用离散选择实验估计对在线健康服务的支付意愿。
Estimating Willingness to Pay for Online Health Services with Discrete-Choice Experiments.
机构信息
Department of Social Sciences, Southwestern Oklahoma State University, Weatherford, OK, 73096, USA.
Department of Economics, University of Colorado Boulder, 256 UCB, Boulder, CO, 80309, USA.
出版信息
Appl Health Econ Health Policy. 2017 Aug;15(4):491-500. doi: 10.1007/s40258-017-0316-z.
BACKGROUND
Research has outlined the benefits and costs of online health services, but these studies have typically focused on a specific geographic region or disease. Very few studies have estimated consumer demand for online health services.
OBJECTIVE
This study estimated household's willingness to pay (WTP) for the ability to receive remote diagnosis, treatment, monitoring and consultations online (telehealth).
METHODS
WTP was estimated with a random utility model and household data from a US survey employing repeated discrete-choice experiments.
RESULTS
The representative household was willing to pay $US4.39 per month for telehealth. This valuation increased to $US5.85 for households with higher opportunity costs, as measured by income, and to $US6.22 for households living more than 20 miles away from their nearest medical facility.
CONCLUSION
WTP estimates offer insights into the potential benefits from policies intended to promote the expansion of online health services into underserved areas. These include the Federal Communications Commission's Rural Healthcare Pilot Program and the Department of Agriculture's Distance Learning and Telemedicine Grants programme.
背景
研究已经概述了在线健康服务的益处和成本，但这些研究通常集中在特定的地理区域或疾病上。很少有研究估计消费者对在线健康服务的需求。
目的
本研究估计了家庭对远程诊断、治疗、监测和在线咨询（远程医疗）能力的支付意愿 (WTP)。
方法
使用随机效用模型和美国调查的家庭数据进行了 WTP 估计，该调查采用了重复离散选择实验。
结果
代表性家庭愿意每月为远程医疗支付 4.39 美元。对于机会成本较高的家庭（以收入衡量），这一估值增加到 5.85 美元，对于距离最近医疗设施超过 20 英里的家庭，这一估值增加到 6.22 美元。
结论
WTP 估计为旨在促进在线健康服务向服务不足地区扩展的政策带来的潜在收益提供了深入了解。其中包括联邦通信委员会的农村医疗保健试点计划和农业部的远程学习和远程医疗赠款计划。
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