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Measuring Heart Patients' Willingness to Pay for Changes in Angina Symptoms

Author

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  • Lauraine G. Chestnut
  • L. Robin Keller
  • William E. Lambert
  • Robert D. Rowe

Abstract

Willingness-to-pay (WTP) measures of the effects of changes in health on a person's welfare are more comprehensive than traditional cost-of-illness (COI) measures, but they are some times difficult to obtain. The authors investigated two approaches for measuring heart pa tients' WTP for changes in their angina symptoms. First, actual expenditures and perceived angina episodes avoided were used to infer an averting-behavior measurement of WTP. Second, a contingent-valuation approach was used to ask direct WTP questions regarding a hypothetical medical treatment that could be purchased to avoid additional angina episodes. The results indicated that although negligible COI changes were expected with small changes in angina frequency, the subjects had significant WTP to avoid increases in angina. The average WTP to avoid additional angina episodes revealed by the averting-behavior ques tions was comparable to the directly-elicited WTP, providing a test of the validity of the contingent-valuation approach. Key words: willingness to pay; contingent valuation; cost of illness; cost-benefit analysis; averting behavior; angina symptoms, welfare effects. (Med Decis Making 1996;16:65-77)

Suggested Citation

  • Lauraine G. Chestnut & L. Robin Keller & William E. Lambert & Robert D. Rowe, 1996. "Measuring Heart Patients' Willingness to Pay for Changes in Angina Symptoms," Medical Decision Making, , vol. 16(1), pages 65-76, February.
    • Handle: RePEc:sae:medema:v:16:y:1996:i:1:p:65-76
    DOI: 10.1177/0272989X9601600115
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    References listed on IDEAS

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    1. Johannesson, Magnus & Jonsson, Bengt & Borgquist, Lars, 1991. "Willingness to pay for antihypertensive therapy -- results of a Swedish pilot study," Journal of Health Economics, Elsevier, vol. 10(4), pages 461-473.
    2. Elise H. Golan & Mordechai Shechter, 1993. "Contingent Valuation of Supplemental Health Care in Israel," Medical Decision Making, , vol. 13(4), pages 302-310, December.
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    1. Dr Clevo I. Wilson, 1999. "A WTP Model Showing the Relationships Between Three Approaches For Pollution," Discussion Papers Series 268, School of Economics, University of Queensland, Australia.
    2. Xiao-Hua Ying & Teh-Wei Hu & Jane Ren & Wen Chen & Ke Xu & Jin-Hui Huang, 2007. "Demand for private health insurance in Chinese urban areas," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1041-1050.
    3. Kangethe, Anne & Franic, Duska M. & Corso, Phaedra S., 2016. "Comparing the validity of the payment card and structured haggling willingness to pay methods: The case of a diabetes prevention program in rural Kenya," Social Science & Medicine, Elsevier, vol. 169(C), pages 86-96.
    4. Wagner, Todd H. & Hu, Teh-wei & Duenas, Grace V. & Pasick, Rena J., 2000. "Willingness to pay for mammography: item development and testing among five ethnic groups," Health Policy, Elsevier, vol. 53(2), pages 105-121, September.
    5. Olsen, Jan Abel & Donaldson, Cam & Pereira, Joao, 2004. "The insensitivity of 'willingness-to-pay' to the size of the good: New evidence for health care," Journal of Economic Psychology, Elsevier, vol. 25(4), pages 445-460, August.
    6. Tilling, C & Krol, M & Tsuchiya, A & Brazier, J & van Exel, J & Brouwer, W, 2009. "Measuring the value of life: exploring a new method for deriving the monetary value of a QALY," MPRA Paper 29911, University Library of Munich, Germany.
    7. Dr Clevo I. Wilson, 1999. "Pesticide Avoidance: Results From a Sri Lankan Study with Health and Environmental Policy Implications," Discussion Papers Series 264, School of Economics, University of Queensland, Australia.
    8. George L. Van Houtven & Subhrendu K. Pattanayak & V. Kerry Smith, 2004. "Benefit Transfer Functions for Avoided Morbidity: A Preference Calibration Approach," NCEE Working Paper Series 200404, National Center for Environmental Economics, U.S. Environmental Protection Agency, revised Apr 2004.
    9. Hengjin Dong & Bocar Kouyate & John Cairns & Frederick Mugisha & Rainer Sauerborn, 2003. "Willingness‐to‐pay for community‐based insurance in Burkina Faso," Health Economics, John Wiley & Sons, Ltd., vol. 12(10), pages 849-862, October.
    10. Ozdamar, Oznur & Giovanis, Eleftherios, 2014. "Valuing the Effects of Air and Noise Pollution on Health Status in Turkey," MPRA Paper 59992, University Library of Munich, Germany.
    11. Galina Williams, 2015. "Households Willingness to Pay for the Emissions Reduction Policy, Queensland, Australia," SAGE Open, , vol. 5(3), pages 21582440156, September.
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    13. Xiao‐Hua Ying & Teh‐Wei Hu & Jane Ren & Wen Chen & Ke Xu & Jin‐Hui Huang, 2007. "Demand for private health insurance in Chinese urban areas," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1041-1050, October.
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