Evidence map›Paper›PMID 20459714›Full record

ArticleBMC public health2010

Differences between willingness to pay and willingness to accept for visits by a family physician: a contingent valuation study.

Jesús Martín-Fernández, Ma Isabel del Cura-González, Tomás Gómez-Gascón, Juan Oliva-Moreno, Julia Domínguez-Bidagor, Milagros Beamud-Lagos, Francisco Javier Pérez-Rivas

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In one paragraph

Article in BMC public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Valuing a Lifestyle Intervention for Middle Eastern Immigrants at Risk of Diabetes.International journal of environmental research and public health · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jesús Martín-FernándezSan Martín de Valdeiglesias Health Center, 8th Primary Care Area Madrid Health Service, Spain. jmartinefe@hotmail.com
Ma Isabel del Cura-González
Tomás Gómez-Gascón
Juan Oliva-Moreno
Julia Domínguez-Bidagor
Milagros Beamud-Lagos
Francisco Javier Pérez-Rivas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe economic value attributed by users of health services in public health systems can be useful in planning and evaluation. This value can differ from the perspectives of Willingness to Pay (WTP) and Willingness to Accept [Compensation] (WTA).Our objective was to study the perceptions of the patient about the service provided by the family physician by means of the WTA/WTP ratio.

methodsAn economic evaluation study by the Contingent Valuation Method was designed. Interviews were conducted with 451 subjects at six health centres (four urban and two rural) in areas with different socioeconomic characteristics. A payment card was used to measure the WTP and WTA. Other characteristics of the subject or service that could influence these responses were collected. An explicative model was constructed to study the WTA/WTP relationship.

resultsFour hundred and four subjects (89.6%) expressed a WTP and WTA different from zero. The WTA/WTP quotient showed a median of 1.55 (interquartile range 1-3.08) and a mean of 3.30 (IC 95%: 2.84-3.75). The WTA/WTP ratio increases with age and in low-income areas. It decreases in professional groups with more specialized activities, with growing family income, and in the chronically ill. Other characteristics related to the perception of state of health, accessibility to the service, satisfaction, or perception of risk were not explicative.

conclusionsSubjects who were older and had a less favourable socioeconomic situation expressed a higher WTA/WTP ratio when valuing the visit to the family physician. These characteristics could identify a profile of "aversion to loss" with respect to this service.

Indexed as

Choice BehaviorCost SharingAgedAge FactorsCross-Sectional StudiesFemaleFinancing, PersonalHumansMaleMiddle AgedOffice VisitsPatient Acceptance of Health CarePhysicians, FamilyRural PopulationSocial ClassSpain

Identifiers

PMID20459714
PMCPMC2883536

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.