000063329 001__ 63329
000063329 005__ 20171129112117.0
000063329 0247_ $$2doi$$a10.1371/journal.pone.0062840
000063329 0248_ $$2sideral$$a81406
000063329 037__ $$aART-2013-81406
000063329 041__ $$aeng
000063329 100__ $$aMartín-Fernández, J.
000063329 245__ $$aEconomic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations
000063329 260__ $$c2013
000063329 5060_ $$aAccess copy available to the general public$$fUnrestricted
000063329 5203_ $$aBackground:
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.
000063329 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000063329 590__ $$a3.534$$b2013
000063329 591__ $$aMULTIDISCIPLINARY SCIENCES$$b8 / 56 = 0.143$$c2013$$dQ1$$eT1
000063329 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000063329 700__ $$adel Cura-González, M.I.
000063329 700__ $$aRodríguez-Martínez, G.
000063329 700__ $$aAriza-Cardiel, G.
000063329 700__ $$aZamora, J.
000063329 700__ $$aGómez-Gascón, T.
000063329 700__ $$aPolentinos-Castro, E.
000063329 700__ $$aPérez-Rivas, F.J.
000063329 700__ $$aDomínguez-Bidagor, J.
000063329 700__ $$aBeamud-Lagos, M.
000063329 700__ $$aTello-Bernabé, M.E.
000063329 700__ $$aConde-López, J.F.
000063329 700__ $$aAguado-Arroyo, Ó.
000063329 700__ $$aSanz-Bayona, M.
000063329 700__ $$0(orcid)0000-0002-7994-923X$$aGil-Lacruz, A.$$uUniversidad de Zaragoza
000063329 7102_ $$14012$$2650$$aUniversidad de Zaragoza$$bDepartamento de Dirección y Organización de Empresas$$cOrganización de Empresas
000063329 773__ $$g8, 4 (2013), e62840 [9pp]$$pPLoS One$$tPLoS One$$x1932-6203
000063329 8564_ $$s181253$$uhttps://zaguan.unizar.es/record/63329/files/texto_completo.pdf$$yVersión publicada
000063329 8564_ $$s125225$$uhttps://zaguan.unizar.es/record/63329/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000063329 909CO $$ooai:zaguan.unizar.es:63329$$particulos$$pdriver
000063329 951__ $$a2017-11-28-13:51:39
000063329 980__ $$aARTICLE