# Willingness to pay for chronic disease management services provided by primary care nurses

## TL;DR

This study estimates how much South Koreans are willing to pay for chronic disease management services by primary care nurses and identifies factors influencing this willingness.

## Contribution

The study provides the first empirical estimation of willingness to pay for primary care nurse services in chronic disease management in South Korea.

## Key findings

- The average willingness to pay was 15,390.71 Korean won per service.
- Factors affecting willingness to pay include having a chronic disease, recognition of primary care nurses, and the first-bid price.
- Higher awareness and fewer chronic diseases correlate with higher willingness to pay.

## Abstract

Due to the rapid increase in chronic diseases in South Korea, the Korean government has expanded chronic disease management to primary care. Thus, the role of primary care nurses is critical. However, the fee for chronic disease management services provided by primary care nurses has not been set, and few studies have evaluated the value of nursing services. This study aimed to estimate the willingness to pay (WTP) for chronic disease management services provided by primary care nurses and to identify the factors that affect WTP.

This study adopted a descriptive research design and conducted a cross-sectional online survey from January 16 to 18, 2023. The inclusion criteria were community residents aged ≥ 20 years living in South Korea and capable of participating in online surveys. A total of 520 people participated in this study. A contingent valuation method (CVM) was used with double-bound dichotomous choice questions along with open-ended questions. The mean WTP was calculated using a Tobit model.

The mean WTP of the 520 study participants for one chronic disease management service provided by primary care nurses was 15,390.71 Korean won ($11.90). Factors affecting WTP were having a chronic disease, recognition of primary care nurses, and the first-bid price. Community residents with fewer chronic diseases, high awareness of primary care nurses, and a higher first-bid price showed higher WTP for chronic disease management services provided by primary care nurses.

Primary care is important worldwide due to the increasing number of chronic diseases, and Korea is no exception. However, payment for services by primary care nurses is undervalued compared to their critical role and skills. This has led to problems such as a primary care nurse shortage and burnout. This study estimated individuals’ WTP for chronic disease management services provided by primary care nurses. The results can be used as a basic resource for setting the fee for services provided by primary care nurses. It is also a good starting point to understand the benefits of primary care nurse services.

The online version contains supplementary material available at 10.1186/s12960-024-00935-8.