{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:24:58Z","timestamp":1772983498224,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Backgrounds<\/jats:title>\n                    <jats:p>Maximum willingness to pay (WTP) for a health benefit is linked to perceived value.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study assesses WTP for a service package in cleft lip and palate patients and identifies influencing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, demographic, disease type, socioeconomic variables, and WTP for a service package reducing patients' problems were measured. A two\u2010part regression model was used to identify factors influencing WTP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 491 participants, 57% were male. 320 (65.17%) patients were willing to pay for the package, with an average of 79.42 USD. The highest mean WTP was for cleft palate and lip (65.27 USD). Family monthly expenditure was the only significant model variable; spending 50\u2013100 USD compared to &lt;\u200950 USD increased the likelihood of WTP by 1.79 times. Heads of families were willing to pay more for girls and for patients over 2\u2009years. Each increase in child order raised WTP by 8.44 USD, while each additional sibling reduced it by 6.02 USD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>WTP for cleft lip and palate services was lower than expected. Better family financial status increased the likelihood of WTP, while both financial and demographic factors influenced the amount.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ipd.70059","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T05:44:53Z","timestamp":1764740693000},"page":"353-362","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Willingness to Pay for a Service Package Solving the Problems of Patients With Cleft Lip and Palate Referred to the Cleft Lip and Palate Center"],"prefix":"10.1111","volume":"36","author":[{"given":"Maryam","family":"Karandish","sequence":"first","affiliation":[{"name":"Orthodontic Research Center, Dental School Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4161-5146","authenticated-orcid":false,"given":"Sulmaz","family":"Ghahramani","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Institute of Health Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatemeh","family":"Mohammadi","sequence":"additional","affiliation":[{"name":"Student Research Committee, Dental School Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6404-3961","authenticated-orcid":false,"given":"Mohammad","family":"Sayari","sequence":"additional","affiliation":[{"name":"Department of Mathematical Sciences and Research Methods Centre Durham University  Durham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyyed Hossein","family":"Owji","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4172-4411","authenticated-orcid":false,"given":"Najmeh","family":"Moradi","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,2]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"American Cleft Palate\u2010Craniofacial Association \u201cParameters for Evaluation and Treatment of Patients With Cleft Lip\/Palate or Other Craniofacial Anomalies \u201d(2000) http:\/\/www.acpa\u2010cpf.org."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165\u20105876(98)00076\u20107"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10198\u2010014\u20100610\u20108"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0046958020963595"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2009.01897.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2017.06.010"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084419849870"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1922\/cdh_4227nyamuryekunge06"},{"issue":"2","key":"e_1_2_12_10_1","first-page":"823","article-title":"Monetary Value of Quality\u2010Adjusted Life Years (QALY) Among Patients With Cardiovascular Disease: A Willingness to Pay Study (WTP)","volume":"16","author":"Moradi N.","year":"2017","journal-title":"Iranian Journal of Pharmaceutical Research: IJPR"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40258\u2010018\u20100424\u20104"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2022.09.012"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010022\u201002404\u2010x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/135581969900400310"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.755"},{"key":"e_1_2_12_16_1","volume-title":"Contingent Valuation: A User's Guide","author":"Carson R. 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