Dental and Medical Problems

Dent. Med. Probl.
Index Copernicus (ICV 2019) – 118.76
MNiSW – 20
CiteScore (2020) – 1.2
Average rejection rate (2020) – 88.71%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2016, vol. 53, nr 1, January-March, p. 41–49

doi: 10.17219/dmp/60680

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Possibilities to Model Patients’ Preferences and Their Willingness to Pay for a Molar Treatment

Próba modelowania preferencji pacjenta i jego gotowość do płacenia za leczenie zębów trzonowych

Nikolay Atanasov1,A,B,C,D,E,F, Rumyana Stoyanova1,B,C,F, Maryana Alexandrova2,B

1 Department of Health Management, Health Economics and General Practice, Medical University Plovdiv, Bulgaria

2 Medical College Plovdiv, Bulgaria

Abstract

Background. This study is an attempt to model patient’s preferences for molar treatment and the willingness to pay (WTP) for a chosen health alternative. The results from modeling could be used as a basis for making more efficient decisions from both medical and economic point of view. The study is based on questions from Vernazza’s interview.
Objectives. The first purpose of present study is to be explored and established the most wished preferences from previously stated ones and closely related with patient choice’s WTP. The second aim is to be built and interpreter models of the consumer choices and its WTP.
Material and Methods. The sample consisted of 111 adult patients who visited for treatment different dental cabinets located in Plovdiv, Bulgaria. The study was conducted using the method of direct anonymous questionnaire containing questions on the choice of health alternative and the WTP for it; demographic, social and economic characteristics of respondents; history and severity of dental diseases, and frequency of dental visits. The study used two types of regression models: binominal logit of patient’s choice and negative binominal of the WTP for a crown that led to statistically credible results.
Results. The main predictor for the willingness to pay turned out to be the total monthly income of the household. Other factors, such as frequency of visits to the dentist, age or employment status of respondents can not be used to explain the changes in their WTP.
Conclusion. The economical factors especially the WTP and the household income stay essential. That empirically confirmed fact puts the economic welfare and it variables as predictors with critical meaning in health market researches. The second important outline is that we found a similarity in results with Vernazza’s study. That fact supports a reliability of the applied instrument.

Key words

decision making, out-of-pocket payments, molar, decision modeling. Sowa kluczowe: podejmowanie decyzji, opłaty nierefundowane, ząb trzonowy, modelowanie procesów decyzyjnych

References (13)

  1. Vernazza C.R.: The monetary value of oral health: willingness to pay for treatment and prevention. PhD thesis. School of Dental Sciences & Institute of Health and Society, 2010, 198–220.
  2. Vernazza C.R.: The monetary value of oral health: willingness to pay for treatment and prevention. PhD thesis. School of Dental Sciences & Institute of Health and Society, 2010, 80.
  3. Robert M., Richard C.: Using surveys to value public goods: the contingent valuation method. Washington D.C.: Resources for the future, 1989, 97–105.
  4. Http://www.bnb.bg/Statistics/StExternalSector/StExchangeRates/StERForeignCurrencies/index.htm?toLang=_EN [Accessed 3 December 2014].
  5. Dougherty C.: Introduction to econometrics. Oxford University Press, 2002, 291–295 [in Russian].
  6. Introduction to SAS. UCLA: Statistical consulting group. Available from http://www.ats.ucla.edu/stat/spss/dae/ neg_binom.htm [accessed March 10, 2015].
  7. Vernazza C.R.: The monetary value of oral health: willingness to pay for treatment and prevention. PhD thesis. School of Dental Sciences & Institute of Health and Society, 2010, 104–105.
  8. Vernazza C.R.: The monetary value of oral health: willingness to pay for treatment and prevention. PhD thesis. School of Dental Sciences & Institute of Health and Society, 2010, 110.
  9. Atchison K.A., Gironda M.W., Black E.E., Schweitzer S., Der-Martirosian C., Felsenfeld A.: Baseline characteristics and treatment preferences of oral surgery subjects. J. Oral. Maxillofac. Surg. 2007, 65, 2430–2437.
  10. Augusti D., Augusti G., Re D.: Prosthetic restoration in the single-tooth gap: patient preferences and analysis of the WTP index. Clin. Oral. Implants Res. 2014, 25, 1257–1264.
  11. Al Garni B., Pani S.C., Almaaz A., Al Qeshtaini E., Abu-Haimed H., Al Sharif K.: Factors affecting the willingness to pay for implants: A study of patients in Riyadh, Saudi Arabia. Dent. Res. J. (Isfahan) 2012, 9, 719–724.
  12. Widström E., Seppälä T.: Willingness and ability to pay for unexpected dental expenses by Finnish adults. BMC Oral Health. 2012, 12, 35.
  13. Drummond M., Bernie O’Brian, Greg S., George T.: Methods for the economic evaluation of health care programs. Sofia, MF 2007, 2ed ed., 301 [in Bulgarian].