慢性病医疗治疗的支付意愿：一项针对患者和医生的多国调查

Willingness to pay for medical treatments in chronic diseases: a multicountry survey of patients and physicians.

作者信息

Audureau Etienne, Davis Ben, Besson Marie Hélène, Saba Joseph, Ladner Joël

机构信息

Public Health Department, Hôpital Henri Mondor, Assistance Publique Hôpitaux de Paris, 51 av du Maréchal de Lattre de Tassigny, 94000, Créteil, France; CEpiA EA7376, University Paris Est Créteil, France.

Axios International, 20 Rue Cambon, 75001 Paris, France.

出版信息

J Comp Eff Res. 2019 Apr;8(5):357-369. doi: 10.2217/cer-2018-0106. Epub 2019 Jan 16.

DOI:10.2217/cer-2018-0106

PMID:30649913

Abstract

AIM

The objective was to investigate factors influencing patients' willingness to pay (WTP) and physician's views on the cost of therapy for two contrasted chronic diseases, chronic heart failure and psoriasis.

METHODS

A cross-sectional survey was conducted in ten developing countries, using a stated WTP contingent valuation method. Multivariate analyses were performed by linear regression.

RESULTS

Independent factors influencing patient WTP were income (+0.04 $PPP [purchasing power parity] in WTP per $PPP in monthly income; p < 0.001) and purchase of branded treatment for chronic heart failure therapy, and income, out-of-pocket treatment costs but also education level higher than secondary school (+115 $PPP in WTP comparatively to patients with none/primary school level; p = 0.008) for psoriasis therapy, suggesting the influence of sociopsychological factors in this disease.

CONCLUSION

Disease-specific factors may affect WTP for treatment that should be accounted for to support effective public health programs in developing countries.

摘要

目的

本研究旨在调查影响两种截然不同的慢性疾病（慢性心力衰竭和银屑病）患者支付意愿（WTP）以及医生对治疗费用看法的因素。

方法

采用陈述性支付意愿条件价值评估法，在十个发展中国家开展了一项横断面调查。通过线性回归进行多变量分析。

结果

影响患者支付意愿的独立因素包括：收入（月收入每增加1美元购买力平价[PPP]，慢性心力衰竭治疗的支付意愿增加0.04美元PPP；p<0.001）以及购买品牌化慢性心力衰竭治疗药物；对于银屑病治疗，影响因素有收入、自付治疗费用以及教育水平高于中学（与未接受教育/小学水平的患者相比，支付意愿增加115美元PPP；p=0.008），这表明社会心理因素对该疾病有影响。