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Factors affecting willingness to pay for NHS-based orthodontic treatment
Padhraig S Fleming1, Fiorella Colonio-Salazar2, Andrea Waylen3
1Professor of Orthodontics, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK. padhraig.fleming@gmail.com.
British Dental Journal
|January 29, 2022
Summary
Willingness to pay for orthodontic treatment is influenced by family income, cost, malocclusion cause, age, and self-esteem. Free NHS orthodontic care should prioritize young people with impaired self-esteem.
Area of Science:
- Dental research
- Orthodontics
- Health economics
Background:
- Orthodontic treatment decisions are complex.
- Understanding patient willingness to pay is crucial for resource allocation.
- Factors influencing demand for orthodontic services require investigation.
Purpose of the Study:
- To assess factors influencing willingness to pay for orthodontic treatment.
- To identify key attributes affecting patient choices in orthodontic care.
- To inform healthcare policy regarding orthodontic service provision.
Main Methods:
- A discrete choice experiment and willingness to pay study.
- Online survey with 250 participants aged 16+.
- Stated-preference tasks evaluating treatment options based on various attributes.
Main Results:
- Family income, cost, malocclusion cause, age, and self-esteem significantly impacted treatment decisions.
- Participants favored prioritizing free NHS orthodontic care for individuals under 18, especially those with developmental anomalies affecting self-esteem.
- A majority (63.6%) were willing to pay up to £2,000 for orthodontic treatment.
Conclusions:
- Key factors influencing orthodontic treatment decisions include family income, cost, malocclusion etiology, age, and self-esteem.
- Prioritizing free NHS-based treatment for young individuals with impaired self-esteem is recommended.
- Further research is needed to guide NHS dental and orthodontic care priorities.
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