Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2015

Open Access 01-12-2015 | Research article

Assessing willingness to pay for health care quality improvements

Authors: Md Sadik Pavel, Sayan Chakrabarty, Jeff Gow

Published in: BMC Health Services Research | Issue 1/2015

Login to get access

Abstract

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.

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. Partial tobit regression and corresponding marginal effects analysis were used to analyze the data and obtain WTP estimates.

Results

Patients are willing to pay more if their satisfaction with three attributes of care are increased. These are: a closer doctor-patient relationship, increased drug availability and increased chances of recovery. The doctor patient relationship is considered most important by patients and exhibited the highest willingness to pay.

Conclusions

This study provides important information to policy makers about the monetary valuation of patients for improvements in certain attributes of health care in Bangladesh.
Appendix
Available only for authorised users
Literature
1.
Adams MA, Ahmed T, Arifeen E, Evans GT, Huda T, Reichenbach L. Innovation for universal health coverage in Bangladesh: a call to action. Lancet. 2013;382(9910):2104–11.CrossRefPubMed
2.
Majumder MA. World Health Statistics 2011: How does Bangladesh compare with other South-East Asian countries? South East Asia J Public Health. 2011;1:4–11.
3.
Mitchell R, Carson R. Using surveys to value public goods: the contingent valuation method. Washington, DC: Resources for the Future; 1989.
4.
Adamowicz W, Boxall P, Williams M, Louviere J. Stated preference approaches for measuring passive use values: choice experiment and contingent valuation. Am J Agric Econ. 1998;80:64–75.CrossRef
5.
Carson RT, Flores NE, Meade NF. Contingent valuation: controversies and evidence. Environ Resour Econ. 2000;19:173–210.CrossRef
6.
Nocera S, Telser H, Bonato D. The contingent valuation method in health care. Heidelberg: Springer; 2003.CrossRef
7.
Green C, Gerard K. Exploring the social value of health-care interventions: a stated preference discrete choice experiment. Health Econ. 2009;18:951–76.CrossRefPubMed
8.
Mataria A, Donaldson C, Luchini S, Moatti JP. A stated preference approach to assessing health care-quality improvements in Palestine: from theoretical validity to policy implications. J Health Econ. 2004;23:1285–311.CrossRefPubMed
9.
Mark TL, Swait J. Using stated preference and revealed preference modeling to evaluate prescribing decisions. Health Econ. 2004;13:563–73.CrossRefPubMed
10.
11.
O’Brien B, Gafni A. When do the “dollars” make sense? Toward a conceptual framework for contingent valuation studies in health care. Med Decis Mak. 1996;16:288–99.CrossRef
12.
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. J Environ Econ Manag. 1998;1:597–609.
13.
McDaniels T, Roessler C. Multiattribute elicitation of wilderness preservation benefits: a constructive approach. Ecol Econ. 1998;1998(7):299–312.CrossRef
14.
Ekstrand C, Carpenter TE. Using a tobit regression model to analyse risk factors for foot-pad dermatitis in commercially grown broilers. Prev Vet Med. 1998;37:219–28.CrossRefPubMed
15.
McDonald JF, Moffitt RA. The uses of Tobit analysis. Rev Econ Stat. 1980;62:318–21.CrossRef
16.
Tobin J. Estimation of relationships for limited dependent variables. Econometrica. 1958;26:24–36.CrossRef
17.
Donaldson C. Valuing the benefits of publicly-provided health care: does ‘ability to pay’ preclude the use of ‘willingness to pay’? Soc Sci Med. 1999;49:551–63.CrossRefPubMed
18.
Donaldson C, Jones AM, Mapp TJ, Olson JA. Limited dependent variables in willingness to pay studies: application in health care. Appl Econ. 1998;30:667–77.CrossRef
19.
Ramsey JB. Tests for specification errors in classical linear least squares regression analysis. J Roy Stat Soc. 1969;31:350–71.
20.
Roncek DW. Learning more from Tobit coefficients: extending a comparative analysis of political protest. Am Sociol Rev. 1992;57:503–7.CrossRef
Metadata
Title
Assessing willingness to pay for health care quality improvements
Authors
Md Sadik Pavel
Sayan Chakrabarty
Jeff Gow
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2015
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-015-0678-6

Other articles of this Issue 1/2015

BMC Health Services Research 1/2015 Go to the issue

Research article

General practitioners’ altered preferences for private practice vs. salaried positions: a consequence of proposed policy regulations?

Research

Dual use of VA and non-VA hospitals by Veterans with multiple hospitalizations

Research article

The challenges of reshaping disease specific and care oriented community based services towards comprehensive goals: a situation appraisal in the Western Cape Province, South Africa

Research article

The integrated disease surveillance and response system in northern Ghana: challenges to the core and support functions

Research article

Assisting Australians with mental health problems and financial difficulties: a Delphi study to develop guidelines for financial counsellors, financial institution staff, mental health professionals and carers

Research article

The prevalence of self-reported underuse of medications due to cost for the elderly: results from seven European urban communities