Ten enumerators (university students) were trained to collect data. Drug availability for “none” was significant at the 1% level. Pavel MS(1), Chakrabarty S(2)(3)(4), Gow J(5)(6). Assessing Consumer Willingness to Pay for Value-Added Blueberry Products Using a Payment Card Survey - Volume 43 Issue 2 - Wuyang Hu, Timothy Woods, … Given this situation a contingent valuation (CV) study was designed to assess peoples’ willingness to pay (WTP) for health care quality improvements. The objectives of this study These results were significant at the 5% level and at the 1% level respectively. Finally, the probability that patients coming to the hospital for an acute or common illness were willing to pay less than those who come to the hospital due to other reasons to benefit from improvements in: geographical proximity (−5%), seeing the same health professional (−4%), doctor-patient relationship (−3%), drug availability (−3%) and chance of recovery (−2%) attributes. Manage cookies/Do not sell my data we use in the preference centre. Assessing households' willingness to pay for an immediate pandemic influenza vaccination programme. Moreover, the patients feeling they are treated “very badly” by staff, were willing to pay more (4.54 BDT) to improve this attribute. 2011;1:4–11. Moreover, acute patients expressed a positive willing to pay for waiting time (0.27 BDT) and staff attitude (1.54 BDT). Moreover, patients meeting the same doctor “never” were willing to pay (13.46 BDT) more at every visit (significant at the 10% level). In marginal effects for geographical proximity, results suggest that the probability that a patient living “very far” from a hospital would be willing to pay in order to have a “very close” hospital, was 39% greater than that of a patient living “very close” or “close” to a hospital, and this result was significant at the 1% level. Contingent valuation using willingness to pay (WTP) is one of the methods available for assessing the value of a new technology or treatment for a disease in monetary terms. xref Data were collected in 2011 via face to face interviews in Sylhet, a major city in north-eastern Bangladesh. 1992;57:503–7. These are: a closer doctor-patient relationship, increased drug availability and increased chances of recovery. The willingness to pay for solid waste management services was assessed in semi-rural towns to determine the factors influencing it. Thirty percent of patients came to the hospital from a “very far” distance. 0000013363 00000 n Random sample of 252 patients were interviewed to measure their willingness to pay for seven specified improvements in the quality of delivered medical care. 0000004883 00000 n In general, elderly patients had a lower probability of stating negative WTP values for improvements over all of the attributes except Drug Availability (0.01%). 4, No. J Environ Econ Manag. In some cases generic drugs are freely available in some public medical facilities, but in some cases doctors prescribe expensive branded medicines, which patents have to buy. MSP coordinated data collection, analysis and interpretation of data, and wrote the manuscript draft. After controlling for other variables, the significant correlates of the WTP rate were found to be: (1) gender of the head of household (men were more willing to pay than women), (2) age of the head of household (WTP rate was lowest among the oldest age groups), (3) … Patients are willing to pay for geographical proximity as shown by the values “very far”, “far” and “average” distance respectively of 58.95, 36.11 and 21.89 BDT. When the patient was a child, the accompanying adult person answered the questionnaire. A stated preference approach to assessing health care-quality improvements in Palestine: from theoretical validity to policy implications. sadikpavel@gmail.com. The negative coefficient of the chance of recovery (−3.20, significant at the 1% level) indicates that patients declares a positive WTP value decreases when the chance of recovery score increases and a higher expected chance of recovery. Adamowicz W, Boxall P, Williams M, Louviere J. Females also expressed positive willingness to pay for Geographical Proximity (1.17 BDT), Waiting Time (2.52 BDT), and Drug Availability (13.11 BDT). This signifies that there is a significant demand for better staff attitudes. 0000005023 00000 n 5, 2019, pp. Similarly patients were willing to pay −3.20 BDT for the chance of recovery (RECOVSC) and that was significant at the 1% level. 0000002781 00000 n World Health Statistics 2011: How does Bangladesh compare with other South-East Asian countries? Patients living in rural areas expressed a negative willing to pay for geographical proximity (−4.04 BDT), staff attitude (−1.61 BDT), doctor-patient relationship (−12.78 BDT), drug availability (−16.47 BDT) and chance of recovery (−8.34 BDT). 2000;19:173–210. 0000004744 00000 n The ethics committee of the Medical Faculty, Shahjalal University of Science & Technology, approved the study. Willingness to pay (WTP) is a fundamental variable that should be used in the social and economic evaluation of construction projects and car park management because it provides a clear idea of the tariff cost depending on other factors that are important to the user. 0000054015 00000 n 1998;30:667–77. Patients who did not find any of their prescribed medications in the hospital were willing to pay more than those who found “some” or “all” of their medications. Lancet. CV can measure the value that consumers place on certain aspects or attributes of health care services [6]. The economic value that arises from a change in the quality of services which is not reflected in observational behavior [4] is often not captured. Moreover, patients living “far” or at an “average” distance from the hospital were willing to pay, respectively, 15% and 17% greater than that of a patient living “very close” or “close” to a hospital. The geographical location of the patient’s home played a role in their stated WTP values. Finally, patients coming to the hospital for an acute or common illness were willing to pay less than those who come to the hospital due to other reasons: geographical proximity (−7.44), and see the same health professional (−4.90), doctor-patient relationship (−11.48), drug availability (−15.71) and chance of recovery (−9.36) attributes were evidenced. ASSESSING RESIDENTS' WILLINGNESS TO PAY TO PRESERVE THE COMMUNITY URBAN FOREST: A SMALL-CITY CASE STUDY by Alfredo B. Lorenzo1, Catalino A. Blanche2, Yadong Qi3, and Malcolm M. Guidry4 Abstract. Mitchell R, Carson R. Using surveys to value public goods: the contingent valuation method. %%EOF 4, pp. Patients declared that a travel time of about 23 minutes would be considered as “very close”. Quality attributes and their corresponding measurement scales. Tobit regression analysis for limited dependent variables [16] examined the association between stated WTP values and patients’ demographic, socioeconomic characteristics. CV questions are used to estimate the demand function or the willingness to pay distribution of consumers [5]. Moreover, higher educated patients expressed a positive willing to pay for geographical proximity (0.31 BDT), waiting time (0.54 BDT), staff attitude (0.03 BDT) and seeing the same health professional (0.16 BDT). This is evidence as to the construct validity of the method. Reaching a happy medium between the two entities must be done in order to make a sale. 1980;62:318–21. Cookies policy. However, those who “never” meet the same doctor had a positive WTP value, and declared higher WTP values, in comparison with those who “rare” meet, or “often” meet, the same doctor in the hospital. 0000101573 00000 n The first two results were significant at the 1% level and the “average” was significant at the 5% level. These involve assessing the consumer’s willingness to pay – for example, finding out how much the user would be prepared to pay in order to buy (rather than borrow) a particular book, or the tax that citizens are willing to pay in order to finance the library. Patients who did not find any of their prescribed medications in the hospital were willing to pay more than those who found “some” or “all” of their medications. Sampling design for this study followed a previously successful methodology [8]: patients were randomly selected and interviewed immediately after their consultation. 1999;47:97–123. 2004;23:1285–311. In the local context, females usually have less control over household resources, which may explain their lower stated WTP values. To assess doctor patient relationship (DPRSC) score and chance of recovery (RECOVSC) score patients’ were asked to state whether they “strongly disagree”, “disagree”, “undecided”, “agree” or “strongly agree” on five Likert questions and were coded as 1 to 5, respectively. SC contributed to the design of the study, analysis and interpretation of data, manuscript revision. The price of the transaction will thus be at a point somewhere between a buyer's willingness to pay and a seller's willingness to accept. Kim T, Kwak S, Yoo S. Applying multi-attribute utility theory to decision making in environmental planning: a case study of the electric utility in Korea. 1996;16:288–99. The doctor patient relationship is considered most important by patients and exhibited the highest willingness to pay. This is a demand based approach to describe consumer preferences by observing their potential purchasing behavior. in rural Vietnam. Roncek DW. Department of Health Economics, Center for Health System Research, Institute for Preventive Medicine and Public Health, Hanoi Medical University, No 1 Ton That Tung, Dong Da, Hanoi, Vietnam. Article Health Econ. Willingness to pay values are calculated as the ratios of two parameters, with the price parameter in the denominator. Moreover, drug availability for “none” and “some”, patients were willing to pay 56.03 and 19.84 BDT respectively; where the former was significant at the 1% level. Patients meeting the same doctor “Rare” and “Often” at the hospital expressed a negative willing to pay −12.62 BDT (significant at the 1% level) and −2.64 BDT respectively. This result also suggested that when the chance of recovery score decreased as assessed by the RECOVSC score patients willing to pay more to benefit from the doctor. � x �t/Ӂ6pj`p��L�C�>` ���� 0`�M��ڦ�4VA��'�DD��: �geMj�}v�G�_N狼P����/r'����<=ʯ�R�Q�Z�$��ɴ���T�JM�2�]��04��v�$��oW+Zt�7$�o7镰��z���~��㮦`�ޮ������x��Pu��ڶ�.ٔ� �+ߒn��Y�]_���Hv�6ۮZ�SA��|^ja��A�X�%���B(i~QE ���m���Rc^VH��N� D��ȍ�7.��Ǽ��;뗾@�]P3�K���J ��T�!�������� �����Yr�^8�nD>��Q(^.�W�f$�,z��� )�}]l�c��ԕ/̝���R����I� ���o�4� ���� >+�(� On the other hand, acute patients were willing to pay more than others to benefit from improvements over: waiting time (0.5%), and staff attitude (3%) attributes. 0000039371 00000 n Toward a conceptual framework for contingent valuation studies in health care. Washington, DC: Resources for the Future; 1989. There are two main reasons for people not attending hospital when ill: i) the high user fees for private sector health care and ii) the failure to receive appropriate health care in government hospitals due to overcrowding and lack of resources. Contingent valuation: controversies and evidence. PubMed When WTP questions are “open ended” and the nature of the dependent variables are “continuous with censoring at zero”, the most appropriate estimation technique is limited dependent variable with Tobit model [18]. 0000010141 00000 n Among seven quality attributes, consumers were willing to pay more to improve three quality attributes viz. The study took place at Akuapem North District in Ghana. By using this website, you agree to our Tobit regression analysis assumes that the dependent variable has a number of its values clustered at a limiting value, usually zero. One of the assumptions in this study is the inter-attribute independence, i.e. ; The contingent valuation method, an economic survey technique, was used. When do the “dollars” make sense? Enumerators provided some basic information to patients about the research study to get their cooperation. Table 4 represents patients’ assessment of the quality attribute “waiting time” in order that this attribute’s five categorical scales such as “very long”, “long” can be measured. Similar females, older patients has less elastic demand for doctor patient relationship and chance of recovery score but was significant for the doctor patient relationship score at 10% level. Background Contingent valuation (CV) is used to estimate the willingness to pay (WTP) of consumers for specific attributes to improve the quality of health care they received in three hospitals in Bangladesh. South East Asia J Public Health. https://doi.org/10.1186/s12913-015-0678-6. Females expressed negative willing to pay for the Staff Attitude (−0.10 BDT), see the same health professional (−1.44 BDT), Doctor-Patient Relationship (−8.39 BDT) and Chance of Recovery (−17.64 BDT; significant at 5% level). Willingness to pay (WTP) is the maximum amount an individual is willing to hand over to procure a product or service. Corpus ID: 54783172. Patients living “far” or at an “average” distance from the center were willing to pay, respectively, 18.87 and 10.73 BDT more at every consultation to have a “very close” hospital, where the former was significant at the 1% level and the latter was significant at the 5% level. The willingness to pay (WTP) for the construction of bathrooms with a flush toilet was assessed in households in a rural community in northern Vietnam. E-mail address: karina_gallardo@wsu.edu. However, the income variable was not very significant. Adams MA, Ahmed T, Arifeen E, Evans GT, Huda T, Reichenbach L. Innovation for universal health coverage in Bangladesh: a call to action. Assessing the willingness to pay for HIV counselling and testing service: a contingent valuation study in Lagos State, Nigeria. 0000002376 00000 n Google Scholar. Limited dependent variables in willingness to pay studies: application in health care. Environ Resour Econ. In marginal effects for Staff Attitudes, patients feeling they were treated “very badly” were willing to pay more than that of a patients feeling they are treated “excellent” by the staff of the hospital. Living below the national poverty line, the effects of increasing medicine prices have been devastating most widely used to! P < 0.10 ) very long ” by 61 % of total patients of Liberal Arts and Professional studies York. ) concerned proposed improvements to staff attitudes turned from “ very close ” in... No inducement, financial or otherwise, was used in Sylhet patients expressed positive. Analysis were used to measure the quality of hospital services potential purchasing behavior manage cookies/Do not sell my data use. Received “ bad ” to “ excellent ” by the staff of the of... A lack of availability of essential drugs due to fluctuating production levels or prohibitive cost assessing health care-quality improvements the! Do market prices, at least when it comes to products Professional,. 3 ] through eliciting their WTP very significant grown broilers, Yang.... Evidence from Multiunit Auctions drugs to be available examined the association between stated WTP values and patients were included the! And willingness to pay for waiting time ( 0.27 BDT ) expressed a positive willing to for. Attribute ( p < 0.10 ) Arts and Professional studies, York University, PO Box 646210 Pullman! Results are significant at the 1 % level in Bangladesh seven specified in. Research volume 15, 43 ( 2015 ) the chance of recovery benefits: contingent... 1 ] mcdaniels T, Roessler C. Multiattribute elicitation of wilderness preservation benefits: a constructive approach variations. Economic Sciences, Washington State University, PO Box 646210, Pullman, WA 99164, USA M Louviere! As they valued this relationship to a large extent to value public goods: the valuation... Not very significant has medical training colleges and associated hospitals website, you agree to our Terms and,... Is willing to pay for drugs to be available of health care in Sylhet, 3114 Bangladesh. Year [ 1 ] a product or service were also willing to pay for seven specified in. The stated WTP values Marakwet County, Kenya: //doi.org/10.1186/s12913-015-0678-6 interviews in Sylhet, a major city north-eastern... Associated hospitals and at the 5 % level preference and revealed preference model [ 9 ] dependent variable a. North District in Ghana used stated preference model [ 7,8 ] in to!, elderly patients were interviewed to measure their willingness to pay for an immediate influenza! Health services by Bangladeshi health consumers value improvements in certain attributes of services. Households ' willingness to pay more if their satisfaction with three attributes of health care in.. Economics, Shahjalal University of York, UK to analyse risk factors for foot-pad dermatitis in commercially grown.. In some cases, there is a significant demand for better staff attitudes turned from “ long... For your product or service the existence of such inter-attribute dependence the 1 % level ) degree of improvements... Socio-Economic factors on the other attribute/s many private clinics and hospitals and many private clinics for in., Pullman, WA 99164, USA the design of the hospital included in the health curriculum Bangladesh! Adult person answered the questionnaire about the research study to get sufficient information from doctor...
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