Peer Review History
| Original SubmissionJune 28, 2022 |
|---|
|
PONE-D-22-18370A discrete-choice experiment and an analysis of patients' willingness-to-pay in dental carePLOS ONE Dear Dr. Felgner, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. The referee, who is an expert in the field, makes some excellent and constructive points. Please make sure to address each of them when preparing the revised version. Please submit your revised manuscript by Sep 22 2022 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript:
If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter. If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols. We look forward to receiving your revised manuscript. Kind regards, Ted Loch-Temzelides Academic Editor PLOS ONE Journal Requirements: When submitting your revision, we need you to address these additional requirements. 1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and 2. In your Data Availability statement, you have not specified where the minimal data set underlying the results described in your manuscript can be found. PLOS defines a study's minimal data set as the underlying data used to reach the conclusions drawn in the manuscript and any additional data required to replicate the reported study findings in their entirety. All PLOS journals require that the minimal data set be made fully available. For more information about our data policy, please see http://journals.plos.org/plosone/s/data-availability. "Upon re-submitting your revised manuscript, please upload your study’s minimal underlying data set as either Supporting Information files or to a stable, public repository and include the relevant URLs, DOIs, or accession numbers within your revised cover letter. For a list of acceptable repositories, please see http://journals.plos.org/plosone/s/data-availability#loc-recommended-repositories. Any potentially identifying patient information must be fully anonymized. Important: If there are ethical or legal restrictions to sharing your data publicly, please explain these restrictions in detail. Please see our guidelines for more information on what we consider unacceptable restrictions to publicly sharing data: http://journals.plos.org/plosone/s/data-availability#loc-unacceptable-data-access-restrictions. Note that it is not acceptable for the authors to be the sole named individuals responsible for ensuring data access. We will update your Data Availability statement to reflect the information you provide in your cover letter. Additional Editor Comments: This paper deals with a topical health choice question in the context of dental care. It investigates how treatment attributes and out-of-pocket expenses determine patients’ treatment choices. The statistical analysis is based on a data set created by the authors involving responses to questionnaires. The analysis reveals that aesthetics and durability play an important role in patients’ decisions. In addition, out-of-pocket cost aspects appear to be at least somewhat relevant in the choice of dental care services. The analysis is well-executed and tightly focused. When revising the paper, the authors should spend some additional time motivating the particular statistical techniques used and why they are the appropriate methods to address the problem at hand. Line 491: the last sentence in the conclusion appears to be incomplete. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Partly ********** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes ********** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: No ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes ********** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: Referee Report A discrete-choice experiment and an analysis of patients' willingness-to-pay in dental care :A discrete-choice experiment in dental care This paper uses a discrete choice experiment to investigate the effect of treatment attributes on patients’ treatment choice of dental crowns and whether out-of-pocket payments represent a barrier to access dental care. The authors analyzed willingness to pay and how socioeconomic characteristics affect it. Out of 10,752 emailed questionnaires and 762 returns, the authors include 380 in the analysis and find that aesthetics and durability of the crowns are the more preferred attributes, and that demographic characteristics influenced the willingness to pay. This paper is quite interesting. The research design, analysis, and discussion of potential policy concerns was quite clear and concise. I have a few comments. Comments on the content 1. It would be great to focus on the novelty of the paper. I realize that the authors mention that they focus on a treatment that is found in the SHI benefit basket but a discussion of why it is important and how it is specifically differentiated from previous studies would improve readability substantially. 2. In Line 89, the authors mention the methods used. I agree that these methods are well understood in the health sciences literature but some discussion on why these are relevant to answer the question of interest would be great. 3. The experiment provides two unlabeled alternatives and the option of no treatment. However, as the authors note, individuals face multiple choices. Therefore, just providing two choices may not elicit the preferences as there might be behavioral biases in real life. For example, patients might choose a worse alternative in all attributes if they are averse to searching for multiple treatments or if that was marketed better. In this context, it would have been interesting to see if patients respond differently to different size of choice sets. 4. There could be a selection bias in the response as most individuals included in the study have medium and low household incomes. Hence, the estimated parameters could be biased. Specifically, the authors mention earlier in the text that dental crown treatments might require significant financial resources but since most of the individuals who responded have low household incomes, it raises questions about the external validity of the experiment. 5. I am quite confused by the different sample size on the choice model result tables. It would be good to explain why these sample sizes are different. 6. The lack of statistical significance on the results for anterior teeth maybe due to a low sample size. It would be good to send more questionnaires. If not, then it would improve readability to move that table to the appendix. 7. It is great that the authors discuss the external validity of their experiment, but it would have been interesting to get their take on why that might be a problem in the specific case of dental crowns. 8. It would be interesting to see how the choice behavior is dependent on the accessibility to dental clinics by the respondent at an administrative district level as that data Other Minor Comments 1. I found some typos in the text that I mention below. a. Line 54- “methods” instead of “methodes” b. Line 73 – “decision making” instead of “decisions making” c. Line 81 – “addressing” instead of “adressing” d. Line 119 – “scenarios” instead of “szenarios” e. Line 155 - “backgrounds” instead of “backrounds” f. Line 246 – “Akaike” instead of “Akaik” g. Line 303 – “Coefficient” instead of “coefficiant” (Recurring Mistake) h. Line 383 – “Booklet” instead of “booklet booklet” 2. I also found that there were some formatting errors with the quotes in some places. Rather than having ‘ “text” ‘, I found some places with ‘ ,,text” ‘. ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No ********** [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step. |
| Revision 1 |
|
Patients’ preferences in dental care: a discrete-choice experiment and an analysis of willingness-to-pay PONE-D-22-18370R1 Dear Dr. Felgner, We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Ted Loch-Temzelides Academic Editor PLOS ONE Additional Editor Comments (optional): The authors did a good a job in addressing the referee's comments. The small sample size and the resulting statistical significance issues remain, but this is not something that could be addressed in this study and it is best left to future research. Some minor expositional suggestions follow: 1. Although you are studying several different regressions, perhaps it is best to label the corresponding sections (e.g., line 402) as "regression analysis" instead of using the plural form. 2. Line 61. Consider using: "quality of life, and reduced productivity" 3. Line 82. Consider replacing "behave" with "move" 4. Line 86. Consider eliminating "Therefore" 5. Lines 110-114 read somewhat repetitive. Please consider rewriting. 6. Line 252. Consider replacing: "unrealistic" with "strong" 7. Line 428 Consider using: "... two teeth areas, PT and AT. The focus of..." 8. Line 456. Consider replacing "Nevertheless, high co-payments would be paid by them, especially for AT" with "Nevertheless these would require high co-payments, especially for AT" 9. Line 471. Consider using: "...income, financial wealth..." |
| Formally Accepted |
|
PONE-D-22-18370R1 Patients’ preferences in dental care: a discrete-choice experiment and an analysis of willingness-to-pay Dear Dr. Felgner: I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. If we can help with anything else, please email us at plosone@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. Kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Ted Loch-Temzelides Academic Editor PLOS ONE |
Open letter on the publication of peer review reports
PLOS recognizes the benefits of transparency in the peer review process. Therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. Reviewers remain anonymous, unless they choose to reveal their names.
We encourage other journals to join us in this initiative. We hope that our action inspires the community, including researchers, research funders, and research institutions, to recognize the benefits of published peer review reports for all parts of the research system.
Learn more at ASAPbio .