澳大利亚消费者对直接面向消费者的移动远程皮肤镜检查服务的偏好和支付意愿。

Consumer Preference and Willingness to Pay for Direct-to-Consumer Mobile Teledermoscopy Services in Australia.

机构信息

Centre for Online Health, The University of Queensland, Brisbane, Queensland, Australia.

Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.

出版信息

Dermatology. 2022;238(2):358-367. doi: 10.1159/000517257. Epub 2021 Aug 13.

DOI:10.1159/000517257

PMID:34515087

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8985042/

Abstract

OBJECTIVE

To investigate consumer preference and willingness to pay for mobile teledermoscopy services in Australia.

METHODS

Consumers who were taking part in a randomised controlled trial comparing mobile teledermoscopy and skin self-examination were asked to complete a survey which incorporated a discrete choice experiment (DCE) and a contingent valuation question. Responses were used to determine their willingness to pay for mobile teledermoscopy services in Australia and their overall service preferences.

RESULTS

The 199 consumers who responded were 71% female and had a mean age of 42 years (range, 18-73). The DCE results showed that consumers prefer a trained medical professional to be involved in their skin cancer screening. Consumers were willing to pay AUD 41 to change from a general practitioner reviewing their lesions in-person to having a dermatologist reviewing the teledermoscopy images. Additionally, they were willing to pay for services that had shorter waiting times, that reduced the time away from their usual activities, and that have higher accuracy and lower likelihood of unnecessary excision of a skin lesion. When asked directly about their willingness to pay for a teledermoscopy service using a contingent valuation question, the majority (73%) of consumers selected the lowest two value brackets of AUD 1-20 or AUD 21-40.

CONCLUSION

Consumers are willing to pay out of pocket to access services with attributes such as a dermatologist review, improved accuracy, and fewer excisions.

摘要

目的

调查澳大利亚消费者对移动远程皮肤镜检查服务的偏好和支付意愿。

方法

参与一项比较移动远程皮肤镜检查和皮肤自我检查的随机对照试验的消费者被要求完成一项调查，其中包括离散选择实验（DCE）和条件价值评估问题。通过调查结果来确定他们对澳大利亚移动远程皮肤镜检查服务的支付意愿和总体服务偏好。

结果

199 名回应的消费者中，71%为女性，平均年龄为 42 岁（范围为 18-73 岁）。DCE 结果表明，消费者希望有专业的医疗人员参与他们的皮肤癌筛查。消费者愿意支付 41 澳元，将由家庭医生亲自检查他们的病变改为由皮肤科医生检查远程皮肤镜图像。此外，他们愿意支付等待时间更短、减少离开日常活动时间、更高准确率和更低不必要切除皮肤病变可能性的服务费用。当被直接问及使用条件价值评估问题对远程皮肤镜检查服务的支付意愿时，大多数（73%）消费者选择了 AUD 1-20 或 AUD 21-40 的两个最低价值区间。