Journal article
Patient preferences and willingness-to-pay for community pharmacy-led Medicare Part D consultation services: A discrete choice experiment
Research in social and administrative pharmacy, Vol.19(5), pp.764-772
05/2023
DOI: 10.1016/j.sapharm.2023.01.008
Abstract
Introduction
Community pharmacies currently offer Medicare Part D consultation services, often at no-cost. Despite facilitating plan-switching behavior, identifying potential cost-savings, and increasing medication adherence, patient uptake of these services remains low.
Objectives
To investigate patient preferences for specific service-offering attributes and marginal willingness-to-pay (mWTP) for an enhanced community pharmacy Medicare Part D consultation service.
Methods
A discrete choice experiment (DCE) guided by the SERVQUAL framework was developed and administered using a national online survey panel. Study participants were English-speaking adults (≥65 years) residing in the United States enrolled in a Medicare Part D or Medicare Advantage plan and had filled a prescription at a community pharmacy within the last 12 months. An orthogonal design resulted in 120 paired-choice tasks distributed equally across 10 survey blocks. Data were analyzed using mixed logit and latent class models.
Results
In total, 540 responses were collected, with the average age of respondents being 71 years. The majority of respondents were females (60%) and reported taking four or more prescription medication (51%). Service attribute levels with the highest utility were: 15-min intervention duration (0.392), discussion of services + a follow-up phone call (0.069), in-person at the pharmacy (0.328), provided by a pharmacist the patient knew (0.578), and no-cost (3.382). The attribute with the largest mWTP value was a service provided by a pharmacist the participant knew ($8.42). Latent class analysis revealed that patient preferences for service attributes significantly differed by gender and difficulty affording prescription medications.
Conclusions
Quantifying patient preference using discrete choice methodology provides pharmacies with information needed to design service offerings that balance patient preference and sustainability. Pharmacies may consider providing interventions at no-cost to subsets of patients placing high importance on a service cost attribute. Further, patient preference for 15-min interventions may inform Medicare Part D service delivery and facilitate service sustainability.
Details
- Title: Subtitle
- Patient preferences and willingness-to-pay for community pharmacy-led Medicare Part D consultation services: A discrete choice experiment
- Creators
- Logan T. Murry - University of IowaBrahmendra Viyurri - University of IowaCole G. Chapman - University of IowaMatthew J. Witry - University of IowaKorey A. Kennelty - University of IowaDhananjay Nayakankuppam - University of IowaWilliam R. Doucette - University of IowaJulie Urmie - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Research in social and administrative pharmacy, Vol.19(5), pp.764-772
- DOI
- 10.1016/j.sapharm.2023.01.008
- ISSN
- 1551-7411
- eISSN
- 1934-8150
- Language
- English
- Electronic publication date
- 01/2023
- Date published
- 05/2023
- Academic Unit
- Marketing; Family and Community Medicine; Pharmacy Practice and Science; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984363426402771
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