Consumer Preference and Willingness to Pay for Direct-to-Consumer Mobile Teledermoscopy Services in Australia. 2022

Centaine L Snoswell, and Jennifer A Whitty, and Liam J Caffery, and Joanna Kho, and Caitlin Horsham, and Lois J Loescher, and Dimitrios Vagenas, and Nicole Gillespie, and H Peter Soyer, and Monika Janda
Centre for Online Health, The University of Queensland, Brisbane, Queensland, Australia.

OBJECTIVE To investigate consumer preference and willingness to pay for mobile teledermoscopy services in Australia. METHODS Consumers who were taking part in a randomised controlled trial comparing mobile teledermoscopy and skin self-examination were asked to complete a survey which incorporated a discrete choice experiment (DCE) and a contingent valuation question. Responses were used to determine their willingness to pay for mobile teledermoscopy services in Australia and their overall service preferences. RESULTS The 199 consumers who responded were 71% female and had a mean age of 42 years (range, 18-73). The DCE results showed that consumers prefer a trained medical professional to be involved in their skin cancer screening. Consumers were willing to pay AUD 41 to change from a general practitioner reviewing their lesions in-person to having a dermatologist reviewing the teledermoscopy images. Additionally, they were willing to pay for services that had shorter waiting times, that reduced the time away from their usual activities, and that have higher accuracy and lower likelihood of unnecessary excision of a skin lesion. When asked directly about their willingness to pay for a teledermoscopy service using a contingent valuation question, the majority (73%) of consumers selected the lowest two value brackets of AUD 1-20 or AUD 21-40. CONCLUSIONS Consumers are willing to pay out of pocket to access services with attributes such as a dermatologist review, improved accuracy, and fewer excisions.

UI MeSH Term Description Entries
D008297 Male Males
D003258 Consumer Behavior Behavior associated with the procurement of goods, services, or experiences. Consumer Preference,Consumer Satisfaction,Behavior, Consumer,Behaviors, Consumer,Consumer Behaviors,Consumer Preferences,Preference, Consumer,Preferences, Consumer,Satisfaction, Consumer
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001315 Australia The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra. Canton and Enderbury Islands,Christmas Island,Christmas Island (Australia)
D016353 Self-Examination The inspection of one's own body, usually for signs of disease (e.g., BREAST SELF-EXAMINATION, testicular self-examination). Examination, Self,Examinations, Self,Self Examination,Self Examinations,Self-Examinations
D017216 Telemedicine Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services. Tele-Care,Tele-ICU,Tele-Intensive Care,Tele-Referral,Telecare,Virtual Medicine,Mobile Health,Telehealth,eHealth,mHealth,Health, Mobile,Medicine, Virtual,Tele Care,Tele ICU,Tele Intensive Care,Tele Referral,Tele-Referrals
D046169 Dermoscopy A noninvasive technique that enables direct microscopic examination of the surface and architecture of the SKIN. Dermatoscopy,Epiluminescence Microscopy,Skin Surface Microscopy,Dermatoscopies,Dermoscopies,Epiluminescence Microscopies,Microscopies, Epiluminescence,Microscopies, Skin Surface,Microscopy, Epiluminescence,Microscopy, Skin Surface,Skin Surface Microscopies,Surface Microscopies, Skin,Surface Microscopy, Skin

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