Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferences

BACKGROUND: This paper examines the Willingness to Pay (WTP) for a quality-adjusted life year (QALY) expressed by people who attended the healthcare system as well as the association of attitude towards risk and other personal characteristics with their response. METHODS: Health-state preferences, m...

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Detalles Bibliográficos
Autores: Martín-Fernández, Jesús, Polentinos-Castro, Elena, Del Cura-González, Isabel, Ariza-Cardiel, Gloria, Abraira, Victor, Gil-LaCruz, Ana Isabel, Garcia-Perez, Sonia
Tipo de recurso: artículo
Fecha de publicación:2014
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/6823
Acceso en línea:http://hdl.handle.net/20.500.12105/6823
Access Level:acceso abierto
Palabra clave:Aged
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Risk Assessment
Spain
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network_acronym_str ES
network_name_str España
repository_id_str
spelling Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferencesMartín-Fernández, JesúsPolentinos-Castro, ElenaDel Cura-González, IsabelAriza-Cardiel, GloriaAbraira, VictorGil-LaCruz, Ana IsabelGarcia-Perez, SoniaAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk AssessmentSpainBACKGROUND: This paper examines the Willingness to Pay (WTP) for a quality-adjusted life year (QALY) expressed by people who attended the healthcare system as well as the association of attitude towards risk and other personal characteristics with their response. METHODS: Health-state preferences, measured by EuroQol (EQ-5D-3L), were combined with WTP for recovering a perfect health state. WTP was assessed using close-ended, iterative bidding, contingent valuation method. Data on demographic and socioeconomic characteristics, as well as usage of health services by the subjects were collected. The attitude towards risk was evaluated by collecting risky behaviors data, by the subject's self-evaluation, and through lottery games. RESULTS: Six hundred and sixty two subjects participated and 449 stated a utility inferior to 1. WTP/QALY ratios varied significantly when payments with personal money (mean €10,119; median €673) or through taxes (mean €28,187; median €915) were suggested. Family income, area income, higher education level, greater use of healthcare services, and the number of co-inhabitants were associated with greater WTP/QALY ratios. Age and female gender were associated with lower WTP/QALY ratios. Risk inclination was independently associated with a greater WTP/QALY when "out of pocket" payments were suggested. Clear discrepancies were demonstrated between linearity and neutrality towards risk assumptions and experimental results. CONCLUSIONS: WTP/QALY ratios vary noticeably based on demographic and socioeconomic characteristics of the subject, but also on their attitude towards risk. Knowing the expression of preferences by patients from this outcome measurement can be of interest for health service planning.BioMed Central (BMC)Comunidad de Madrid (España)20182018-12-1220142014-07-0320142014-07-03research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/6823reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/68232026-06-12T12:43:37Z
dc.title.none.fl_str_mv Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferences
title Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferences
spellingShingle Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferences
Martín-Fernández, Jesús
Aged
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Risk Assessment
Spain
title_short Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferences
title_full Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferences
title_fullStr Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferences
title_full_unstemmed Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferences
title_sort Willingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferences
dc.creator.none.fl_str_mv Martín-Fernández, Jesús
Polentinos-Castro, Elena
Del Cura-González, Isabel
Ariza-Cardiel, Gloria
Abraira, Victor
Gil-LaCruz, Ana Isabel
Garcia-Perez, Sonia
author Martín-Fernández, Jesús
author_facet Martín-Fernández, Jesús
Polentinos-Castro, Elena
Del Cura-González, Isabel
Ariza-Cardiel, Gloria
Abraira, Victor
Gil-LaCruz, Ana Isabel
Garcia-Perez, Sonia
author_role author
author2 Polentinos-Castro, Elena
Del Cura-González, Isabel
Ariza-Cardiel, Gloria
Abraira, Victor
Gil-LaCruz, Ana Isabel
Garcia-Perez, Sonia
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Comunidad de Madrid (España)
dc.subject.none.fl_str_mv Aged
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Risk Assessment
Spain
topic Aged
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Risk Assessment
Spain
description BACKGROUND: This paper examines the Willingness to Pay (WTP) for a quality-adjusted life year (QALY) expressed by people who attended the healthcare system as well as the association of attitude towards risk and other personal characteristics with their response. METHODS: Health-state preferences, measured by EuroQol (EQ-5D-3L), were combined with WTP for recovering a perfect health state. WTP was assessed using close-ended, iterative bidding, contingent valuation method. Data on demographic and socioeconomic characteristics, as well as usage of health services by the subjects were collected. The attitude towards risk was evaluated by collecting risky behaviors data, by the subject's self-evaluation, and through lottery games. RESULTS: Six hundred and sixty two subjects participated and 449 stated a utility inferior to 1. WTP/QALY ratios varied significantly when payments with personal money (mean €10,119; median €673) or through taxes (mean €28,187; median €915) were suggested. Family income, area income, higher education level, greater use of healthcare services, and the number of co-inhabitants were associated with greater WTP/QALY ratios. Age and female gender were associated with lower WTP/QALY ratios. Risk inclination was independently associated with a greater WTP/QALY when "out of pocket" payments were suggested. Clear discrepancies were demonstrated between linearity and neutrality towards risk assumptions and experimental results. CONCLUSIONS: WTP/QALY ratios vary noticeably based on demographic and socioeconomic characteristics of the subject, but also on their attitude towards risk. Knowing the expression of preferences by patients from this outcome measurement can be of interest for health service planning.
publishDate 2014
dc.date.none.fl_str_mv 2014
2014-07-03
2014
2014-07-03
2018
2018-12-12
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/6823
url http://hdl.handle.net/20.500.12105/6823
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central (BMC)
publisher.none.fl_str_mv BioMed Central (BMC)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869418722637119489
score 15.812429

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