PDF(Pubmed)
Abstract：
BACKGROUND: Due to the rapid increase in chronic diseases in South Korea, the Korean government has expanded chronic disease management to primary care. Thus, the role of primary care nurses is critical. However, the fee for chronic disease management services provided by primary care nurses has not been set, and few studies have evaluated the value of nursing services. This study aimed to estimate the willingness to pay (WTP) for chronic disease management services provided by primary care nurses and to identify the factors that affect WTP.
METHODS: This study adopted a descriptive research design and conducted a cross-sectional online survey from January 16 to 18, 2023. The inclusion criteria were community residents aged ≥ 20 years living in South Korea and capable of participating in online surveys. A total of 520 people participated in this study. A contingent valuation method (CVM) was used with double-bound dichotomous choice questions along with open-ended questions. The mean WTP was calculated using a Tobit model.
RESULTS: The mean WTP of the 520 study participants for one chronic disease management service provided by primary care nurses was 15,390.71 Korean won ($11.90). Factors affecting WTP were having a chronic disease, recognition of primary care nurses, and the first-bid price. Community residents with fewer chronic diseases, high awareness of primary care nurses, and a higher first-bid price showed higher WTP for chronic disease management services provided by primary care nurses.
CONCLUSIONS: Primary care is important worldwide due to the increasing number of chronic diseases, and Korea is no exception. However, payment for services by primary care nurses is undervalued compared to their critical role and skills. This has led to problems such as a primary care nurse shortage and burnout. This study estimated individuals\' WTP for chronic disease management services provided by primary care nurses. The results can be used as a basic resource for setting the fee for services provided by primary care nurses. It is also a good starting point to understand the benefits of primary care nurse services.
METHODS: This study adopted a descriptive research design and conducted a cross-sectional online survey from January 16 to 18, 2023. The inclusion criteria were community residents aged ≥ 20 years living in South Korea and capable of participating in online surveys. A total of 520 people participated in this study. A contingent valuation method (CVM) was used with double-bound dichotomous choice questions along with open-ended questions. The mean WTP was calculated using a Tobit model.
RESULTS: The mean WTP of the 520 study participants for one chronic disease management service provided by primary care nurses was 15,390.71 Korean won ($11.90). Factors affecting WTP were having a chronic disease, recognition of primary care nurses, and the first-bid price. Community residents with fewer chronic diseases, high awareness of primary care nurses, and a higher first-bid price showed higher WTP for chronic disease management services provided by primary care nurses.
CONCLUSIONS: Primary care is important worldwide due to the increasing number of chronic diseases, and Korea is no exception. However, payment for services by primary care nurses is undervalued compared to their critical role and skills. This has led to problems such as a primary care nurse shortage and burnout. This study estimated individuals\' WTP for chronic disease management services provided by primary care nurses. The results can be used as a basic resource for setting the fee for services provided by primary care nurses. It is also a good starting point to understand the benefits of primary care nurse services.
摘要：
背景：由于韩国慢性病的迅速增加，韩国政府已将慢性病管理扩展到初级保健。因此，初级保健护士的角色至关重要.然而,初级护理护士提供的慢性病管理服务的费用尚未确定，很少有研究评估护理服务的价值。本研究旨在评估初级保健护士提供的慢性病管理服务的支付意愿（WTP），并确定影响WTP的因素。
方法：这项研究采用了描述性研究设计，并于2023年1月16日至18日进行了横断面在线调查。纳入标准为居住在韩国的20岁以上且能够参与在线调查的社区居民。共有520人参加了这项研究。将或有估值方法（CVM）与双重约束二分选择问题以及开放式问题一起使用。使用Tobit模型计算平均WTP。
结果：由初级护理护士提供的一项慢性病管理服务的520名研究参与者的平均WTP为15,390.71韩元（11.90美元）。影响WTP的因素是患有慢性疾病，认可初级保健护士，和第一次投标价格。慢性病较少的社区居民，初级保健护士的高意识，较高的一标价格显示，初级保健护士提供的慢性病管理服务的WTP较高。
结论：由于慢性疾病的增加，初级保健在全球范围内很重要，韩国也不例外。然而,与初级保健护士的关键作用和技能相比，初级保健护士的服务支付被低估了。这导致了初级护理护士短缺和倦怠等问题。这项研究估计了初级保健护士提供的慢性病管理服务的个人WTP。结果可用作确定初级保健护士提供服务费用的基本资源。了解初级保健护士服务的好处也是一个很好的起点。
方法：这项研究采用了描述性研究设计，并于2023年1月16日至18日进行了横断面在线调查。纳入标准为居住在韩国的20岁以上且能够参与在线调查的社区居民。共有520人参加了这项研究。将或有估值方法（CVM）与双重约束二分选择问题以及开放式问题一起使用。使用Tobit模型计算平均WTP。
结果：由初级护理护士提供的一项慢性病管理服务的520名研究参与者的平均WTP为15,390.71韩元（11.90美元）。影响WTP的因素是患有慢性疾病，认可初级保健护士，和第一次投标价格。慢性病较少的社区居民，初级保健护士的高意识，较高的一标价格显示，初级保健护士提供的慢性病管理服务的WTP较高。
结论：由于慢性疾病的增加，初级保健在全球范围内很重要，韩国也不例外。然而,与初级保健护士的关键作用和技能相比，初级保健护士的服务支付被低估了。这导致了初级护理护士短缺和倦怠等问题。这项研究估计了初级保健护士提供的慢性病管理服务的个人WTP。结果可用作确定初级保健护士提供服务费用的基本资源。了解初级保健护士服务的好处也是一个很好的起点。
