Authors
Lisa A Prosser, Thomas W Concannon, Steven D Pearson, James K Hammitt
Publication date
2004/10/17
Journal
The 26th Annual Meeting of the Society for Medical Decision Making
Description
Purpose
To measure the relative effect of specific intervention characteristics on willingness-to-pay (WTP) for coverage of health interventions and to assess the feasibility of an insurance coverage question for capturing such preferences.
Methods
An internet-based survey was conducted on a random sample of respondents whose characteristics were matched to those of the US general population (n= 1999). Respondents were asked their willingness-to-pay for an increase in their annual insurance premium to cover a hypothetical health intervention using dichotomous-choice double-bounded questions. Each respondent was randomized to one of four scenarios which simultaneously varied age (children or adult) and prevention (vaccination) or treatment and one of two scenarios comparing an intervention for a condition perceived to be involuntary (heart disease) with a similar intervention for a condition perceived to be voluntary (obesity). Scenarios also included information on efficacy, side effects, cost, size of the affected population, and cost-effectiveness that did not vary between scenarios. Survival analysis was used to estimate the median WTP for each additional coverage option both adjusted and unadjusted for respondent characteristics. Covariates included sociodemographic variables, type of health insurance, and familiarity with and self-assessed risk for conditions described in the hypothetical scenarios.
Results
Respondents were not willing to pay a significantly different amount for an intervention in children compared with adults or for a prevention compared with a treatment. They were, however, willing to pay more (p< 0.01) for an …
Total citations
Scholar articles
LA Prosser, TW Concannon, SD Pearson, JK Hammitt - The 26th Annual Meeting of the Society for Medical …, 2004