Ogasawara Katsuhiko, Abe Tamotsu
Graduate School of Health Sciences, Hokkaido University, Japan.
Stud Health Technol Inform. 2013;192:1026.
We developed a tele-health consultation system that combines a sphygmomanometer with a tele-conference system. These were placed in pharmacies and the University. We selected five pharmacies to set up a consultation room; one in a local area, two in a suburban area, and the remaining two in an urban area. Nurses with more than 5 years of clinical experience were assigned as consultants. These consultants offer health consultation but do not practice medicine. Some researchers have indicated the economic viability of at-home health management systems, but nothing has been researched on the economic viability of tele-health consultation. The objective of present study was estimated Willingness to Payment (WTP) of Tele-health consultation service. The WTP was estimated by Double-Bounded Dichotomous-Choice model. We performed logistic-regression analysis to confirm factors to affect WTP. The number of the respondent was 480. Mean WTP was calculated 495 yen and the median was 367 yen. There was significant difference for factor of "annual income", "have a willingness to use this system", and "have a child/children".
我们开发了一种将血压计与电话会议系统相结合的远程医疗咨询系统。这些设备放置在药店和大学。我们选择了五家药店设立咨询室，一家在当地，两家在郊区，其余两家在市区。指派具有5年以上临床经验的护士担任顾问。这些顾问提供健康咨询，但不行医。一些研究人员指出了家庭健康管理系统的经济可行性，但尚未对远程医疗咨询的经济可行性进行研究。本研究的目的是估计远程医疗咨询服务的支付意愿（WTP）。通过双边界二分选择模型估计WTP。我们进行了逻辑回归分析以确认影响WTP的因素。受访者人数为480人。平均WTP计算为495日元，中位数为367日元。“年收入”、“愿意使用该系统”和“有孩子”等因素存在显著差异。
