Affiliated Eye Hospital of Nanchang University, Nanchang City, China.
Centre for Publich Health, Queen's University Belfast, Belfast, UK.
BMJ Open. 2023 Apr 25;13(4):e065792. doi: 10.1136/bmjopen-2022-065792.
To determine willingness to pay for a diabetic retinopathy screening, and its determinants, among people with diabetes mellitus in Qujiang District of Shaoguan City, rural Guangdong, southern China.
This cross-sectional study was conducted through a large-scale screening programme in 2019. We randomly selected 575 (21.5%) among 2677 people over 18 years old with known diabetes who attended the screening. Participants elected to pay nothing or RMB10-RMB120 (US$1.6-US$18.8), in RMB10 intervals, displayed on printed cards. One trained interviewer collected all the data.
Ten primary health centres in Qujiang District of Shaoguan City, Guangdong.
545 from the 575 randomly selected people (94.8%) agreed to participate in the study.
Proportion of participants willing to pay anything for screening, mean amount they were willing to pay and determinants of these figures.
Among 545 participants (mean age 64.6 years (SD±10.4), 40.7% men), 327 (60.0%) were willing to pay something for screening, of whom 273 (83.5%) would pay RMB10-RMB30 (US$1.6-US$4.7). People living in rural areas and those from lower-income families were more likely to be willing to pay anything, while men, urban residents and those covered by employer-linked insurance were willing to pay larger sums (p<0.05 for all).
Nearly two-thirds of participants were willing to pay for screening in this screening programme organised at the primary care level in rural China. This finding offers the potential that such activities can be sustained and scaled up through user fees.
在中国南部广东省韶关市曲江地区，确定糖尿病视网膜病变筛查的支付意愿及其决定因素，对象为糖尿病患者。
本横断面研究是在 2019 年的一项大型筛查计划中进行的。我们从参加筛查的 2677 名 18 岁以上已知糖尿病患者中，随机抽取了 575 名（21.5%）。参与者选择不支付任何费用或 10-120 元人民币（1.6-18.8 美元），费用以 10 元人民币为间隔，显示在打印卡片上。一名经过培训的访谈者收集了所有数据。
广东省韶关市曲江地区的 10 个基层医疗中心。
在随机抽取的 575 人中，有 545 人（94.8%）同意参与研究。
愿意支付任何费用进行筛查的参与者比例、他们愿意支付的平均金额以及这些数字的决定因素。
在 545 名参与者（平均年龄 64.6 岁（±10.4），40.7%为男性）中，有 327 名（60.0%）愿意支付任何费用进行筛查，其中 273 名（83.5%）愿意支付 10-30 元人民币（1.6-4.7 美元）。居住在农村地区和收入较低家庭的人更愿意支付任何费用，而男性、城市居民和雇主关联保险覆盖的人则愿意支付更高的金额（所有 p<0.05）。
在这个在中国农村基层医疗组织的筛查项目中，近三分之二的参与者愿意为筛查付费。这一发现为通过用户付费使此类活动能够持续和扩大提供了潜力。
