TY - JOUR
T1 - Hospitalized Women’s Willingness to Pay for Inpatient Screening Colonoscopy
AU - Olayinka, Opeoluwa
AU - Gnanaraj, Jerome
AU - Khaliq, Waseem
N1 - Funding Information:
Authors would like to acknowledge the Collaborative Research Interest Group (CRIG), a Johns Hopkins-wide initiative, for scholarly collaboration among clinicians across all disciplines to improve patient-centered care.
Publisher Copyright:
© Opeoluwa Olayinka et al.
PY - 2022/9/1
Y1 - 2022/9/1
N2 - Background: Despite the proven mortality benefit of screening colonoscopy, *27% of hospitalized women are nonadherent with colorectal cancer (CRC) screening guidelines. Colonoscopy is the most frequently used test for CRC screening in the United States. Although CRC is the second most common cause of cancer death in the United States, CRC screening has not been part of usual hospital care. Objective: This study explores how hospitalized women perceive value of inpatient screening colonoscopy by evaluating the mean amount of money that hospitalized women are willing to contribute toward the cost of a screening colonoscopy during a hospital stay. Methods: A cross-sectional bedside survey consisting of a contingent valuation questionnaire was used to assess the contribution these women considered to be justified for the convenience of an inpatient screening colonoscopy. The probit regression model was used for the analysis of contingent valuation data to predict mean willingness to pay toward inpatient screening colonoscopy. Results: Of the 312 enrolled patients, 48% were willing to pay a mean of $171.56 (95% confidence interval [CI] $37.59–$305.54, p = 0.012) in advance toward the cost of an inpatient screening colonoscopy. After adjustment of possible sociodemographic and clinical covariates that could impact willingness to contribute, hospitalized women were willing to pay a mean of $178.41 (95% CI $40.67–$316.16, p = 0.011). Conclusions: The findings of this study suggest that hospitalized women value the prospect of screening colonoscopy during hospitalization. Offering screening colonoscopy to nonadherent hospitalized women, especially those who are at high risk for developing CRC, may improve adherence among hospitalized women. This study is registered at www.clinicaltrials.gov (NCT04162925).
AB - Background: Despite the proven mortality benefit of screening colonoscopy, *27% of hospitalized women are nonadherent with colorectal cancer (CRC) screening guidelines. Colonoscopy is the most frequently used test for CRC screening in the United States. Although CRC is the second most common cause of cancer death in the United States, CRC screening has not been part of usual hospital care. Objective: This study explores how hospitalized women perceive value of inpatient screening colonoscopy by evaluating the mean amount of money that hospitalized women are willing to contribute toward the cost of a screening colonoscopy during a hospital stay. Methods: A cross-sectional bedside survey consisting of a contingent valuation questionnaire was used to assess the contribution these women considered to be justified for the convenience of an inpatient screening colonoscopy. The probit regression model was used for the analysis of contingent valuation data to predict mean willingness to pay toward inpatient screening colonoscopy. Results: Of the 312 enrolled patients, 48% were willing to pay a mean of $171.56 (95% confidence interval [CI] $37.59–$305.54, p = 0.012) in advance toward the cost of an inpatient screening colonoscopy. After adjustment of possible sociodemographic and clinical covariates that could impact willingness to contribute, hospitalized women were willing to pay a mean of $178.41 (95% CI $40.67–$316.16, p = 0.011). Conclusions: The findings of this study suggest that hospitalized women value the prospect of screening colonoscopy during hospitalization. Offering screening colonoscopy to nonadherent hospitalized women, especially those who are at high risk for developing CRC, may improve adherence among hospitalized women. This study is registered at www.clinicaltrials.gov (NCT04162925).
KW - hospitalized women
KW - inpatient screening colonoscopy
KW - willingness to pay
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U2 - 10.1089/whr.2022.0014
DO - 10.1089/whr.2022.0014
M3 - Article
C2 - 36185070
AN - SCOPUS:85139864156
SN - 2688-4844
VL - 3
SP - 768
EP - 773
JO - Women's Health Reports
JF - Women's Health Reports
IS - 1
ER -