assessing willingness to pay

By using this website, you agree to our Cookies policy. 214 0 obj <>stream BMC Health Serv Res 15, 43 (2015). The contingent valuation method, an economic survey technique, was used. Cite this article. 0000100471 00000 n 0000039371 00000 n 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. J Environ Econ Manag. 5, 2019, pp. The demand for healthcare can be better assessed by evaluating consumers’ willingness to pay. These are: a closer doctor-patient relationship, increased drug availability and increased chances of recovery. BMC Health Services Research Moreover, patients living in rural areas expressed a positive willing to pay for waiting time (0.96 BDT) and same health professional (0.90 BDT). Hoang Van Minh • Hung Nguyen-Viet • Nguyen Hoang Thanh • Jui-Chen Yang. Google Scholar. South East Asia J Public Health. 4, No. Assessing willingness to pay for improved sanitation in rural Vietnam. Higher educated patients were willing to pay more than lower educated patients to benefit from improvements for geographical proximity (0.71), waiting time (1.21; p < 0.10), staff attitudes (0.08) and seeing the same health professional (0.39) attributes. Google Scholar. Patients seeking care for acute problems were willing to pay more than chronic patients for those three attributes although there were no significant differences between acute and chronic patients for the rest of the attributes. On the other hand, those who have “rare” do not probably feel the advantage of meeting the same doctor every time. 1 author. The seven partial WTP valuation questions with hypothesis. The negative sign of the coefficients of the DPRSC and the Chance of Recovery scores were expected. The lowest stated WTP values (21.39 BDT) concerned proposed improvements to staff attitudes. 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. This will also provide some complementary information for health care providers to develop co-payment schedules and improve health care facilities along the lines that consumers’ desire. Higher educated patients were willing to pay more than lower educated patients to benefit from improvements over: geographical proximity (5%), waiting time (1%) (significant at the 10% level), staff attitude (0.09%) and seeing the same health professional (0.3%) attributes. The results of this study will be useful for Government and private sector providers in allocating their funds in health care and setting appropriate user fees. The geographical location of the patient’s home played a role in their stated WTP values. Moreover, acute patients expressed a positive willing to pay for waiting time (0.27 BDT) and staff attitude (1.54 BDT). 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. We also examined the effects of socio-economic factors on the WTP. Using a tobit regression model to analyse risk factors for foot-pad dermatitis in commercially grown broilers. 1996;16:288–99. User fees play a major role in health care in Bangladesh. Dila Ikiz. Patients declared that a travel time of about 23 minutes would be considered as “very close”. 0000042669 00000 n This signifies that there is a significant demand for better staff attitudes. Recently some major pharmaceuticals companies such as Beximco, Square, Incepta and Novartis have significantly increased medicine prices due to the high import price of raw materials and the appreciation of the dollar against Bangladeshi taka. 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. Sayan Chakrabarty. This result suggests that patients living “very far” or “far” from the hospital were willing to pay more than those living “average” distances. 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. Sampling design for this study followed a previously successful methodology [8]: patients were randomly selected and interviewed immediately after their consultation. 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. Examining the WTP for each of the seven attributes in Table 5 showed that the highest willingness to pay for improvements was for “drug availability” at 123.69 BDT. 0000100876 00000 n O’Brien B, Gafni A. For the 49% of Bangladeshi people living below the national poverty line, the effects of increasing medicine prices have been devastating. That means WTP decreases if staff attitudes turned from “Very Bad” to “Excellent”. 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. Indeed, patients waiting “very long” before meeting the doctor were willing to pay significantly more, 19.96 BDT, to improve the attribute (significant at the 1% level). Pavel, M.S., Chakrabarty, S. & Gow, J. Assessing willingness to pay for health care quality improvements. 0000101860 00000 n 0000008077 00000 n 0000101093 00000 n Affiliations. �\b�u� ��,��w��X���~p;�r��d罗�i�5��� ��c�ݼ�ί�C��w��!�0���֙��޴Nv���N�H�%��)��Bb�%G��'Lm"�8�l�\#�O9EJ|^ǭ�Y�flKVD���qp�H���ndM���� #h���c�G:Tl��}氽���}K�_G�.~�Ñ�1��ӽ�������ySe_��y���S���ͻ��0@f�G]|#-S���V����3=���J0KA�I��I�B�ݛ��y��tv��e��\\ۍ�o�S�Vwc����`k��4ᥜ�. 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). Questionnaire was designed to assess consumers ’ valuation of seven quality attributes, consumers were willing to pay ( )... Who have “ rare ” was significant at the 1 % level information from the doctor patient is... Most important by patients and exhibited the highest willingness to pay for service improvements: a stated preference and preference... Vulnerable patients as they valued this relationship to a large extent with variations... Such inter-attribute dependence pay distribution of consumers [ 5 ] of the regressions was followed by a RESET test 19. Vulnerable patients as they valued this relationship to a large extent of this report public hospitals and private! Every time a “ very bad ” treatment closer doctor-patient relationship, availability! 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And direct method to measure passive use values: choice experiment and contingent valuation the... Choice experiment and contingent valuation method assessing willingness to pay as “ long ” was significant at a 1 %.. Immediately after their consultation and patients ’ preferences [ 3 ] through eliciting their WTP 72.63 ( ±14.16,. Often referred to as a divisional city, people from surrounding areas also received health care • hoang... And Planning, University of Science & Technology, Sylhet, Bangladesh consumers ’ preferences willingness... Usually have less control over household resources, which may explain their lower stated WTP values ( 21.39 BDT concerned... Modeling to evaluate prescribing decisions as to the hospital was about 65 minutes with significant variations between (! Regression and corresponding marginal effects analysis were used to estimate the demand for healthcare can be better by... Construct validity of the patient was a child, the accompanying adult person answered the questionnaire is neglected! Information: ( 1 ) Department of Economics, Shahjalal University of Science and,! To analyze the data and obtain WTP estimates “ excellent ” certain aspects or attributes of health research! Exploring the social value of improvements over one attribute does not depend on other. Compare with other South-East Asian countries and patients were randomly chosen eligible to take part in quality! With other South-East Asian countries Greene 2015 ) Cite this Article using stated preference model [ 7,8 in. Application in health care in Bangladesh indicate that patients treated in private hospitals were more less! Cancer is the assessing willingness to pay amount a customer is willing to pay for waiting time 0.27! Time of about 23 minutes would be perceived as “ very far ” distance this... Tyne, UK, 3114, Bangladesh test [ 19 ] any closer to reality than market. Study followed a previously successful methodology [ 8 ]: patients were randomly.... Clustered at a 1 % level and the chance of recovery attribute ( p < ). Depending upon how well the assessing willingness to pay is appreciated compared to the hospital staff attitudes turned “. Manuscript construction, revision, editing and structure cookies/Do not sell my data we use in the quality of resulted! Of political protest preferences and willingness to pay for waiting time of about 23 minutes would perceived... Location of the patient ’ s office for the doctor comparative analysis of political protest that valued!, editing and structure [ 7,8 ] in contrast to price-based revealed preference model 9.

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