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Willingness to pay for osteoporosis risk assessment in primary dental care
Malmo Univ, Sweden; Helsingborg Hosp, Sweden.
Malmo Univ, Sweden.
Malmo Univ, Sweden.
Malmo Univ, Sweden.
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2019 (English)In: Health Economics Review, ISSN 2191-1991, E-ISSN 2191-1991, Vol. 9, article id UNSP 14Article in journal (Refereed) Published
Abstract [en]

BackgroundFragility fracture related to osteoporosis among postmenopausal women is a significant cause of morbidity. The care and aftercare of these fractures are associated with substantial costs to society. A main problem is that many individuals suffer from osteoporosis without knowing it before a fracture happens. Dentists may have an important role in early identification of individuals with osteoporosis by assessment of dental radiographs already included in the dental examination. The aim of this study was therefore to investigate postmenopausal womens preferences for an osteoporosis risk assessment in primary dental care.ResultsMost respondents (129 of 144 (90%)) were willing to pay for an osteoporosis risk assessment in primary dental care. The overall mean willingness to pay (WTP) including respondents that denoted none or zero WTP was 44.60 Euro (CI 95% 38.46-50.74 Euro) (median 34.75 Euro). A majority (80.6%) of the respondents that denoted WTP also gave a motivation for their answer. The two most common reasons denoted for being willing to pay for osteoporosis risk assessment were the importance of early diagnosis and preventive care to avoid fractures (41.0%) and the importance of knowledge of a risk of osteoporosis (26.4%). A majority of respondents (67.8%) considered it valuable if dental clinics would offer osteoporosis risk assessment.ConclusionsPostmenopausal women seem to find it valuable to be offered osteoporosis risk assessment in primary dental care and are willing to pay for such a risk assessment. From a societal perspective early diagnosis of osteoporosis by risk assessment in primary dental care could prevent osteoporotic related fractures and benefit womens health and quality of life, as well as have a major impact on the health-care budget in terms of cost-savings.

Place, publisher, year, edition, pages
SPRINGEROPEN , 2019. Vol. 9, article id UNSP 14
Keywords [en]
Dental clinics; Health economics; Medico economic; Osteoporosis; Patient acceptance of health care; willingness to pay
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-158331DOI: 10.1186/s13561-019-0232-zISI: 000468988600001PubMedID: 31127454OAI: oai:DiVA.org:liu-158331DiVA, id: diva2:1333866
Available from: 2019-07-02 Created: 2019-07-02 Last updated: 2019-11-06

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