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Abstract
Despite the success of health education programs for patients with asthma, several
researchers have found that patients are reluctant to enroll in and complete a program
designed to help them manage their condition. The purpose of this study was to identify
factors that influence asthma patients' willingness to pay (WTP) for and willingness
to give time (WTGT) to an asthma self-management program. The patient sample consisted
of 116 adult asthma patients (age range, 18 to 34 years) from 2 affiliated sites:
a county teaching hospital with ambulatory clinics and a staffmodel health maintenance
organization. To determine WTP and WTGT, patients were presented with a scenario in
which the components of an 8-week asthma management program were described. Patients
were then asked how much they would be willing to pay for and how much time they would
be willing to spend on the program. Regression analyses were used to determine what
effect the following factors had on WTP and WTGT with respect to an asthma self-management
program: sociodemographic factors; predisposing, enabling, and reinforcing factors;
level of asthma self-management; and health care utilization. Mean patient WTP was
$29.50 for an 8-week asthma education program. Several factors appeared to influence
this amount. Patients who were willing to pay more for a program that would help them
manage their asthma exhibited suboptimal behaviors during asthma attacks, had greater
perceived access to health care resources, received less educational information from
health care providers, had previously participated in a self-management program, and
had indicated an interest in participating in a self-management program. This model
was statistically significant (P < 0.0001), with 35% of the variation in WTP scores explained by the independent variables.
Patients reported that they were willing to spend a mean of 5.8 hours per week on
an 8-week asthma self-management program. Patients who were willing to spend more
time on an asthma self-management program had indicated an interest in participating
in such a program, had a higher number of comorbidities, or had more emergency department
visits. This model was statistically significant (P = 0.0018), with 18% of the variance explained. This study identified several factors
that may affect WTP and WTGT in relation to an asthma selfmanagement program. This
information may be helpful in identifying candidates for educational programs.
Key words
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Article info
Publication history
Accepted:
February 24,
1999
Identification
Copyright
© 1999 Published by Elsevier Inc.
