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Willingness to Pay for Reductions in Angina Pectoris Attacks

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  • Bernt Kartman
  • Fredrik Andersson
  • Magnus Johannesson

Abstract

To compare the costs of health care programs with the benefits, the values of changes in health status must be expressed in monetary terms. The development of methods to estimate willingness to pay for changes in health status is therefore of interest. This paper reports the results of a contingent valuation study measuring willingness to pay for reductions in angina pectoris attacks. An innovative study design allowed analysis of the data on willingness to pay using two approaches, a binary question and a bid ding-game technique. Percentage reductions in anginal attacks were varied randomly in different subsamples, and data were collected about angina pectoris status, attack rate, and income to test the internal validity of the contingent valuation method. Will ingness to pay for a 50% reduction in the attack rate for three months was estimated to be about SEK 2,500 ($345) with the binary approach, and about SEK 2,100 ($290) using the bidding-game technique. Regression analyses showed that income, angina pectoris status, attack rate, and percentage reduction in attack rate were all related to willingness to pay, in agreement with the authors' hypothesis. Key words: willingness to pay; contingent valuation; angina pectoris; cost-benefit analysis. (Med Decis Mak ing 1996;16:248-253)

Suggested Citation

  • Bernt Kartman & Fredrik Andersson & Magnus Johannesson, 1996. "Willingness to Pay for Reductions in Angina Pectoris Attacks," Medical Decision Making, , vol. 16(3), pages 248-253, August.
    • Handle: RePEc:sae:medema:v:16:y:1996:i:3:p:248-253
    DOI: 10.1177/0272989X9601600309
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    References listed on IDEAS

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    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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    4. Obinna Onwujekwe, 2001. "Searching for a better willingness to pay elicitation method in rural Nigeria: the binary question with follow‐up method versus the bidding game technique," Health Economics, John Wiley & Sons, Ltd., vol. 10(2), pages 147-158, March.
    5. Zethraeus, Niklas & Johansson, Per-Olov, 1997. "Willingness to Pay for Hormone Replacement Therapy," SSE/EFI Working Paper Series in Economics and Finance 214, Stockholm School of Economics.
    6. Alan Diener & Bernie O'Brien & Amiram Gafni, 1998. "Health care contingent valuation studies: a review and classification of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 7(4), pages 313-326, June.
    7. Liu, Jin-Tan & Tsou, Meng-Wen & Hammitt, James K., 2009. "Willingness to pay for weight-control treatment," Health Policy, Elsevier, vol. 91(2), pages 211-218, July.
    8. Bernt Kartman & Nils‐Olov Stålhammar & Magnus Johannesson, 1996. "Valuation of health changes with the contingent valuation method: A test of scope and question order effects," Health Economics, John Wiley & Sons, Ltd., vol. 5(6), pages 531-541, November.
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    10. Kobelt, G., 2013. "Health Economics: An Introduction to Economic Evaluation," Monographs, Office of Health Economics, number 000004.
    11. Niklas Zethraeus, 1998. "Willingness to pay for hormone replacement therapy," Health Economics, John Wiley & Sons, Ltd., vol. 7(1), pages 31-38, February.
    12. 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.
    13. Liljas, Bengt & Blumenschein, Karen, 2000. "On hypothetical bias and calibration in cost-benefit studies," Health Policy, Elsevier, vol. 52(1), pages 53-70, May.
    14. 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.
    15. Frew, Emma J. & Wolstenholme, Jane L. & Whynes, David K., 2004. "Comparing willingness-to-pay: bidding game format versus open-ended and payment scale formats," Health Policy, Elsevier, vol. 68(3), pages 289-298, June.
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