Factors influencing patients’ willingness-to-pay for disease-modifying therapies for multiple sclerosis

Poudel, Nabin; Banjara, B.; Kamau, S.; Frost, Natasha A.; Ngorsuraches, Surachat

doi:10.1016/j.msard.2020.102720

Cited by 4 publications

(2 citation statements)

References 31 publications

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“…The survey also revealed that 8.1% of 3437 patients taking DMTs faced challenges to DMT use, including insurance denial in the first instance (3.3%) and when switching DMTs (2.3%) [ 65 ]. A patient’s willingness to pay for DMTs can be influenced by patient-related factors, such as demographics, health status, comorbidities, and MS experience, as well as drug-related factors (DMT effectiveness, safety, mode of administration, out-of-pocket expenses) [ 66 , 67 ]. A scoping review of 23 primarily US and European studies highlighted affordability of services could be a barrier to patients with MS, but having a dedicated HCP could ease the complexities of navigating the healthcare system for patients and identify possible funding sources [ 68 ].…”

Section: Overcoming Barriers To Sdmmentioning

confidence: 99%

Insights for Healthcare Providers on Shared Decision-Making in Multiple Sclerosis: A Narrative Review

Stoll,

Costello,

Newsome

et al. 2024

Neurol Ther

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Shared decision-making (SDM) between the patient and their healthcare provider (HCP) in developing treatment plans is increasingly recognized as central to improving treatment adherence and, ultimately, patient outcomes. In multiple sclerosis (MS), SDM is particularly crucial for optimizing treatment in a landscape that has grown more complex with the availability of newer, high-efficacy MS therapies. However, little direct evidence on the effectiveness of SDM is available to guide practice. Multiple factors, including patient age, ethnic background, perceptions, invisible MS symptoms, and psychological comorbidities can influence a patient’s willingness and ability to participate in SDM. HCPs need to appreciate these factors and ask the right questions to break down obstacles to SDM. The HCP has a responsibility to help patients feel adequately informed and comfortable in having an active role in their care. This review identifies potential barriers to SDM and provides a strategy for HCPs to overcome these obstacles through patient (and caregiver) discussions to ensure optimal patient satisfaction with treatment and thus the best possible outcomes for their patients.

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Section: Overcoming Barriers To Sdmmentioning

confidence: 99%

Insights for Healthcare Providers on Shared Decision-Making in Multiple Sclerosis: A Narrative Review

Stoll,

Costello,

Newsome

et al. 2024

Neurol Ther

View full text Add to dashboard Cite

show abstract

“…Previous studies focus on the willingness to pay for social health insurance or community-based health insurance [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ], factors influencing the willingness to pay for health insurance in general [ 36 , 37 , 38 , 39 , 40 ], and factors that affect the deficits in financing faced by BPJS-Kes as the agency that finances the NHI in Indonesia [ 10 , 11 , 41 , 42 ]. This study aimed to assess the factors that affect the willingness to pay for cost-sharing under the NHI scheme among patients with catastrophic illnesses in Yogyakarta, Indonesia.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Willingness to Pay for Cost-Sharing under Universal Health Coverage Scheme in Yogyakarta, Indonesia: A Cross-Sectional Survey

Nugraheni

Satibi

Kristina

et al. 2022

IJERPH

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Background: National Health Insurance (NHI) in Indonesia requires an appropriate cost-sharing policy, particularly for diseases that require the largest financing. This study examined factors that influence willingness to pay (WTP) for cost-sharing under the universal health coverage scheme among patients with catastrophic illnesses in Yogyakarta, Indonesia. Methods: This was a cross-sectional study using structured questionnaires through direct interviews. The factors related to the WTP for cost-sharing under the NHI scheme in Indonesia were identified by a bivariable logistic regression analysis. Results: Two out of every five (41.2%) participants had willingness to pay for cost-sharing. Sex [AOR = 0.69 (0.51, 0.92)], education [AOR = 1.54 (0.67, 3.55)], family size [AOR = 1.71 (1.07, 2.73)], occupation [AOR = 1.35 (0.88, 2.07)], individual income [AOR = 1.50 (0.87, 2.61)], household income [AOR = 1.47 (0.90, 2.39)], place of treatment [AOR = 2.54 (1.44, 4.45)], a health insurance plan [AOR = 1.22 (0.87, 1.71)], and whether someone receives an inpatient or outpatient service [AOR = 0.23 (0.10, 0.51)] were found to affect the WTP for a cost-sharing scheme with p < 0.05. Conclusion: Healthcare (place of treatment, health insurance plan, and whether someone receives an inpatient or outpatient service) and individual socioeconomic (sex, educational, family size, occupational, income) factors were significantly related to the WTP for cost-sharing.

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The impact of sociodemographic characteristics on diagnosis and access to disease-modifying treatment for patients with multiple sclerosis in Morocco

Lotfi

Chigr

Najimi

2022

Multiple Sclerosis and Related Disorders

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Factors influencing patients’ willingness-to-pay for disease-modifying therapies for multiple sclerosis

Cited by 4 publications

References 31 publications

Insights for Healthcare Providers on Shared Decision-Making in Multiple Sclerosis: A Narrative Review

Insights for Healthcare Providers on Shared Decision-Making in Multiple Sclerosis: A Narrative Review

Factors Associated with Willingness to Pay for Cost-Sharing under Universal Health Coverage Scheme in Yogyakarta, Indonesia: A Cross-Sectional Survey

The impact of sociodemographic characteristics on diagnosis and access to disease-modifying treatment for patients with multiple sclerosis in Morocco

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