title: [Foreign dentures and dental tourism--willingness-to-pay and factors influencing the demand for foreign dental prosthesis in Germany].
abstract: With the progressive realisation of the single European market, public interest has been directed towards cross-border healthcare services to an increasing extent. More and more dentures are being imported into Germany from foreign countries. Furthermore, patients are becoming ever more mobile, travelling to other countries to receive prosthetic treatment from dentists. The objective of this evaluation was to determine by means of a dedicated questionnaire the patients' individual preferences for foreign dentures and the potential savings. 1 368 individuals between the ages of 30 and 75 years were interviewed within a representative omnibus survey. The evaluation of the individual willingness-to-pay included 4 treatment scenarios, which were assessed by the participants in a "bidding game". Participants could choose between a "crown scenario" and an "implant scenario", both with the subcategories "foreign dentures" and "dental tourism". The direct comparison revealed a preference for the "foreign dentures" option over "dental tourism". Average willingness-to-pay for the dental tourism option in the crown scenario was calculated as 80 Euro, and in the implant scenario as 280 Euro less in comparison with the willingness-to-pay for the foreign dentures option. The willingness to switch to a less expensive dentist was one of the main determinants in the causal explanation for the variance in willingness-to-pay. Quality proved to be the decisive criterion and was indicated by 92.4% participants. A lower price for dentures played a subordinate role and was only stated as the decisive factor by 31.1% participants. In conclusion, the results clearly indicate that the decision for or against foreign dentures and the extent of willingness-to-pay depends on a range of criteria, of which "price" is only one and not the decisive factor.
authors.affiliation: Institut für Empirische Gesundheitsökonomie, Burscheid.
authors.forename: J
authors.initials: J
authors.lastname: Köberlein
authors.forename: D
authors.initials: D
authors.lastname: Klingenberger
mesh_terms: D000328:Adult; D000368:Aged; D003164:Competitive Bidding / Q000191:economics / Q000706:statistics & numerical data; D017046:Cost Savings; D003442:Crowns / Q000191:economics* / Q000706:statistics & numerical data*; D015921:Dental Implants / Q000191:economics* / Q000706:statistics & numerical data*; D003778:Dentures / Q000191:economics* / Q000706:statistics & numerical data*; D005260:Female; D005382:Financing, Personal / Q000191:economics* / Q000706:statistics & numerical data*; D005858:Germany; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D057193:Medical Tourism / Q000191:economics* / Q000706:statistics & numerical data* / Q000639:trends; D008875:Middle Aged
chemical_list: D015921:Dental Implants