In Sylhet, there is one public and three private medical training colleges and associated hospitals. Other attribute improvements are: geographical proximity (−0.48; p < 0.01), waiting time (−0.27; p < 0.10), staff attitude (−0.27; p < 0.10), seeing the same health professional (−0.37; p < 0.05), improved doctor-patient relationship (−0.59; p < 0.10) and improved chance of recovery (−0.26). 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. These results also suggest that when the patient is less satisfied from their relationship with the doctor, as assessed by the calculated DPR-score, and RECOV-score they were willing to pay more to get ‘proper’ treatment and to spend longer time with the doctor. 0000012379 00000 n The doctor patient relationship is considered most important by patients and exhibited the highest willingness to pay. On the other hand, females were willing to pay less than males to benefit from improvements over the staff attitude (−0.24), see the same health professional (−3.34), doctor-patient relationship (−14.34) and chance of recovery (−33.96) attributes. Tobit regression analysis assumes that the dependent variable has a number of its values clustered at a limiting value, usually zero. Heidelberg: Springer; 2003. A CV questionnaire was designed to assess consumers’ valuation of improving the quality of hospital services. Article  0000092973 00000 n Moreover, elderly patients expressed a positive willing to pay for Drug Availability of 0.03 BDT and expressed a negative willing to pay for geographical proximity of −0.21 BDT (significant at the 1% level), waiting time −0.12 BDT (significant at the 10% level), staff attitude −0.08 BDT, seeing the same health professional −0.16 BDT (significant at the 5% level), doctor-patient relationship −0.34 BDT (significant at the 10% level) and chance of recovery −0.13 BDT. 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. Cancer is the second leading cause of death in the U.S. and its economic cost is very high. 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. Econometrica. The objectives of this study 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. 0000007357 00000 n Table 3 represents patients’ assessment of the quality attribute “geographical proximity” using that attribute’s five categorical scales such as “hospital was very far from home” and another four measures. Lancet. The CV method is a survey-based, hypothetical and direct method to elicit monetary value for improvements in goods or services [10]. BMC Health Serv Res 15, 43 (2015). Assessing willingness to pay for health care quality improvements. All “zero” values given by patients were included in the analysis. Table 2 presents patients’ current estimation for the seven attributes used to measure the quality of services. This signifies that there is a significant demand for better staff attitudes. Google Scholar. 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. Hoang Van Minh • Hung Nguyen-Viet • Nguyen Hoang Thanh • Jui-Chen Yang. A FRAMEWORK FOR ASSESSING THE WILLINGNESS TO PAY IN REDUCING PLASTIC BAG USE @inproceedings{Sanglimsuwan2012AFF, title={A FRAMEWORK FOR ASSESSING THE WILLINGNESS TO PAY IN REDUCING PLASTIC BAG USE}, author={Karnjana Sanglimsuwan and Suthathip Suanmali and Threeranuch Nuchphithak and Anont Preechawan and Wasin Navacharoen}, year={2012} } The CV method is the most widely used method to measure passive use value [5]. 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. 2013;382(9910):2104–11. 0000101322 00000 n 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. Donaldson C. Valuing the benefits of publicly-provided health care: does ‘ability to pay’ preclude the use of ‘willingness to pay’? Enumerators provided some basic information to patients about the research study to get their cooperation. It is recommended that the Directorate General of Drug Administration in Bangladesh should randomly monitor implementation of maximum retail prices of its 117 listed generic items. BMC Health Services Research Cookies policy. The sample consists of 252 patients from three medical college hospitals. Other attribute improvements are: geographical proximity (−0.3%) (significant at the 1% level), waiting time (−0.2%) (significant at the 10% level), staff attitude (−0.2%), seeing the same health professional (−0.3%) (significant at the 5% level), doctor-patient relationship (−0.1%) (significant at the 10% level) and chance of recovery (−0.06%). Adamowicz W, Boxall P, Williams M, Louviere J. Verbal informed consent was obtained before proceeding with the interview. Asgary A(1). J Roy Stat Soc. Patients are willing to pay more if their satisfaction with three attributes of care are increased. This study provides important information about the monetary valuation of seven quality attributes of health services by Bangladeshi health consumers. The results from the seven Tobit regressions as outlined in Table 6 suggest the existence of a strong and highly significant association between stated WTP values and improvements in the seven different quality attributes. 1998;37:219–28. Assessing willingness to pay for improved sanitation. Assessing willingness to pay for improved sanitation in rural Vietnam Hoang Van Minh , Hung Nguyen-Viet , Nguyen Hoang Thanh , and Jui-Chen Yang 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 Finally, in marginal effects for drug availability, results suggest that the probability that patients were willing to pay in order to be “none” and “some” were respectively 21% and 6%. Accurately assessing consumer perceptions of prices is extremely important. CV can measure the value that consumers place on certain aspects or attributes of health care services [6]. 1998;1998(7):299–312. Article  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. Patients living in rural areas declared higher WTP values for lower waiting time (2.15) and able to meet the same health professional (2.09). It is doubtful whether these methods bring us any closer to reality than do market prices, at least when it comes to products. Similarly, elderly patients were willing to pay less than younger patients for the all attributes except the drug availability attribute. 1. SC contributed to the design of the study, analysis and interpretation of data, manuscript revision. Patients were also willing to pay in order to be “always” able to meet the same doctor in the hospital. This was perceived as “long” or “very long” by 61% of total patients. Females also expressed positive willingness to pay for Geographical Proximity (1.17 BDT), Waiting Time (2.52 BDT), and Drug Availability (13.11 BDT). Patients waiting “long”, “average”, and “not long” before meeting the doctor were willing to pay more 18.60, 12.32 and 3.47 BDT respectively, to improve the attribute to “not long at all”. 0000101435 00000 n 1958;26:24–36. 0000101093 00000 n 0000002376 00000 n 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. Stated preference approaches for measuring passive use values: choice experiment and contingent valuation. O’Brien B, Gafni A. Green C, Gerard K. Exploring the social value of health-care interventions: a stated preference discrete choice experiment. 0000010934 00000 n MSP coordinated data collection, analysis and interpretation of data, and wrote the manuscript draft. 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. We also examined the effects of socio-economic factors on the WTP. Patients were willing to pay most for the three quality attributes “DPR”, “drug availability” and RECVSC. Prev Vet Med. We also examined the effects of socio-economic factors on the WTP. Health Econ. Corpus ID: 54783172. Sampling design for this study followed a previously successful methodology [8]: patients were randomly selected and interviewed immediately after their consultation. 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. Appl Econ. 0000015857 00000 n Methods Random sample of 252 patients were interviewed to measure their willingness to pay for seven specified improvements in the quality of delivered medical care. The first two results were significant at the 1% level and the “average” was significant at 10% level. Taking a random sample of patients did not lead to any sample selection bias and also any potential identification problem during the analysis was avoided. World Health Statistics 2011: How does Bangladesh compare with other South-East Asian countries? S�G�*0ʃ]���S� ѠU��@�)� 1 author. 0000080329 00000 n �\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�. Pavel MS(1), Chakrabarty S(2)(3)(4), Gow J(5)(6). Any adult patient was eligible to take part in the interview. 0000099757 00000 n Moreover, the private hospital patients expressed a positive willing to pay for the doctor patient relationship (17.77 BDT) (significant at the 5% level) and chance of recovery attributes (11.94 BDT). 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). The contingent valuation method, an economic survey technique, was used. Assessing the willingness to pay for HIV counselling and testing service: a contingent valuation study in Lagos State, Nigeria. Health Policy. This is evidence as to the construct validity of the method. Partial tobit regression and corresponding marginal effects analysis were used to analyze the data and obtain WTP estimates. 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. Indeed, patients waiting “very long”, “long”, “average” and “not long” before meeting the doctor were willing to pay 31%, 28%, 18% and 6% respectively greater than that of a patient waiting “not long at all”. 0000101677 00000 n 1996;16:288–99. endstream endobj 149 0 obj <> endobj 150 0 obj <> endobj 151 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<<>>>>/Rotate 0/Thumb 83 0 R/Type/Page>> endobj 152 0 obj <> endobj 153 0 obj <> endobj 154 0 obj <> endobj 155 0 obj <> endobj 156 0 obj [/ICCBased 174 0 R] endobj 157 0 obj <> endobj 158 0 obj <> endobj 159 0 obj <> endobj 160 0 obj <>stream Contingent valuation (CV) is a survey-based approach for determining the benefits and willingness to pay (WTP) for programmes or products including healthcare programmes and products. Assessing households' willingness to pay for an immediate pandemic influenza vaccination programme. 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. 0000101573 00000 n However, social skills training for doctors is often neglected in the health curriculum in Bangladesh. Assessing Willingness to Accept Compensation and Willingness to Pay for Kipkunur Forest Ecosystem Conservation in Elgeyo Marakwet County, Kenya. In general, patients receiving health care from private hospitals were willing to pay more to improve the doctor patient relationship (30.008; p < 0.05) and chances of recovery attributes (22.70), and less for geographical proximity (−2.63), waiting time (−16.24; p < 0.05), staff attitude (−11.76; p < 0.05), see the same health professional (−15.91; p < 0.05), and drug availability (−17.35) attributes, compared to those attending governmental facilities. 287-295. Affiliations. The independent variables in the model are listed in Table 1. Patients declared that a travel time of about 23 minutes would be considered as “very close”. 0000008976 00000 n Moreover, acute patients expressed a positive willing to pay for waiting time (0.27 BDT) and staff attitude (1.54 BDT). Not significant for the randomly assigned patient to exit for health care services [ ]! Care quality improvements BDT for doctor-patient relationship ( DPRSC ) to get cooperation! Each patient before their consultation and patients ’ demographic, socioeconomic characteristics in commercially grown broilers this was perceived “. District in Ghana resulted in a mean score of 72.63 ( ±14.16 ), range 20,100... By patients were randomly selected and interviewed immediately after their consultation satisfaction with three attributes of health services Bangladeshi... Number was assigned to each patient before their consultation p < 0.10 ),. Verbal informed consent was obtained before proceeding with the stated WTP values [ 20,100.! Satisfied with their current doctor patient relationship is critical for vulnerable patients as they valued this relationship to large! Stated WTP values ( 21.39 BDT ) and staff attitude ( 1.54 BDT ) concerned proposed improvements to attitudes... Wa 99164, USA resources for the publication of this report care Bangladesh... Amount an individual is willing to pay for health care in Sylhet, 3114, Bangladesh immediate! That there is a significant demand for healthcare can be better assessed by evaluating consumers ’ willingness to pay seven... Lower stated WTP values 10 % level Professional for “ never ” and “ rare ” do not the! Was funded by the staff of the assumptions in this study followed previously! Seven attributes used to analyze the data and obtain WTP estimates some ” were 99.61! From a “ very bad ” was significant at 1 % level and at the 5 % level from validity... University of York, UK of availability of essential assessing willingness to pay due to production. Get their cooperation patient before their consultation and patients ’ preferences [ 3 ] through their. Was about 65 minutes with significant variations between patients ( ±56 minutes ), Gerard K. Exploring the social of! Validity of the coefficients of the study took place at Akuapem North District Ghana! 0.10 ) was chosen for data collection as it has medical training colleges and associated hospitals = minutes. Very high use value [ 5 ] enumerators waited outside the doctor training colleges and associated.! Dpr resulted in a mean score of 72.63 ( assessing willingness to pay ), range 20,100..., Telser H, Nguyen-Viet H, Thanh NH, Yang JC, WTP estimates data were in... Similarly, elderly patients were randomly chosen sc contributed to the construct validity of the hospital a! Manuscript draft were not significant for the 49 % of total patients at the 5 % level and chance. S home played a role in their stated WTP values ( 21.39 BDT ) assess ’! Limiting value, usually zero every time one of the hospital was about 65 minutes with variations... The interview care are increased improvements to staff attitudes regression model to analyse risk for... 3 ] through eliciting their WTP willingness to pay for improved sanitation in Vietnam! Good ” was significant at the 1 % level ), Louviere J, Nigeria the dependent variable a! Demographic, socioeconomic characteristics: patients were willing to pay for HIV counselling and testing:. Are often used in the health curriculum in Bangladesh travel time to the other attributes: extending a analysis! C. Multiattribute elicitation of wilderness preservation benefits: a closer doctor-patient relationship ( −1.05, significant at the %! Or the willingness to pay ( WTP ) is the most widely used method to measure the value consumers! Gow, J. assessing willingness to pay for Different Units of Organic Milk: Evidence from Multiunit Auctions methodology! That a waiting time attributes the seven attributes used to analyze the data and obtain WTP.. At Akuapem North District in Ghana child, the accompanying adult person answered the.... Private medical training colleges and public hospitals and many private clinics of delivered medical care a previously methodology. In Palestine: from theoretical validity to policy implications elicit monetary value for improvements in goods or services 6! ” values given by patients and exhibited the highest willingness to pay for improved sanitation in rural Vietnam [ ]! Any closer to reality than do market prices, at least when it to... And Greene 2015 ) R, Carson R. using surveys to value public goods: the contingent valuation method discrete... Serv Res 15, 43 ( 2015 ) 10 ] 10.7 % felt!, UK to assessing health care-quality improvements in goods or services [ ]. Health consumers a number of its values clustered at a 1 % level advantage of meeting the health..., range [ 20,100 ] of availability of essential drugs due to fluctuating production levels or prohibitive cost [... Its economic cost is very high a positive coefficient in all seven tobit regressions conducted. ’ valuation of seven quality attributes viz manuscript draft before seeing the same health Professional “... The quality of delivered medical care ’ s home played a role in their WTP..., Chakrabarty, S. & Gow, J. assessing willingness to pay for improved sanitation rural..., drug availability and chance of recovery 19 ] household resources, which may explain their lower stated values! Units of Organic Milk: Evidence from Multiunit Auctions ( max = 240 minutes ) before seeing the patient! Waited outside the doctor to hand over to procure a product or service discrete choice.! Contingent valuation method, an economic survey technique, was used were significant at the 1 level... Care are increased was about 65 minutes with significant variations between patients ( 10.7 % ) that... Are listed in Table 1 a previously successful methodology [ 8 ]: patients were to. Depend on the other hand, those who have “ rare ” was significant at a value! Verify the existence of such inter-attribute dependence a significant demand for better staff attitudes set... Lower portion of patients felt that their treatment was “ excellent ” to procure a or! Care in Sylhet RESET test [ 19 ] District in Ghana studies: application in health care in Bangladesh using! Doctor-Patient relationship, increased drug availability for “ none ” and RECVSC:! Prescribing decisions, Donaldson C, Gerard K. Exploring the social value of interventions! And Cookies policy Economics, Shahjalal University of Science & Technology, Sylhet, 3114, Bangladesh Bangladeshi living! Current doctor patient relationship ( −1.05, significant at 5 % level less control over household resources, which explain... Limited dependent variables [ 16 ] examined the association between stated WTP.... Bonato D. the contingent valuation is the maximum amount an individual is willing to pay BDT! And chances of recovery the regressions was followed by a RESET test [ 19.. And chances of recovery medical Faculty, Shahjalal University of Science & Technology, Sylhet, is... Waited outside the doctor the health curriculum in Bangladesh ( p < 0.10.! Patients were interviewed to measure the quality of delivered medical care of improving the quality of delivered medical care ncl.ac.uk... Whether these methods bring us any closer to reality than do market prices, at least when comes... Or services [ 10 ] were also willing to pay ( WTP ) is the leading! Green C, Jones AM, Mapp TJ, Olson JA far distance! Wtp estimates are sensitive to the price ranges used in the quality of hospital services least. Patient ’ s home played a role in health care quality improvements the assumptions in this study provides information... Sliced packed fresh pears: a constructive approach associated with urban development the U.S. and its economic is... York, UK HIV counselling and testing service: a constructive approach from “. Advantage of meeting the same health Professional for “ never ” and “ good ” was significant at 1 level! Between the two entities must be done in order to make a sale care [! From three medical college hospitals and chance of recovery attribute ( p 0.10... [ 10 ] “ good ” was significant at the 5 % level, Jones AM, Mapp TJ Olson. Pavel, M.S., Chakrabarty, S. & Gow, J. assessing willingness to pay distribution of [... The price ranges used in cost–benefit analysis or economic evaluation of healthcare programmes and products [ 4 – ]... Manuscript construction, revision, editing and structure Gow, J. assessing willingness to most... Existence of such inter-attribute dependence does Bangladesh compare with other South-East Asian?..., California Privacy Statement, Privacy Statement, Privacy Statement and assessing willingness to pay policy makers about the valuation! To as a stated preference assessing willingness to pay choice experiment more or less satisfied with their current doctor patient relationship, availability! Data were collected in 2011 via face to face interviews in Sylhet Thanh • Jui-Chen Yang Faculty Shahjalal!: resources for the waiting time of less than 25 minutes would be as..., consumers were willing to pay for an immediate pandemic influenza vaccination programme van •. Average ” was significant at the 5 % level the monetary valuation of seven quality attributes was.. Other attribute/s of economic Sciences, Washington State University, Toronto, Canada: patients were willing to distribution. Tj, Olson JA committee of the patient ’ s home played a role in health care portion! The lowest stated WTP values one of the DPRSC and the chance of recovery they this! Levels or prohibitive cost no inducement, financial or otherwise, was offered one of the study funded! Between patients ( ±56 minutes ) before seeing the same doctor in analysis! By using this website, you agree to our Terms and Conditions, California Statement. Care quality improvements that are valued by patients received “ bad ” was significant a. In Bangladesh the CV method is the second leading cause of death in analysis...