Evidence map›Paper›PMID 23626858›Full record

ArticlePloS one2013

Economic valuation of health care services in public health systems: a study about Willingness to Pay (WTP) for nursing consultations.

Jesús Martín-Fernández, Ma Isabel del Cura-González, Gemma Rodríguez-Martínez, Gloria Ariza-Cardiel, Javier Zamora, Tomás Gómez-Gascón, Elena Polentinos-Castro, Francisco Javier Pérez-Rivas, Julia Domínguez-Bidagor, Milagros Beamud-Lagos and 5 more

Abstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Pooled it
  3. Stability of Willingness to Pay: Does Time and Treatment Allocation in a Randomized Controlled Trial Influence Willingness to Pay?Medical decision making : an international journal of the Society for Medical Decision Making · 2024
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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

15 authors.

Jesús Martín-FernándezUnidad Docente Multiprofesional de Atención Familiar y Comunitaria Oeste. Gerencia de Atención Primaria, Madrid, Spain. jmfernandez@salud.madrid.org
Ma Isabel del Cura-González
Gemma Rodríguez-Martínez
Gloria Ariza-Cardiel
Javier Zamora
Tomás Gómez-Gascón
Elena Polentinos-Castro
Francisco Javier Pérez-Rivas
Julia Domínguez-Bidagor
Milagros Beamud-Lagos
Ma Eugenia Tello-Bernabé
Juan Francisco Conde-López
Óscar Aguado-Arroyo
Ma Teresa Sanz-Bayona
Ana Isabel Gil-Lacruz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying the economic value assigned by users to a particular health service is of principal interest in planning the service. The aim of this study was to evaluate the perception of economic value of nursing consultation in primary care (PC) by its users. METHODS AND

resultsEconomic study using contingent valuation methodology. A total of 662 users of nursing consultation from 23 health centers were included. Data on demographic and socioeconomic characteristics, health needs, pattern of usage, and satisfaction with provided service were compiled. The validity of the response was evaluated by an explanatory mixed-effects multilevel model in order to assess the factors associated with the response according to the welfare theory. Response reliability was also evaluated. Subjects included in the study indicated an average Willingness to Pay (WTP) of €14.4 (CI 95%: €13.2-15.5; median €10) and an average Willingness to Accept [Compensation] (WTA) of €20.9 (CI 95%: €19.6-22.2; median €20). Average area income, personal income, consultation duration, home visit, and education level correlated with greater WTP. Women and older subjects showed lower WTP. Fixed parameters explained 8.41% of the residual variability, and response clustering in different health centers explained 4-6% of the total variability. The influence of income on WTP was different in each center. The responses for WTP and WTA in a subgroup of subjects were consistent when reassessed after 2 weeks (intraclass correlation coefficients 0.952 and 0.893, respectively).

conclusionsThe economic value of nursing services provided within PC in a public health system is clearly perceived by its user. The perception of this value is influenced by socioeconomic and demographic characteristics of the subjects and their environment, and by the unique characteristics of the evaluated service. The method of contingent valuation is useful for making explicit this perception of value of health services.

Indexed as

AgedFemaleHumansMaleMiddle AgedModels, StatisticalPatient Acceptance of Health CarePatient SatisfactionPrimary Care NursingPrimary Health CarePublic HealthReferral and ConsultationSocioeconomic Factors

Identifiers

PMID23626858
PMCPMC3633834

What OpenQuestion holds

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LicenceCC BY
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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.