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The Willingness-to-Pay for General Practitioners in Contractual Service and Influencing Factors among Empty Nesters in Chongqing, China

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  • Fei Chen

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430030, China
    School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

  • Xiang-Long Xu

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

  • Zhan Yang

    (College of Foreign Languages, Chongqing Medical University, Chongqing 400016, China)

  • Hua-Wei Tan

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

  • Liang Zhang

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430030, China)

Abstract

Background: In 2012, a pilot health policy of contractual service relations between general practitioners and patients was implemented in China. Due to the decline in body and cognitive function, as well as the lack of family care and narrow social support networks, the demand of health services among the elderly is much higher than that among the general population. This study aims to probe into the empty nesters’ willingness-to-pay for general practitioners using a contractual service policy, investigating empty nesters’ payment levels for the service, and analyze the main factors affecting the willingness of empty-nesters’ general practitioners using contractual service supply cost. Methods: This cross-sectional study adopted a multistage stratified sampling method to survey 865, city empty nesters (six communities in three districts of one city) aged 60–85 years. A condition value method was used to infer the distribution of the willingness-to-pay; Cox’s proportional hazards regression model was used to analyze the influencing factors of willingness-to-pay. Results: More than seventy percent (76.6%) of the empty nesters in this city were willing to pay general practitioners using contract service in Chongqing. The level of willingness-to-pay for the surveyed empty nesters was 34.1 yuan per year. The median value was 22.1 yuan per year, which was below the Chongqing urban and rural cooperative medical insurance individual funding level (60 yuan per year) in 2013. Cox’s proportional hazards regression model analysis showed that the higher the education level was, the worse the self-reported health status would be, accompanied by higher family per capita income, higher satisfaction of community health service, and higher willingness-to-pay empty nesters using a contract service. Women had a higher willingness-to-pay than men. Conclusions: The willingness-to-pay for general practitioners by contractual service is high among city empty nesters in Chongqing, thus, individual financing is feasible. However, people are willing to pay less than half of the current personal financing of cooperative medical insurance of urban and rural residents. Education level, family per capita income, and self-reported health status are the main factors affecting the cost sharing intention for general practitioners using contract service supply. According to the existing situation of different empty nesters, it is important to perfect the design of general practitioners using a contractual service policy system, according to differentiated personal financing levels.

Suggested Citation

  • Fei Chen & Xiang-Long Xu & Zhan Yang & Hua-Wei Tan & Liang Zhang, 2015. "The Willingness-to-Pay for General Practitioners in Contractual Service and Influencing Factors among Empty Nesters in Chongqing, China," IJERPH, MDPI, vol. 12(8), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:8:p:9330-9341:d:53988
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    References listed on IDEAS

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    1. Joshua D. Woodard & Bruce J. Sherrick & Gary D. Schnitkey, 2010. "Revenue Risk-Reduction Impacts of Crop Insurance in a Multicrop Framework," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 32(3), pages 472-488.
    2. Klose, Thomas, 1999. "The contingent valuation method in health care," Health Policy, Elsevier, vol. 47(2), pages 97-123, May.
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    Cited by:

    1. Ye Chang & Xiaofan Guo & Liang Guo & Zhao Li & Hongmei Yang & Shasha Yu & Guozhe Sun & Yingxian Sun, 2016. "Comprehensive Comparison between Empty Nest and Non-Empty Nest Elderly: A Cross-Sectional Study among Rural Populations in Northeast China," IJERPH, MDPI, vol. 13(9), pages 1-14, August.
    2. Dai Su & Zhifang Chen & Jingjing Chang & Guangwen Gong & Dandan Guo & Min Tan & Yunfan Zhang & Yanchen Liu & Xinlan Chen & Xinlin Chen & Yingchun Chen, 2020. "Effect of Social Participation on the Physical Functioning and Depression of Empty-Nest Elderly in China: Evidence from the China Health and Retirement Longitudinal Survey (CHARLS)," IJERPH, MDPI, vol. 17(24), pages 1-15, December.
    3. Hui Chang & Jia Zhou & Zhiwen Wang, 2022. "Multidimensional Factors Affecting Successful Aging among Empty-Nesters in China Based on Social-Ecological System Theory," IJERPH, MDPI, vol. 19(19), pages 1-12, September.

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