Understanding patient cost-sharing thresholds for diabetes treatment attributes via a discrete choice experiment

Panchal, Rupesh; Nguyen, Danielle; Ghule, Priyanka; Li, Niying; Giannouchos, Theodoros V.; Pan, Raymond J; Biskupiak, Joseph; Britton, Laura E.; Nohavec, Robert; Slager, Stacey; Ngorsuraches, Surachat; Brixner, Diana I.

doi:10.18553/jmcp.2023.29.2.139

Cited by 2 publications

(2 citation statements)

References 53 publications

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“… 24 At the same time, there is a negative relationship between side effects and the WTP, implying that individuals to some extent will be compensated for treatment to take the medication. 25 This could help to understand nonadherence behavior in a patient population. Our study did not include any of these attributes.…”

Section: Discussionmentioning

confidence: 99%

Treatment Preferences for Acute Allergic Reactions: A Discrete Choice Experiment

Löfvendahl,

Andersson,

Olofsson

et al. 2024

Journal of Health Economics and Outcomes Research

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Background: Timely treatment of acute allergic reactions (AARs) is important to minimize reaction severity. Corticosteroid tablets dissolved in water are commonly used in mainstay treatment. A new oral film that dissolves on the tongue provides a faster and less cumbersome alternative to tablets for corticosteroid administration during AARs. This study evaluated patients’ preferences for attributes related to administration mode of corticosteroids in AARs. Methods: A web-based survey was sent to a sample from the adult Swedish population (≥18 years) with experience of corticosteroid treatment for AAR. We assessed the willingness to pay (WTP) for attributes related to corticosteroid treatment by applying a discrete choice experiment (DCE) approach. DCE attributes were administration mode, time to symptom relief, and price. The WTP for each attribute was derived using the attribute’s coefficient in a logistic regression analysis. We specified a forced choice (FC) and an unforced choice (UC) model. In the FC model, the respondents chose between 2 hypothetical treatments and in the UC model, between any of 2 hypothetical treatments and their current treatment. Results: The final study population included 348 subjects, of which 80% were women. All the evaluated DCE attributes were significant predictors for the treatment choice (p<.001). In the FC model, the incremental WTP for an oral film compared with tablets was 409 Swedish kronor (SEK [≈€36.7]), with no other factors considered. In the UC model, the incremental WTP for the oral film compared with tablets was 574 SEK (≈€51.7). After considering the value of the respondents’ current treatment, the WTP for the oral film decreased to 336 SEK (≈€30.3). The total WTP was reduced by 17 SEK (≈€1.5) per minute of shorter time to symptom relief. Subgroup analyses showed that people with circulatory symptoms and experience of swallowing difficulties related to allergy medication had higher WTP for the oral film than the average respondent. Conclusion: The findings show a substantial economic benefit of the oral film vs tablets for patients with AARs in Sweden. This result remained also after compensation for the full value of the patients’ current treatment.

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Section: Discussionmentioning

confidence: 99%

Treatment Preferences for Acute Allergic Reactions: A Discrete Choice Experiment

Löfvendahl,

Andersson,

Olofsson

et al. 2024

Journal of Health Economics and Outcomes Research

View full text Add to dashboard Cite

show abstract

“…24 At the same time, there is a negative relationship between side effects and the WTP, implying that individuals to some extent will be compensated for treatment to take the medication. 25 This could help to understand nonadherence behavior in a patient population. Our study did not include any of these attributes.…”

Section: No Of Individuals 333mentioning

confidence: 99%

Treatment Preferences for Acute Allergic Reactions: A Discrete Choice Experiment

Löfvendahl,

Andersson,

Olofsson

et al. 2024

JHEOR

View full text Add to dashboard Cite

show abstract

Understanding patient cost-sharing thresholds for diabetes treatment attributes via a discrete choice experiment

Cited by 2 publications

References 53 publications

Treatment Preferences for Acute Allergic Reactions: A Discrete Choice Experiment

Treatment Preferences for Acute Allergic Reactions: A Discrete Choice Experiment

Treatment Preferences for Acute Allergic Reactions: A Discrete Choice Experiment

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