September 2018

Volume 35, Issue 3

Patients’ willingness to pay for dental services in a population with limited restorative services

Authors: Kasusu K. Nyamuryekung’e Satu M. Lahti Risto J. Tuominen
doi: 10.1922/CDH_4227Nyamuryekunge06


Objectives: To determine and compare patients’ willingness-to-pay (WTP) for tooth extraction and filling services in Tanzania and to assess the socio-demographic factors that are associated with such valuations. Methods: Contingent valuation survey utilizing an open-ended willingness-to-pay format was administered among 1522 outpatients in four regional hospitals in Tanzania. WTP for extraction and tooth filling services for various tooth categories were determined and compared using Mann-Whitney and Kruskal-Wallis tests. The association of WTP values with socio-demographic background factors was assessed using multiple regression analysis. Results: The mean WTP amounts for tooth filling were Tanzania shillings (Tshs) 7,398 (3.4 US$) and Tshs 7,726 (3.5 US$) for anterior and posterior teeth respectively. The mean WTP for tooth filling services was lower than the average charged fees in dental facilities. The mean WTP amounts for tooth extraction were Tshs 5,448 (2.5 US$) and Tshs 6,188 (2.8 US$) for anterior and posterior teeth respectively. WTP amounts were shown to vary by age, income, outpatient status and previous experience with the dental services. Belonging in youngest age group (18-24 years) and having a high-income level was associated with increased odds for high WTP valuations irrespective of tooth and treatment types. Conclusions: WTP reveals a preference for tooth filling rather than extraction services in this population. More studies are needed to address the discrepancy between the stated preferences and utilization patterns for dental services. Key words: dental services, utilization, health economics, willingness-to-pay, low-mid income countries, United Republic of Tanzania


Other articles in this issue

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A UK and Partisan view of Brexit and Dental Public Health 130-131 Download
Dental Public Health in Action: Putting oral health on the local public health agenda 132-135 Download
Dental Public Health In Action: Barriers to oral healthcare provision for older people in residential and nursing care homes: A mixed method evaluation and strategy development in County Durham, North East England 136-139 Download
Confirmatory factor analysis of the health literacy in dentistry scale (HeLD) in the Australian population 140-147 Download
The relationships among consumption of fruits, tooth loss and obesity 148-152 Download
School-based oral health education increases caries inequalities 153-159 Download
Social gradient in caries experience of Belgian adults 2010 160-166 Download
Patients’ willingness to pay for dental services in a population with limited restorative services 167-172 Download
Oral health behaviours and oral health-related dietary behaviours: The interrelationship and determinants by latent class analysis 173-178 Download
Depressive symptoms and untreated coronal dental caries among adults ages 21-64 years, NHANES 2013-2014 179-185 Download
Fluoride content of toothpastes available in South Africa 186-192 Download


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