Price decomposition of laser treatment for port-wine stain using the hedonic pricing model.
hedonic pricing model
port-wine stain
price decomposition
Journal
Journal of cosmetic dermatology
ISSN: 1473-2165
Titre abrégé: J Cosmet Dermatol
Pays: England
ID NLM: 101130964
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
23
11
2021
accepted:
29
12
2021
pubmed:
18
1
2022
medline:
1
3
2022
entrez:
17
1
2022
Statut:
ppublish
Résumé
Port-wine stain (PWS) is a congenital capillary malformation associated with negative effects on the quality of life and psychological health of the patients. Pulsed dye laser (PDL) is the current treatment of choice for PWS; however, there is little information on the factors determining the treatment price of PWS. We aim to explore the factors determining the treatment price of PWS. Data were collected through telephone surveys and self-reported questionnaires from hospitals, chain clinics, and doctor's offices that offered PWS treatment from February 1 to March 30, 2021. Data were analyzed by descriptive statistics and multivariate analysis using a log-linear regression model. A total of 104 observations were gathered. The estimated base price of the treatment without any additional features is 98.34 USD. Treatment by dermatologists has an additional charge of 28.41 USD or 28.9%. Some private clinics offer a lower price of 28.7% (or 28.27 USD) by illegally having non-medical doctors perform the treatment. Treatment with 595-nm PDL and 585-nm PDL and 1064-nm Nd:YAG lasers has an additional charge of 34% (or 33.45 USD) and 38% (or 37.41 USD), respectively. The location and type of medical facility can also affect the price of the treatment. Many factors determine the base price and shadow price of PWS treatment. Factors determining a higher cost of laser fee includes non-government facilities, location within the capital city, and shopping complexes (high-cost location). Lastly, the type of laser and medical personnel provider can also affect the price of the treatment.
Sections du résumé
BACKGROUND
BACKGROUND
Port-wine stain (PWS) is a congenital capillary malformation associated with negative effects on the quality of life and psychological health of the patients. Pulsed dye laser (PDL) is the current treatment of choice for PWS; however, there is little information on the factors determining the treatment price of PWS. We aim to explore the factors determining the treatment price of PWS.
METHODS
METHODS
Data were collected through telephone surveys and self-reported questionnaires from hospitals, chain clinics, and doctor's offices that offered PWS treatment from February 1 to March 30, 2021. Data were analyzed by descriptive statistics and multivariate analysis using a log-linear regression model.
RESULTS
RESULTS
A total of 104 observations were gathered. The estimated base price of the treatment without any additional features is 98.34 USD. Treatment by dermatologists has an additional charge of 28.41 USD or 28.9%. Some private clinics offer a lower price of 28.7% (or 28.27 USD) by illegally having non-medical doctors perform the treatment. Treatment with 595-nm PDL and 585-nm PDL and 1064-nm Nd:YAG lasers has an additional charge of 34% (or 33.45 USD) and 38% (or 37.41 USD), respectively. The location and type of medical facility can also affect the price of the treatment.
CONCLUSION
CONCLUSIONS
Many factors determine the base price and shadow price of PWS treatment. Factors determining a higher cost of laser fee includes non-government facilities, location within the capital city, and shopping complexes (high-cost location). Lastly, the type of laser and medical personnel provider can also affect the price of the treatment.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
998-1003Informations de copyright
© 2022 Wiley Periodicals LLC.
Références
Han Y, Ying H, Zhang X, et al. Retrospective study of photodynamic therapy for pulsed dye laser-resistant port-wine stains. J Dermatol. 2020;47(4):348-355.
Malm M, Carlberg M. Port-wine stain-a surgical and psychological problem. Ann Plast Surg. 1988;20(6):512-516.
Faurschou A, Olesen AB, Leonardi-Bee J, Haedersdal M. Lasers or light sources for treating port-wine stains. Cochrane Database Syst Rev. 2011;11:CD007152.
Augustin M, Zschocke I, Wiek K, Peschen M, Vanscheidt W. Psychosocial stress of patients with port wine stains and expectations of dye laser treatment. Dermatology. 1998;197(4):353-360.
Hansen K, Kreiter CD, Rosenbaum M, Whitaker DC, Arpey CJ. Long-term psychological impact and perceived efficacy of pulsed-dye laser therapy for patients with port-wine stains. Dermatol Surg. 2003;29(1):49-55.
Strauss RP, Resnick SD. Pulsed dye laser therapy for port-wine stains in children: psychosocial and ethical issues. J Pediatr. 1993;122(4):505-510.
Bernstein EF. The pulsed-dye laser for treatment of cutaneous conditions. G Ital Dermatol Venereol. 2009;144(5):557-572.
Kelly KM, Choi B, McFarlane S, et al. Description and analysis of treatments for port-wine stain birthmarks. Arch Facial Plast Surg. 2005;7(5):287-294.
Wanitphakdeedecha R, Jantarakolica T, Ng JNC, et al. The cost-effectiveness of pulsed-dye laser therapy among Thai patients with facial port-wine stain: a retrospective study and economic evaluation. Dermatol Ther (Heidelb). 2021;11(2):465-473.
Rosen S. Hedonic prices and implicit markets: product differentiation in pure competition. J Polit Econ. 1974;82(1):34-55.
Custer WS. Hospital attributes and physician prices. South Econ J. 1986;52:1010-1027.
Alam M. Who is qualified to perform laser surgery and in what setting? Semin Plast Surg. 2007;21(3):193.
Supawongse C. Quality of medical services and medical ethics. Health Syst Res J. 1994;2(4):300-309.
Tirico M, Jensen D, Green C, Ross E. Short pulse intense pulsed light versus pulsed dye laser for the treatment of facial redness. J Cosmet Laser Ther. 2020;22(2):60-64.
Wanitphakdeedecha R, Torsuwan N, Manuskiatti W. Unit cost analysis of dermasurgery unit's services. Siriraj Med J. 2006;58(5):807-811.