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A study of the user's perception of economic value in nursing visits to primary care by the method of contingent valuation

机译：通过或有评估法研究使用者对基层护理就诊中用户的经济价值感知

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Background The identification of the attribution of economic value that users of a health system assign to a health service could be useful in planning these services. The method of contingent valuation can provide information about the user's perception of value in monetary terms, and therefore comparable between services of a very different nature. This study attempts to extract the economic value that the subject, user of primary care nursing services in a public health system, attributes to this service by the method of contingent valuation, based on the perspectives of Willingness to Pay (WTP) and Willingness to Accept [Compensation] (WTA). Methods/Design This is an economic study with a transversal design. The contingent valuation method will be used to estimate the user's willingness to pay (WTP) for the care received from the primary care nurse and the willingness to accept [compensation] (WTA), were this service eliminated. A survey that meets the requisites of the contingent valuation method will be constructed and pilot-tested. Subsequently, 600 interviews will be performed with subjects chosen by systematic randomized sampling from among those who visit nursing at twenty health centers with different socioeconomic characteristics in the Community of Madrid. The characteristics of the subject and of the care received that can explain the variations in WTP, WTA and in the WTP/WTA ratio expressed will be studied. A theoretical validation of contingent valuation will be performed constructing two explanatory multivariate mixed models in which the dependent variable will be WTP, and the WTP/WTA relationship, respectively. Discussion The identification of the attribution of economic value to a health service that does not have a direct price at the time of use, such as a visit to primary care nursing, and the definition of a profile of "loss aversion" in reference to the service evaluated, can be relevant elements in planning, enabling incorporating patient preferences to health policy decision-making.
机译：背景技术对卫生系统的用户分配给卫生服务的经济价值的归属的识别可能有助于规划这些服务。或有评估方法可以提供有关用户对金钱价值的看法的信息，因此可以在性质完全不同的服务之间进行比较。这项研究试图基于支付意愿（WTP）和接受意愿的观点，通过权变估值方法来提取公共卫生系统中初级护理护理服务的使用者，受试者对该服务赋予的经济价值。 [补偿]（WTA）。方法/设计这是一个横向设计的经济研究。或有评估方法将用于估计用户从初级护理护士那里获得的护理支付意愿（WTP）和接受此项服务的意愿（WTA）。将构建符合条件的估值方法要求的调查并进行试点测试。随后，将对来自系统性随机抽样的受试者进行600次访谈，这些受试者来自马德里社区20个具有不同社会经济特征的卫生中心就诊的患者。将研究可以解释WTP，WTA以及所表达的WTP / WTA比率变化的受试者和所接受护理的特征。将通过构造两个解释性多元混合模型来进行或有估值的理论验证，在该模型中，因变量将分别为WTP和WTP / WTA关系。讨论确定使用时没有直接价格的医疗服务的经济价值归属，例如就诊初级保健护理，并参考“损失厌恶”定义定义评估的服务可能是规划中的相关要素，从而可以将患者的偏好纳入健康政策决策中。

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