345 0248_ $$2sideral$$a103536
000064345 037__ $$aART-2017-103536
000064345 041__ $$aeng
000064345 100__ $$aMartín-Fernández, J.
000064345 245__ $$a“Gaining or losing”: The importance of the perspective in primary care health services valuation
000064345 260__ $$c2017
000064345 5060_ $$aAccess copy available to the general public$$fUnrestricted
000064345 5203_ $$aRationale and objectives: Economic theory classifies an intervention as socially beneficial if the total Willingness to Pay (WTP) of those who gain exceeds the total Willingness to accept (WTA) of those who are harmed. This paper examines the differences in health system users’ valuation of a health care service in primary care setting based on the WTP and WTA perspectives, discussing the impact of personal and service variables, including risk attitudes, on these disparities. Method: Six hundred and sixty two subjects who asked for care in health centres in the Region of Madrid (Spain) were interviewed, using the contingent valuation method to estimate WTP and WTA. Patient sociodemographic characteristics, health needs, satisfaction with the service and risk attitude and behaviour under risk (measured by self-reported scales and lottery games respectively) were collected. Generalised Linear Models were used to estimate the association between the explanatory variables and the WTA/WTP ratio. Results: We obtained the WTA/WTP ratio for 570 subjects (mean 1.66 CI 95%: 1.53-1.79; median 1, interquartile range 1-2). People with higher education or in high social groups expressed WTA values closest to WTP. The opposite occurred in patients with the greatest health needs or who were born abroad. Self-reported expression of risk aversion appeared also related to increases in the WTA/WTP ratio. Satisfaction with the service evaluated was the most influential factor in the WTA/WTP ratio. Conclusion: Health need, difficulty in obtaining substitutes and satisfaction with the service could serve for profiling people averse to loss for health care services in primary care setting. Self-reported expression of risk aversion could also be related to increases in the WTA/WTP ratio. This would mean that these characteristics should be taken into account both in the design and implementation of new healthcare interventions, as in the making decision for disinvestment.
000064345 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000064345 590__ $$a2.766$$b2017
000064345 591__ $$aMULTIDISCIPLINARY SCIENCES$$b15 / 64 = 0.234$$c2017$$dQ1$$eT1
000064345 592__ $$a1.164$$b2017
000064345 593__ $$aAgricultural and Biological Sciences (miscellaneous)$$c2017$$dQ1
000064345 593__ $$aMedicine (miscellaneous)$$c2017$$dQ1
000064345 593__ $$aBiochemistry, Genetics and Molecular Biology (miscellaneous)$$c2017$$dQ1
000064345 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000064345 700__ $$aAriza-Cardiel, G.
000064345 700__ $$aPeña-Longobardo, L.Mª.
000064345 700__ $$aPolentinos-Castro, E.
000064345 700__ $$aOliva-Moreno, J.
000064345 700__ $$0(orcid)0000-0002-7994-923X$$aGil-Lacruz, A.I.$$uUniversidad de Zaragoza
000064345 700__ $$aMedina-Palomino, H.
000064345 700__ $$aDel Cura-González, I.
000064345 7102_ $$14012$$2650$$aUniversidad de Zaragoza$$bDpto. Direcc.Organiza.Empresas$$cÁrea Organización de Empresas
000064345 773__ $$g12 (2017), e0188969[14pp]$$pPLoS One$$tPloS one$$x1932-6203
000064345 8564_ $$s1392795$$uhttps://zaguan.unizar.es/record/64345/files/texto_completo.pdf$$yVersión publicada
000064345 8564_ $$s101626$$uhttps://zaguan.unizar.es/record/64345/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000064345 909CO $$ooai:zaguan.unizar.es:64345$$particulos$$pdriver
000064345 951__ $$a2019-07-09-12:49:08
000064345 980__ $$aARTICLE