title: Willingness to pay for cataract surgery in rural Southern China.
abstract: OBJECTIVE
  To study willingness to pay for cataract surgery, and its associations, in Southern China.
  
  
  METHODS
  Cross-sectional willingness-to-pay interview incorporating elements of the open-ended and bidding formats.
  
  
  METHODS
  Three-hundred thirty-nine persons presenting for cataract screening in Yangjiang, China, with presenting visual acuity (VA) < or = 6/60 in either eye due to cataract.
  
  
  METHODS
  Subjects underwent measurement of their VA and a willingness-to-pay interview. Age, gender, literacy, education, and annual income also were recorded.
  
  
  METHODS
  Maximum amount that the subjects would be willing to pay for cataract surgery.
  
  
  RESULTS
  Among 325 (95.9%) subjects completing the interview, 169 (52.0%) were 70 years or older, 213 (65.5%) were women, and 217 (66.8%) had an annual income of <5000 renminbi (5000 = US 625 dollars). Eighty percent (n = 257) of participants were willing to pay something for surgery (mean, 442+/-444 renminbi [US 55 dollars+/-55]). In regression models, older subjects were willing to pay less (8 renminbi [US 1 dollar] per year of age; P = 0.01). Blind subjects were significantly more likely (odds ratio, 5.7; 95% confidence interval, 1.7-19.3) to pay anything for surgery, but would pay on average 255 renminbi (US 32 dollars) less (P = 0.004). Persons at the highest annual income level (>10,000 renminbi [US 1250 dollars]) would pay 50 dollars more for surgery than those at the lowest level (<5000 renminbi) (P = 0.0003). The current cost of surgery in this program is 500 renminbi (US 63 dollars).
  
  
  CONCLUSIONS
  Sustainable programs will need to attract younger, more well-to-do persons with better vision, while still providing access to the neediest patients.
authors.affiliation: Zhongshan Ophthalmic Center, Guangzhou, China.
authors.forename: Mingguang
authors.initials: M
authors.lastname: He
authors.forename: Vicki
authors.initials: V
authors.lastname: Chan
authors.forename: Elaine
authors.initials: E
authors.lastname: Baruwa
authors.forename: Donna
authors.initials: D
authors.lastname: Gilbert
authors.forename: Kevin D
authors.initials: KD
authors.lastname: Frick
authors.forename: Nathan
authors.initials: N
authors.lastname: Congdon
mesh_terms: D000368:Aged; D002386:Cataract / Q000503:physiopathology; D002387:Cataract Extraction / Q000191:economics*; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D017048:Health Care Costs; D006301:Health Services Needs and Demand / Q000191:economics*; D006801:Humans; D007407:Interviews as Topic; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014792:Visual Acuity