Assessing the Value of a New Pharmaceutical

O’Brien, Bernie J.; Goeree, Ron; Gafni, Amiram; Torrance, George W.; Pauly, Mark V.; Erder, Haim; Rusthoven, Jim; Weeks, Jane; Cahill, M. Cornelia; Lamont, Bruce T.

doi:10.1097/00005650-199803000-00013

Cited by 80 publications

(15 citation statements)

References 33 publications

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“…However, bidding game may be accompanied with estimation bias, which is a form of framing effect where the respondents’ answers are influenced by the first numbers presented in the bidding game [24]. On the contrary, there are studies which used bidding game, but observed no starting point bias [25,26]. …”

Section: Methodsmentioning

confidence: 99%

Impact of educational intervention on willingness-to-pay for health insurance: A study of informal sector workers in urban Bangladesh

Khan

Ahmed

2013

Health Econ Rev

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BackgroundThe reliance on out-of-pocket payments for health services leads to a catastrophic burden for many households in Bangladesh. The World Health Organization suggests that risk-pooling mechanisms should be used for financing healthcare. Like many low-income countries (LIC), a large share of employment in Bangladesh is in the informal sector (88%). Inclusion of these workers in health insurance is a big challenge. Among other barriers, the “literacy gap” for health insurance” is a reason for the low insurance uptake in Bangladesh. The aim of this study is, therefore, to assess the impact of an educational intervention on willingness-to-pay (WTP) for health insurance among informal sector workers in urban Bangladesh.MethodAn educational intervention on occupational solidarity and health insurance is offered to groups of informal workers. Educational sessions take place once a week (3–4 hours) during three subsequent weeks for each occupational group. For assessing the impact of the educational intervention, WTP for joining health insurance using occupational solidarity between workers in “pre- and post-treatment” periods as well as between “control and treatment” groups were compared. Multiple-regression analysis is applied for predicting WTP by educational intervention, while controlling for demographic and socioeconomic characteristics.ResultsThe coefficient of variation (CoV) of the WTP is estimated in control and treatment groups and expected to be lower in the latter. The WTP for health insurance is higher (33.8%) among workers who joined the educational intervention in comparison with those who did not (control group). CoV of WTP is found to be generally lower in post-treatment period and in treatment group compared to pre-treatment period and control group respectively.ConclusionEducational interventions can be used for increasing demand for health insurance scheme using occupational solidarity among informal sector workers.

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Section: Methodsmentioning

confidence: 99%

Impact of educational intervention on willingness-to-pay for health insurance: A study of informal sector workers in urban Bangladesh

Khan

Ahmed

2013

Health Econ Rev

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“…In the scenario presented the median WTA/WTP ratio is situated at 1.55, while the mean is 3.30, in the range of values found in other studies when referring to goods in the field of health [3,5,6,27]. In a classic study, the evaluation of a new drug to treat cancer showed a WTA/WTP relationship of approximately 2 [3].…”

Section: Discussionmentioning

confidence: 77%

“…In a classic study, the evaluation of a new drug to treat cancer showed a WTA/WTP relationship of approximately 2 [3]. The valuation of surgical techniques, a cochlear implant, in a population of children, produced values for this relationship approaching 4 [6].…”

Section: Discussionmentioning

confidence: 99%

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Differences between willingness to pay and willingness to accept for visits by a family physician: A contingent valuation study

et al. 2010

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BackgroundThe economic value attributed by users of health services in public health systems can be useful in planning and evaluation. This value can differ from the perspectives of Willingness to Pay (WTP) and Willingness to Accept [Compensation] (WTA).Our objective was to study the perceptions of the patient about the service provided by the family physician by means of the WTA/WTP ratio.MethodsAn economic evaluation study by the Contingent Valuation Method was designed. Interviews were conducted with 451 subjects at six health centres (four urban and two rural) in areas with different socioeconomic characteristics. A payment card was used to measure the WTP and WTA. Other characteristics of the subject or service that could influence these responses were collected. An explicative model was constructed to study the WTA/WTP relationship.ResultsFour hundred and four subjects (89.6%) expressed a WTP and WTA different from zero. The WTA/WTP quotient showed a median of 1.55 (interquartile range 1-3.08) and a mean of 3.30 (IC 95%: 2.84-3.75). The WTA/WTP ratio increases with age and in low-income areas. It decreases in professional groups with more specialized activities, with growing family income, and in the chronically ill. Other characteristics related to the perception of state of health, accessibility to the service, satisfaction, or perception of risk were not explicative.ConclusionsSubjects who were older and had a less favourable socioeconomic situation expressed a higher WTA/WTP ratio when valuing the visit to the family physician. These characteristics could identify a profile of "aversion to loss" with respect to this service.

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“…The implementation of discrete-choice methodology offers numerous practical advantages so that it has already developed into a popular form of preference measurement in health economics [21]. This is also evident from the steadily increasing number of discrete-choice Experiments published in the public health service for various indications, such as Attention-Deficit Hyperactivity Disorder (ADHD) [24], multiple sclerosis [25] and type II diabetes [26], as well as to evaluate integrated care programmes [27–30]. …”

Section: Methodsmentioning

confidence: 99%

Preferences of overweight and obese patients for weight loss programs: a discrete-choice experiment

Mühlbacher¹,

Bethge

2013

Int J Integr Care

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Introduction: Obesity is associated with increased risk of morbidity and mortality and also appears to have an adverse effect on healthrelated quality of life. Though advances in obesity therapy and rehabilitation can be observed, the long-lasting outcome is dissatisfying to most of the patients and, therefore, the whole health care system. Theory and methodology:The study aims to identify key attributes of coordinated weight loss programmes and elicit patients' preferences for overweight and obesity therapy in rehabilitation programmes. A self-administered survey measuring attitudes and preferences was conducted in Germany in 2009. Discrete-choice experiment scenarios were developed using a fractional factorial design and results analysed using a random effects logit model. Results: N = 110 patients completed the questionnaire, 51.82% of these were male, the mean age was 53.05 years and mean body mass index was 33.54 kg/m 2 (SD 7.73). A total of 823 choices could be included in the final estimation. The most important aspects for the respondents' selection were care coordination (coefficient 1.473; SE 0.185) and individual therapy (coefficient 1.446; SE 0.188). The aspect 'infrastructure of care' (coefficient 0.570; SE 0.175) was less relevant. All attributes led to significant coefficients. Conclusion:Patients value coordination of care and individual therapy most highly. So weight reduction therapy should enable patients to receive a structured, coordinated and interpersonal therapy that is tailored to their personal needs, behaviour and circumstances. Patients are willing to forego infrastructure quality in favour of better coordination and structure in their therapy.

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Assessing the Value of a New Pharmaceutical

Abstract: An insurance-based contingent valuation study is feasible in a health maintenance organization. Construct validation evidence was encouraging, with the exception of the test for prior risk of cancer; however, this was a between-person contrast and may have been confounded by other factors.

Cited by 80 publications

References 33 publications

Impact of educational intervention on willingness-to-pay for health insurance: A study of informal sector workers in urban Bangladesh

Impact of educational intervention on willingness-to-pay for health insurance: A study of informal sector workers in urban Bangladesh

Differences between willingness to pay and willingness to accept for visits by a family physician: A contingent valuation study

Preferences of overweight and obese patients for weight loss programs: a discrete-choice experiment

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