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Title: Demand and willingness to pay for different treatment and care services among patients with heart diseases in Hanoi, Vietnam
Authors: Tran, B.X.
Vu, G.T.
Nguyen, T.H.T.
Nguyen, L.H.
Pham, D.D.
Truong, V.Q.
Thai, T.P.T.
Vu, T.M.T.
Nguyen, T.Q.
Nguyen, V.
Nguyen, T.H.T.
Latkin, C.A.
Ho, C.S.H.
Ho, R.C.M. 
Keywords: Heart disease
Willingness to pay
Issue Date: 2018
Publisher: Dove Medical Press Ltd.
Citation: Tran, B.X., Vu, G.T., Nguyen, T.H.T., Nguyen, L.H., Pham, D.D., Truong, V.Q., Thai, T.P.T., Vu, T.M.T., Nguyen, T.Q., Nguyen, V., Nguyen, T.H.T., Latkin, C.A., Ho, C.S.H., Ho, R.C.M. (2018). Demand and willingness to pay for different treatment and care services among patients with heart diseases in Hanoi, Vietnam. Patient Preference and Adherence 12 : 2253-2261. ScholarBank@NUS Repository.
Rights: Attribution-NonCommercial 4.0 International
Abstract: Introduction: In Vietnam, cardiovascular diseases (CVDs) are serious health issues, especially in the context of overload central heart hospitals, insufficient primary healthcare, and lack of customer-oriented care and treatment. Attempts to measure demand and willingness-to-pay (WTP) for different CVD treatments and care services have been limited. This study explored the preferences and WTP of patients with heart diseases for different home-and hospital-based services in Hanoi, Vietnam. Methods: A cross-sectional survey was performed at the Hanoi Heart Hospital from July to December 2017. A contingent valuation was adopted to determine the preferences of patients and measure their WTP. Interval regressions were employed to determine the potential predictors of patients’ WTP. Results: Hospital-based services were most preferred by patients, with demand ranging from 45.6% to 82.3% of total participants, followed by home-based (45.4%–45.8%) and administrative services (28.9%–34%). WTP for hospital-based services were in the range of US$ 9.8 (US$ 8.4–11.2)–US$ 21.9 (US$ 20.3–23.4), while figures for home-based and administrative services were US$ 9.8 (US$ 8.4–11.2)–US$ 22 (US$ 18.7–25.3) and 1.9 (US$ 1.6–2.2)–US$ 7.5 (US$ 6.3–8.6), respectively. Patients who lived in urban areas, were employed, were having higher level of education, and were not covered by health insurance were willing to pay more for services, especially home-based ones. Conclusion: Demand and WTP for home-based services among heart disease patients were moderately low compared with hospital-based ones. There is a need for more policies supporting home-based services, better communication of services’ benefits to general public and patients, and introduction of services packages based on patients’ preferences. © 2018 Tran et al.
Source Title: Patient Preference and Adherence
ISSN: 1177-889X
DOI: 10.2147/PPA.S176262
Rights: Attribution-NonCommercial 4.0 International
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