Sriram Deepa, McManus Alexandra, Emmerton Lynne, Jiwa Moyez
Department of Medical Education, Faculty of Health Sciences, Curtin University, P.O. Box U1987, Perth, Western Australia 6845, Australia.
Centre of Excellence for Science Seafood & Health (CESSH), Faculty of Health Sciences, Curtin University, Western Australia, Australia.
Res Social Adm Pharm. 2015 Jul-Aug;11(4):579-83. doi: 10.1016/j.sapharm.2014.10.010. Epub 2014 Dec 18.
Large proportion of Australians have access to pharmacists' health advice at no cost. The impact of a proposed co-payment levy for general practitioner (GP) consultation by Australian government is unclear. This raises an interesting question about consumers' perceived value of health-related consultations.
This survey of representative sample of Western Australians explores the hypothesis that Australians are willing to pay for advanced model of pharmacy consultation.
Two videos illustrating current-services and quality-enhanced-service (QES) incorporating systematic assessment of symptoms and referral to GP if necessary, were used. Participants viewed videos online and completed a willingness-to-pay (WTP) questionnaire about their perception and WTP for each service. Logistic regression and McNemar tests were used to identify WTP groups.
Of the 175 respondents, one in nine (19/175, 11%) were willing to pay and (35/175) 20% might consider paying for advice at pharmacies as per current-practice. Almost one in four (49/175, 28%) were willing to pay and (47/175) 27% would consider paying for QES (McNemar Test P < 0.001).
The majority of West Australians may be willing to pay for consultation at pharmacies that offers more private, time-intensive experience with documented GP referral where required. Further research is warranted to test WTP with actual customers to confirm these results.
很大一部分澳大利亚人可以免费获得药剂师的健康建议。澳大利亚政府提议对全科医生（GP）咨询收取共付费用的影响尚不清楚。这就引出了一个关于消费者对健康相关咨询的感知价值的有趣问题。
这项对西澳大利亚州代表性样本的调查探讨了澳大利亚人愿意为先进的药房咨询模式付费这一假设。
使用了两段视频，一段展示当前服务，另一段展示质量提升服务（QES），其中包括对症状的系统评估以及必要时转诊给全科医生。参与者在线观看视频，并完成一份关于他们对每种服务的感知和支付意愿（WTP）的问卷。使用逻辑回归和 McNemar 检验来确定支付意愿群体。
在 175 名受访者中，九分之一（19/175，11%）愿意付费，20%（35/175）可能会考虑按照当前做法为药房咨询付费。近四分之一（49/175，28%）愿意付费，27%（47/175）会考虑为质量提升服务付费（McNemar 检验 P < 0.001）。
大多数西澳大利亚人可能愿意为在药房进行的咨询付费，这种咨询能提供更私密、耗时更长且在需要时有全科医生转诊记录的体验。有必要进行进一步研究，用实际客户来测试支付意愿以证实这些结果。
