Document Detail

Willingness to pay for polysomnography in children with obstructive sleep apnea syndrome: a cost-benefit analysis.
MedLine Citation:
PMID:  14746384     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To analyze willingness to pay (WTP) for polysomnography (PSG) among parents of children with obstructive sleep apnea syndrome (OSAS). To analyze the cost-benefit of PSG in a collectively funded healthcare system. SETTING: University-affiliated sleep laboratory. SUBJECTS: Parents of 158 boys and 94 girls, who had a mean age of 6.0 +/- 3.9 years. The telephone survey, using a contingent valuation approach, was conducted with 3 groups of parents: those whose children were scheduled for PSG (n = 83), whose children were had had PSG within the previous 6 months (n = 77), and whose children had had PSG and adenotonsillectomy in the previous 6 months (n = 92). RESULTS: Two hundred and fifty-two parents (92% compliance rate), 75% of whom were mothers, responded to the WTP interview. Multivariate analysis revealed that the independent variables influencing WTP were bid (OR = 0.745, P < .001), age times bid (OR = 0.835, P < .05), and affected health status (OR = 3.5, P < .001). The median WTP value for PSG studies of children with OSAS following adenotonsillectomy was dollars 762 plus the savings of dollars 60 to the health care system-subtracting the cost of the dollars 250 PSG study resulted in a monetary benefit of dollars 572 per diagnosis. CONCLUSIONS: We conclude that PSG diagnosis for children with OSAS is beneficial. Decision makers and sleep specialists can use WTP to prioritize allocation of resources to increase the availability of PSG studies for children.
Ariel Tarasiuk; Tzahit Simon; Uri Regev; Haim Reuveni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sleep     Volume:  26     ISSN:  0161-8105     ISO Abbreviation:  Sleep     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-01-28     Completed Date:  2004-03-25     Revised Date:  2009-01-29    
Medline Journal Info:
Nlm Unique ID:  7809084     Medline TA:  Sleep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1016-21     Citation Subset:  IM    
Sleep-Wake Disorders Unit, Soroka University Medical Center, Beer-Sheva, Israel.
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MeSH Terms
Attitude to Health*
Cost-Benefit Analysis
Cross-Sectional Studies
Polysomnography / economics*,  methods*
Sleep Apnea, Obstructive / diagnosis*,  economics*

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