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Published in: Health Economics Review 1/2017

Open Access 01-12-2017 | Research

Identification determinant factors on willingness to pay for health services in Iran

Authors: Javad Javan-Noughabi, Zahra Kavosi, Ahmad Faramarzi, Mohammad Khammarnia

Published in: Health Economics Review | Issue 1/2017

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Abstract

Background

A common method used to examine the relationship between internal preferences and caring externalities is willingness to pay (WTP) approach. We aimed to estimate WTP for health status with different severity level and identify determinant factors on WTP.

Methods

For determining main factors in WTP, a cross-sectional study was conducted in Shiraz in the southeast of Iran, in March to April 2015. The open-ended method was used to estimate monthly WTP in private and altruistic section. Multivariate regression analyses using ordinary least squares were applied to examine the effect of Scio–demographic factors on WTP using SPSS software 21.

Results

Participants were willing to pay an average amount of $ 295 in health status 1 and an average amount of $ 596 in health status 6 (worst status) for internal preferences. Altruistic WTP for health status 1 was $ 294 and participants were willing to pay an average amount of $ 416 in health status 6. Multiple regression analysis identified monthly income as the key determinant of WTP for internal preferences and caring externalities (P < 0.01). With an increase of 1% in income, private WTP increase 1.38% in health status 1.

Conclusions

The finding indicates that the mean of WTP increases at severe health status; therefore, health policy maker should allocate resources toward severe health status.
Literature
1.
go back to reference Wong LY. Development of a holistic internet marketing strategy framework (IMSF) in promoting medical tourism industry (MTI) in Malaysia: Universiti Tun Hussein Onn Malaysia; 2016. Wong LY. Development of a holistic internet marketing strategy framework (IMSF) in promoting medical tourism industry (MTI) in Malaysia: Universiti Tun Hussein Onn Malaysia; 2016.
2.
go back to reference Durham J, Blondell SJ. Research protocol: a realist synthesis of cross-border patient mobility from low-income and middle-income countries. BMJ Open. 2014;4(11):e006514.CrossRefPubMedPubMedCentral Durham J, Blondell SJ. Research protocol: a realist synthesis of cross-border patient mobility from low-income and middle-income countries. BMJ Open. 2014;4(11):e006514.CrossRefPubMedPubMedCentral
3.
go back to reference Culyer AJ, Newhouse JP. Handbook of health economics: Elsevier; 2000. Culyer AJ, Newhouse JP. Handbook of health economics: Elsevier; 2000.
4.
go back to reference Briggs A. Sugar tax could sweeten a market failure: Britain has announced a tax on sugary drinks. Countries should go further and target foods that have large carbon footprints, says Adam Briggs. Nature. 2016;531(7596):551–2.CrossRefPubMed Briggs A. Sugar tax could sweeten a market failure: Britain has announced a tax on sugary drinks. Countries should go further and target foods that have large carbon footprints, says Adam Briggs. Nature. 2016;531(7596):551–2.CrossRefPubMed
5.
go back to reference Campbell RL. Reply to Robert H. Bass," egoism versus rights"(spring 2006): altruism in Auguste Comte and Ayn Rand. The Journal of Ayn Rand Studies. 2006;7(2):357–69. Campbell RL. Reply to Robert H. Bass," egoism versus rights"(spring 2006): altruism in Auguste Comte and Ayn Rand. The Journal of Ayn Rand Studies. 2006;7(2):357–69.
6.
go back to reference Mbachu C, Okoli C, Onwujekwe O, Enabulele F. Willingness to pay for antiretroviral drugs among HIV and AIDS clients in south-east Nigeria. Health Expect. 2017;00:1-9. doi:org/10.1111/hex.12612 Mbachu C, Okoli C, Onwujekwe O, Enabulele F. Willingness to pay for antiretroviral drugs among HIV and AIDS clients in south-east Nigeria. Health Expect. 2017;00:1-9. doi:org/10.​1111/​hex.​12612
7.
go back to reference Wang R, Liaukonyte J, Kaiser HM. Does advertising content matter? Impacts of healthy eating and anti-obesity advertising on willingness-to-pay by consumer body mass index. J Agric Resour Econ. 2015;8:1–41. Wang R, Liaukonyte J, Kaiser HM. Does advertising content matter? Impacts of healthy eating and anti-obesity advertising on willingness-to-pay by consumer body mass index. J Agric Resour Econ. 2015;8:1–41.
8.
go back to reference Green CH, Tunstall SM. The evaluation of river water quality improvements by the contingent valuation method. Appl Econ. 1991;23(7):1135–46.CrossRef Green CH, Tunstall SM. The evaluation of river water quality improvements by the contingent valuation method. Appl Econ. 1991;23(7):1135–46.CrossRef
9.
go back to reference Yu X, Gao Z, Zeng Y. Willingness to pay for the “green food” in China. Food Policy. 2014;45:80–7.CrossRef Yu X, Gao Z, Zeng Y. Willingness to pay for the “green food” in China. Food Policy. 2014;45:80–7.CrossRef
10.
go back to reference Dror DM, Radermacher R, Koren R. Willingness to pay for health insurance among rural and poor persons: field evidence from seven micro health insurance units in India. Health policy. 2007;82(1):12–27.CrossRefPubMed Dror DM, Radermacher R, Koren R. Willingness to pay for health insurance among rural and poor persons: field evidence from seven micro health insurance units in India. Health policy. 2007;82(1):12–27.CrossRefPubMed
11.
go back to reference Basu R. Willingness-to-pay to prevent Alzheimer’s disease: a contingent valuation approach. Int J Health Care Finance Econ. 2013;13(3–4):233–45.CrossRefPubMed Basu R. Willingness-to-pay to prevent Alzheimer’s disease: a contingent valuation approach. Int J Health Care Finance Econ. 2013;13(3–4):233–45.CrossRefPubMed
12.
go back to reference Damschroder LJ, Ubel PA, Riis J, Smith DM. An alternative approach for eliciting willingness-to-pay: a randomized internet trial. Judgm Decis Mak. 2007;2(2):96. Damschroder LJ, Ubel PA, Riis J, Smith DM. An alternative approach for eliciting willingness-to-pay: a randomized internet trial. Judgm Decis Mak. 2007;2(2):96.
13.
go back to reference Shi L, Gao Z, Chen X. The cross-price effect on willingness-to-pay estimates in open-ended contingent valuation. Food Policy. 2014;46:13–21.CrossRef Shi L, Gao Z, Chen X. The cross-price effect on willingness-to-pay estimates in open-ended contingent valuation. Food Policy. 2014;46:13–21.CrossRef
14.
go back to reference Tussupova K, Berndtsson R, Bramryd T, Beisenova R. Investigating willingness to pay to improve water supply services: application of contingent valuation method. Water. 2015;7(6):3024–39.CrossRef Tussupova K, Berndtsson R, Bramryd T, Beisenova R. Investigating willingness to pay to improve water supply services: application of contingent valuation method. Water. 2015;7(6):3024–39.CrossRef
15.
go back to reference Sousa N, Costa T, Monteiro-Soares M, Rocha Gonçalves F, Azevedo LF. Bias in valuation of health care benefits in metastatic prostate cancer: a contingent valuation of willingness to pay. ASCO Annual Meeting. 2017. Sousa N, Costa T, Monteiro-Soares M, Rocha Gonçalves F, Azevedo LF. Bias in valuation of health care benefits in metastatic prostate cancer: a contingent valuation of willingness to pay. ASCO Annual Meeting. 2017.
16.
go back to reference Botelho A, Pinto LC. Hypothetical, real, and predicted real willingness to pay in open-ended surveys: experimental results. Appl Econ Lett. 2002;9(15):993–6.CrossRef Botelho A, Pinto LC. Hypothetical, real, and predicted real willingness to pay in open-ended surveys: experimental results. Appl Econ Lett. 2002;9(15):993–6.CrossRef
17.
go back to reference Veisten K. Willingness to pay for eco-labelled wood furniture: choice-based conjoint analysis versus open-ended contingent valuation. J For Econ. 2007;13(1):29–48.CrossRef Veisten K. Willingness to pay for eco-labelled wood furniture: choice-based conjoint analysis versus open-ended contingent valuation. J For Econ. 2007;13(1):29–48.CrossRef
18.
go back to reference Frew EJ, Wolstenholme JL, Whynes DK. Comparing willingness-to-pay: bidding game format versus open-ended and payment scale formats. Health Policy. 2004;68(3):289–98.CrossRefPubMed Frew EJ, Wolstenholme JL, Whynes DK. Comparing willingness-to-pay: bidding game format versus open-ended and payment scale formats. Health Policy. 2004;68(3):289–98.CrossRefPubMed
19.
go back to reference Lin P-J, Yeh W-S, Neumann PJ. Willingness to pay for a newborn screening test for spinal muscular atrophy. Pediatr Neurol. 2017;66:69–75.CrossRefPubMed Lin P-J, Yeh W-S, Neumann PJ. Willingness to pay for a newborn screening test for spinal muscular atrophy. Pediatr Neurol. 2017;66:69–75.CrossRefPubMed
20.
go back to reference Asadi H, Garavand A, Khammarnia M, Abdollahi MB. TheThe sources of work stress among nurses in private hospitals in shiraz, 2016 sources of work stress among nurses in private hospitals in shiraz, 2016. Journal of Health Management and Informatics. 2017;4(3):71–5. Asadi H, Garavand A, Khammarnia M, Abdollahi MB. TheThe sources of work stress among nurses in private hospitals in shiraz, 2016 sources of work stress among nurses in private hospitals in shiraz, 2016. Journal of Health Management and Informatics. 2017;4(3):71–5.
21.
22.
go back to reference Nord E. The trade-off between severity of illness and treatment effect in cost-value analysis of health care. Health Policy. 1993;24(3):227–38.CrossRefPubMed Nord E. The trade-off between severity of illness and treatment effect in cost-value analysis of health care. Health Policy. 1993;24(3):227–38.CrossRefPubMed
23.
go back to reference Breidert C, Hahsler M, Reutterer T. A review of methods for measuring willingness-to-pay. Innovative Marketing. 2006;2(4):8–32. Breidert C, Hahsler M, Reutterer T. A review of methods for measuring willingness-to-pay. Innovative Marketing. 2006;2(4):8–32.
24.
go back to reference Florax RJ, Travisi CM, Nijkamp P. A meta-analysis of the willingness to pay for reductions in pesticide risk exposure. Eur Rev Agric Econ. 2005;32(4):441–67.CrossRef Florax RJ, Travisi CM, Nijkamp P. A meta-analysis of the willingness to pay for reductions in pesticide risk exposure. Eur Rev Agric Econ. 2005;32(4):441–67.CrossRef
25.
go back to reference Asenso-Okyere WK, Osei-Akoto I, Anum A, Appiah EN. Willingness to pay for health insurance in a developing economy. A pilot study of the informal sector of Ghana using contingent valuation. Health policy. 1997;42(3):223–37.CrossRefPubMed Asenso-Okyere WK, Osei-Akoto I, Anum A, Appiah EN. Willingness to pay for health insurance in a developing economy. A pilot study of the informal sector of Ghana using contingent valuation. Health policy. 1997;42(3):223–37.CrossRefPubMed
26.
go back to reference Bärnighausen T, Liu Y, Zhang X, Sauerborn R. Willingness to pay for social health insurance among informal sector workers in Wuhan, China: a contingent valuation study. BMC Health Serv Res. 2007;7(1):1.CrossRef Bärnighausen T, Liu Y, Zhang X, Sauerborn R. Willingness to pay for social health insurance among informal sector workers in Wuhan, China: a contingent valuation study. BMC Health Serv Res. 2007;7(1):1.CrossRef
27.
go back to reference Jacobsson F, Carstensen J, Borgquist L. Caring externalities in health economic evaluation: how are they related to severity of illness? Health Policy. 2005;73(2):172–82.CrossRefPubMed Jacobsson F, Carstensen J, Borgquist L. Caring externalities in health economic evaluation: how are they related to severity of illness? Health Policy. 2005;73(2):172–82.CrossRefPubMed
28.
go back to reference Gustafsson-Wright E, Asfaw A, van der Gaag J. Willingness to pay for health insurance: an analysis of the potential market for new low-cost health insurance products in Namibia. Soc Sci Med. 2009;69(9):1351–9.CrossRefPubMed Gustafsson-Wright E, Asfaw A, van der Gaag J. Willingness to pay for health insurance: an analysis of the potential market for new low-cost health insurance products in Namibia. Soc Sci Med. 2009;69(9):1351–9.CrossRefPubMed
29.
go back to reference Bustamante AV, Ojeda G, Castañeda X. Willingness to pay for cross-border health insurance between the United States and Mexico. Health Aff. 2008;27(1):169–78.CrossRef Bustamante AV, Ojeda G, Castañeda X. Willingness to pay for cross-border health insurance between the United States and Mexico. Health Aff. 2008;27(1):169–78.CrossRef
30.
go back to reference Hirth RA, Chernew ME, Miller E, Fendrick AM, Weissert WG. Willingness to pay for a quality-adjusted life year in search of a standard. Med Decis Mak. 2000;20(3):332–42.CrossRef Hirth RA, Chernew ME, Miller E, Fendrick AM, Weissert WG. Willingness to pay for a quality-adjusted life year in search of a standard. Med Decis Mak. 2000;20(3):332–42.CrossRef
31.
go back to reference Brouwer WB, Niessen LW, Postma MJ, Rutten FF. Need for differential discounting of costs and health effects in cost effectiveness analyses. BMJ. 2005;331(7514):446–8.CrossRefPubMedPubMedCentral Brouwer WB, Niessen LW, Postma MJ, Rutten FF. Need for differential discounting of costs and health effects in cost effectiveness analyses. BMJ. 2005;331(7514):446–8.CrossRefPubMedPubMedCentral
32.
go back to reference Ahmed S, Hoque ME, Sarker AR, Sultana M, Islam Z, Gazi R, et al. Willingness-to-pay for community-based health insurance among informal Workers in Urban Bangladesh. PLoS One. 2016;11(2):e0148211.CrossRefPubMedPubMedCentral Ahmed S, Hoque ME, Sarker AR, Sultana M, Islam Z, Gazi R, et al. Willingness-to-pay for community-based health insurance among informal Workers in Urban Bangladesh. PLoS One. 2016;11(2):e0148211.CrossRefPubMedPubMedCentral
33.
go back to reference Krupnick A, Alberini A, Cropper M, Simon N, O'Brien B, Goeree R, et al. Age, health and the willingness to pay for mortality risk reductions: a contingent valuation survey of Ontario residents. J Risk Uncertain. 2002;24(2):161–86.CrossRef Krupnick A, Alberini A, Cropper M, Simon N, O'Brien B, Goeree R, et al. Age, health and the willingness to pay for mortality risk reductions: a contingent valuation survey of Ontario residents. J Risk Uncertain. 2002;24(2):161–86.CrossRef
Metadata
Title
Identification determinant factors on willingness to pay for health services in Iran
Authors
Javad Javan-Noughabi
Zahra Kavosi
Ahmad Faramarzi
Mohammad Khammarnia
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
Health Economics Review / Issue 1/2017
Electronic ISSN: 2191-1991
DOI
https://doi.org/10.1186/s13561-017-0179-x

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