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KMID : 0356920120620060548
Korean Journal of Anesthesiology
2012 Volume.62 No. 6 p.548 ~ p.551
The willingness of patients to pay for intravenous patient-controlled analgesia in Korea
Lim Hyung-Sun

Lee Duck-Hyoung
Lee Jeong-Woo
Han Young-Jin
Choe Huhn
Son Ji-Seon
Abstract
Background: The use of intravenous patient-controlled analgesia (IV-PCA) has been increasing because it has advantages such as improved pain relief, greater patient satisfaction, and fewer postoperative complications. However, current research has not considered the patients¡¯ thoughts about IV-PCA¡¯s cost-effectiveness. The purpose of this study was to investigate the willingness to pay (WTP) for IV-PCA and the relationship between patients¡¯ characteristics and WTP in Korea.

Methods: We enrolled 400 adult patients who were scheduled for elective surgery. The patient was requested to indicate a series of predefined amounts of money (Korean won; 30,000/50,000/100,000/150,000/200,000/300,000/500,000). We also recorded patient characteristics, such as age, sex, type of surgery, IV-PCA history, education level, the person responsible for medical expenses, type of insurance, net annual income, and residential area. Three days after surgery, we asked about the degree of satisfaction and the WTP for IV-PCA.

Results: For IV-PCA, the median WTP was 100,000 won (25-75%; 50,000-200,000 won: US$1 = W1078.04; July 19, 2011) before surgery. All patients¡¯ characteristics were not related to preoperative WTP for IV-PCA, whereas the increase in WTP after surgery showed a tendency correlated to higher IV-PCA satisfaction.

Conclusions: The median WTP was 100,000 won. The satisfaction of IV-PCA increased patients¡¯ WTP after surgery, but the WTP may be independent of patient characteristics in Korea.
KEYWORD
Patient controlled analgesia, Patient satisfaction, Willingness to pay
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