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Patient willingness to pay for preventive measures in primary care: a study of five GPs in a German community

Author

Listed:
  • Armin Wiesemann
  • Uwe Mueller-Buehl
  • Reginald Scheidt
  • Wolfgang Boehme
  • Wolfgang Scheuermann

Abstract

Objectives:To explore the willingness of patients in a usual primary care setting to pay out-of-pocket fees for their own health promotion, in correlation with risk factors and net income, and compared to patients of an educational programme. Methods:A standardised health survey carried out in five general practices (GPs) of a small community with a special GP-based health education programme was combined with a questionnaire to explore the special attitudes of patients from a practice sample (n=973) and from educational courses (n=202): covering, in addition to cardiovascular risk factors, the sociodemographic factors, net income, and out-of-pocket fees that could be spent for own health promotion. Results:After attending an educational programme, the patient’s willingness to spend 15–40 €/month for their own health promotion was high but there was no correlation with the income (p>0.56), in contradiction to the patients of the practice sample who would pay more money the more they earn (p>0.001). High levels of cardiovascular risk were associated with low education (p>0.001), but net income and willingness to pay for preventive measures did not significantly correlate with cardiovascular risk factors. Conclusions:Participants of educational courses are willing to pay a rational out-of-pocket fee for preventive measures without correlation with their incomes, thus reducing the social gradient; future preventive measures should take into account that reasonable cost sharing is well accepted by well-informed patients. Copyright Birkhäuser-Verlag Basel 2004

Suggested Citation

  • Armin Wiesemann & Uwe Mueller-Buehl & Reginald Scheidt & Wolfgang Boehme & Wolfgang Scheuermann, 2004. "Patient willingness to pay for preventive measures in primary care: a study of five GPs in a German community," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 49(4), pages 254-260, August.
    • Handle: RePEc:spr:ijphth:v:49:y:2004:i:4:p:254-260
    DOI: 10.1007/s00038-004-3039-5
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    Cited by:

    1. Borghi, Josephine & Jan, Stephen, 2008. "Measuring the benefits of health promotion programmes: Application of the contingent valuation method," Health Policy, Elsevier, vol. 87(2), pages 235-248, August.

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