Understanding consumer preferences for care of adolescents with pelvic inflammatory disease*

Details

• Alternative Title:
  Med Ther Med Reprod Gynecol Endocrinol
• Personal Author:
  Trent, Maria ; Lehmann, Harold ; Butz, Arlene ; Thompson, Carol ; Qian, Qiang ; Frick, Kevin D.
• Description:
  Objective.
  
  The objective of this study is to estimate consumers’ maximum willingness-to-pay (WTP) for follow-up PID services by physicians and community health nurses (CHNs), differences by consumer type (adolescents versus parents), and the differences in health-provider predicted WTP consumer estimates and actual consumer WTP estimates.
  
  Methods.
  
  In this IRB-approved study, a contingent valuation method was used to collect WTP data regarding co-payments to physicians or nurses for clinical service delivery from the consumers of adolescent PID services (parents and adolescents) and health providers using a national convenience sample. Consumers were recruited from an academic pediatric and adolescent medicine clinic and five health department school-based health clinics in a large urban community with high (sexually transmitted infection) STI prevalence. Participants completed a web-based survey. Data were analyzed using linear regression analyses.
  
  Results.
  
  Adolescents were willing to pay $36 more (95 % Cl : $27.9–44.3) for community health nursing care and parents were willing to pay $48 more dollars (95 % Cl : $40.3-$57.4) than physician’s predicted. There were no significant differences in adolescent and parents WTP for physician or nursing services Consumers (adolescents & parents) WTP for physician PID services were on average $18.50 higher than CHN PID services (p = 0.01). Using physician estimates for WTP as the reference group, adolescents were willing to pay $56 more (95 % Cl : $48.6-$63.4) for physician care and parents were willing to pay $66 more (95 % Cl : $59.0-$72.8) than physician’s predicted.
  
  Conclusion.
  
  Adolescents and parents are willing to pay more for physician follow-up for PID, but they are open to CHN follow-up visits based on the mean WTP for CHN visits. Since WTP also reflects the value that individuals place on a service, our data demonstrate that providers consistently underestimate the value consumers place on clinical services for x adolescents with PID.
  
  
• Keywords:
  Adolescents Consumer Preferences Pelvic Inflammatory Disease (pid)
• Source:
  Med Ther Med Reprod Gynecol Endocrinol. 15(4):358-362
• Pubmed ID:
  31131365
• Pubmed Central ID:
  PMC6530924
• Document Type:
  Journal Article
• Funding:
  K01 DP001128/DP/NCCDPHP CDC HHSUnited States/ ; P20 MD000198/MD/NIMHD NIH HHSUnited States/ ; R01 NR013507/NR/NINR NIH HHSUnited States/
• Volume:
  15
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:cda44449b6514c2d2dc60eb3fe848baf7b60eb969634c56e1c30fc577af0ec6e
• Download URL:
  https://stacks.cdc.gov/view/cdc/79005/cdc_79005_DS1.pdf
• File Type:
  [PDF - 450.56 KB ]