A willingness-to pay assessment of parents' preference for shorter duration treatment of acute otitis media in children
A willingness-to pay assessment of parents' preference for shorter duration treatment of acute otitis media in children
复制标题
DOI：
10.2165/00019053-200523120-00008
复制
发表时间：
2005-01-01
影响因子：
4.4
通讯作者：
LeLorier, J
中科院分区：
文献类型：
--
作者：
Chenevier, DG;LeLorier, J
目的：评估急性中耳炎（AOM）患儿家长对较短疗程抗菌药物治疗与常规抗菌药物治疗的支付意愿（WTP）。方法：研究人群包括562名儿童的父母，他们在2002年2月至11月期间在加拿大魁北克省蒙特利尔市因急性中耳炎就诊并接受儿科医生治疗。在AOM治疗结束时，通过电话进行问卷调查，其中包括父母和孩子的人口统计信息，儿童AOM病史的详细信息，全球健康（即生活质量）评估，治疗依从性评估和脚本WTP问题。除了进行多变量分析外，还进行了描述性分析，以估计父母WTP的可能预测因素。结果：急性中耳炎患儿在急性中耳炎患者群体中具有代表性，其中46%的儿童年龄< 2岁，大多数儿童在日托或上学。家长愿意为单剂量（1天一次）和三剂量（3天每天一次）抗菌治疗支付中位数31.66加元（2002年价值）和26.63加元（3天一次）。回归分析表明，家长愿意支付的金额与家庭收入的增加、前一年AOM发作次数的增加和治疗不良反应的经历呈正相关。结论：与标准疗程相比，急性中耳炎患儿的家长愿意为孩子支付更多的费用，以获得更短的抗菌治疗时间。较短的治疗时间似乎与更好的依从性和父母对孩子总体健康状况的感知有关。
Objective: To assess parental willingness to pay (WTP) for a shorter course of antibacterial treatment versus conventional antibacterial therapy for acute otitis media (AOM).Methods: The study population consisted of 562 parents of children who had been seen and treated by a paediatrician for an episode of AOM between February and November 2002 in Montreal, Quebec, Canada. At the end of the AOM treatment, a questionnaire that included demographic information about the parents and child, details of the child's AOM history, a global wellbeing (i.e. quality of life) assessment, an evaluation of treatment compliance and a scripted WTP question was administered over the telephone. Descriptive analyses were performed in addition to a multivariate analysis to estimate possible predictors of parental WTP.Results: The children with AOM were representative of the AOM patient population, with 46% being < 2 years of age and the majority attending day-care or school. Parents were willing to pay a median of $Can31.66 (2002 values) for a mono-dose (one dose, on 1 day) and $Can26.63 for a tri-dose (one dose daily, for 3 days) antibacterial treatment. Regression analyses demonstrated that the amount parents were willing to pay was positively associated with increasing household income, increasing number of AOM episodes during the previous year and experiencing adverse effects of treatment.Conclusion: Parents of children with AOM were willing to pay more for their child to benefit from a shorter duration of antibacterial treatment than for a standard course. Short duration of treatment appears to be associated with better compliance and parents' perception of better general wellbeing for their child.