Demand and willingness to pay for different treatment and care services among patients with heart diseases in Hanoi, Vietnam

Tran, Bach Xuan; Vu, Giang Thu; Nguyen, Thu Hong Thi; Nguyen, Long H.; Pham, Dat Dinh; Truong, Viet Quang; Thai, Thao Phuong Thi; Vu, Thuc Minh Thi; Nguyen, Tuan Q.; Nguyen, Vu; Nguyen, Trang Huyen; Latkin, Carl A.; Ho, Cyrus S.H.; Ho, Roger

doi:10.2147/ppa.s176262

Cited by 8 publications

(7 citation statements)

References 15 publications

(17 reference statements)

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“…In this study, over 40% of patients were unemployed, and more than 90% did not have any other regular source of income hence could not readily commit themselves to paying for a service they may not be able to mobilize funds to support. These findings support previous work by Tran et al which reported that willingness to pay among relatively wealthy urban residents was higher compared to rural folks [ 22 ]. More so, a multi-center study conducted in developing countries showed a strong correlation between patients financial ability to pay for therapy and their willingness to pay [ 35 ].…”

Section: Discussionsupporting

confidence: 92%

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Willingness to pay for kidney transplantation among chronic kidney disease patients in Ghana

et al. 2020

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Background Kidney transplantation is the preferred treatment for patients with end stage renal disease. However, it is largely unavailable in many sub-Sahara African countries including Ghana. In Ghana, treatment for end stage renal disease including transplantation, is usually financed out-of-pocket. As efforts continue to be made to expand the kidney transplantation programme in Ghana, it remains unclear whether patients with Chronic Kidney Disease (CKD) would be willing to pay for a kidney transplant. Aim The aim of the study was to assess CKD patients’ willingness to pay for kidney transplantation as a treatment option for end stage renal disease in Ghana. Methods A facility based cross-sectional study conducted at the Renal Outpatient clinic and Dialysis Unit of Korle-Bu Teaching Hospital among 342 CKD patients 18 years and above including those receiving haemodialysis. A consecutive sampling approach was used to recruit patients. Structured questionnaires were administered to obtain information on demographic, socio-economic, knowledge about transplant, perception of transplantation and willingness to pay for transplant. In addition, the INSPIRIT questionnaire was used to assess patients’ level of religiosity and spirituality. Contingent valuation method (CVM) method was used to assess willingness to pay (WTP) for kidney transplantation. Logistic regression model was used to determine the significant predictors of WTP. Results The average age of respondents was 50.2 ± 17.1 years with most (56.7% (194/342) being male. Overall, 90 out of the 342 study participants (26.3%, 95%CI: 21.7–31.3%) were willing to pay for a kidney transplant at the current going price (≥ $ 17,550) or more. The median amount participants were willing to pay below the current price was $986 (IQR: $197 –$1972). Among those willing to accept (67.3%, 230/342), 29.1% (67/230) were willing to pay for kidney transplant at the prevailing price. Wealth quintile, social support in terms of number of family friends one could talk to about personal issues and number of family members one can call on for help were the only factors identified to be significantly predictive of willingness to pay (p-value < 0.05). Conclusion The overall willingness to pay for kidney transplant is low among chronic kidney disease patients attending Korle-Bu Teaching Hospital. Patients with higher socio-economic status and those with more family members one can call on for help were more likely to pay for kidney transplantation. The study’s findings give policy makers an understanding of CKD patients circumstances regarding affordability of the medical management of CKD including kidney transplantation. This can help develop pricing models to attain an ideal poise between a cost effective but sustainable kidney transplant programme and improve patient access to this ultimate treatment option.

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Section: Discussionsupporting

confidence: 92%

“…This finding is consistent with the current study where the willingness to pay for kidney transplant service was low for majority of the patients. Another study by Tran et al (2018) in Vietnam showed similar findings of patients’ level of willingness to pay below the expected price of the services [ 22 ].…”

Section: Discussionmentioning

confidence: 70%

Willingness to pay for kidney transplantation among chronic kidney disease patients in Ghana

et al. 2020

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“…This study revealed that most ESKD patients were willing to pay for haemodialysis for themselves with a mean benefit of USD 25,999.06. Previous studies have reported contrasting findings on kidney replacement therapy in Ghana [ 18 ] and chronic illnesses in Malaysia and Vietnam [ 33 , 34 ]. In the current study, patients’ willingness to pay more for their use may be related to the rational expectations theory, which posits that individuals base their decisions on human rationality, information, and past experiences.…”

Section: Discussionmentioning

confidence: 99%

Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria

Agada-Amade,

Ogbuabor,

Obikeze

et al. 2024

BMC Nephrol

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Background Evidence of willingness to pay for kidney replacement therapy is scarce in low-middle-income countries, including Nigeria’s Formal Sector Social Health Insurance Programme. The study, therefore, assessed the willingness to pay for haemodialysis among chronic kidney disease patients in Abuja, Nigeria. Methods The study adopted a cross-sectional survey design. We used the contingent valuation method to estimate the maximum stated willingness to pay (WTP) for haemodialysis among end-stage kidney disease (ESKD) patients. We obtained informed written consent from respondents before data collection. The socio-demographic characteristics and willingness to pay data were summarized using descriptive statistics. We evaluated the mean differences in respondents’ WTP using Mann-Whitney and Kruskal-Wallis tests. All variables that had p < 0.25 in the bivariate analysis were included in the Generalized Linear Model (gamma with link function) to determine the predictors of the WTP for one’s and another’s haemodialysis. The level of significance in the final model was ρ < 0.05. Results About 88.3% and 64.8% of ESKD patients were willing to pay for personal and altruistic haemodialysis, correspondingly. The mean annual WTP for haemodialysis for one’s and altruistic haemodialysis was USD25,999.06 and USD 1539.89, respectively. Private hospital patients were likelier to pay for their haemodialysis (β = 0.39, 95%CI: 0.21 to 0.57, p < 0.001). Patients attending public-private partnership hospitals were less likely to pay for altruistic haemodialysis than those attending public hospitals (β = -1.65, 95%CI: -2.51 to -0.79, p < 0.001). Conclusions The willingness to pay for haemodialysis for themselves and others was high. The type of facility ESKD patients attended influenced their willingness to pay for haemodialysis. The findings highlight the need for policies to enhance affordable and equitable access to haemodialysis in Nigeria through pre-payment mechanisms and altruistic financing strategies.

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“…Subjektivna procena daje dobar uvid u dugotrajne efekte plaćanja zdravstvene zaštite i finansijsku opterećenost domaćinstva (15), a kao rezultat subjektivne procene velikog finansijskog opterećenja usled plaćanja zdravstvene zaštite ispitanici izbegavaju korišćenje zdravstvenih usluga ili bi platili manje od njihove aktuelne cene (1,16).…”

Section: Merenje Finansijskog Opterećenja Usled Korišćenja Zdravstven...unclassified

Frequency of out-of-pocket payment for healthcare: Age and sex differences

Vojvodić,

Terzić-Šupić

2024

Medicinski podmladak

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Out-of-pocket payments for health care as one of the ways of health care financing is present in numerous countries and can lead to a financial burden of healthcare. This could lead to restrictions on other necessary goods and lower the expected standard of living. The frequency of out-of-pocket payments is often associated with gender and age. Biological and socio-economic differences between the genders and differences that arise in the aging process can influence the more frequent occurrence of financial burdens due to out-of-pocket payments. There is a difference between men and women aged 65 and over in the prevalence of chronic and malignant diseases, differences in the use of health care, self-assessment of health, poverty, financial independence, and the type of household. All mentioned can lead to a different frequency of out-of-pocket payments and the financial burden of health care.

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Demand and willingness to pay for different treatment and care services among patients with heart diseases in Hanoi, Vietnam

Cited by 8 publications

References 15 publications

Willingness to pay for kidney transplantation among chronic kidney disease patients in Ghana

Willingness to pay for kidney transplantation among chronic kidney disease patients in Ghana

Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria

Frequency of out-of-pocket payment for healthcare: Age and sex differences

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