Pecuniary compensation increases participation in screening for colorectal cancer
AbstractThe participation rate in medical screening programmes is typically below 100%, which means that not all potential health benefits are fully exploited. In this paper, the prospect of pecuniary compensation is tested as a method of increasing the participation rate. We propose a model explaining the individual's probability of participating in screening for colorectal cancer when he is offered pecuniary compensation, given that he did not participate when first invited. The participant's decision is based on both known and uncertain factors. The estimation is conducted in two steps, where a binary probit model is used in each. We find that pecuniary compensation increases the probability of participation, and that an individual's participation probability systematically varies with variables such as travel expenses, income, age, education level, expected benefit from the screening, use of health-care services, genetic predisposition and subjective health status. Using the results from the estimation, we predict changes in the participation rate for different levels of compensation and estimate the cost per additional individual screened. The cost per additional individual screened is 808, including 25 in compensation; this cost increases with the level of compensation. Copyright © 2008 John Wiley & Sons, Ltd.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by John Wiley & Sons, Ltd. in its journal Health Economics.
Volume (Year): 18 (2009)
Issue (Month): 3 ()
Contact details of provider:
Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Seip, K. & Strand, J., 1990.
"Willingness To Pay For Environmental Goods In Norway: A Contingent Valuation Study With Real Payment,"
12/1990, Oslo University, Department of Economics.
- Kalle Seip & Jon Strand, 1992. "Willingness to pay for environmental goods in Norway: A contingent valuation study with real payment," Environmental & Resource Economics, European Association of Environmental and Resource Economists, vol. 2(1), pages 91-106, January.
- Antonio Giuffrida & Hugh Gravelle, 1998. "Paying patients to comply: an economic analysis," Health Economics, John Wiley & Sons, Ltd., vol. 7(7), pages 569-579.
- Dorte Gyrd-Hansen & Jes S�ggard & Ole Kronborg, 1998. "Colorectal cancer screening: efficiency and effectiveness," Health Economics, John Wiley & Sons, Ltd., vol. 7(1), pages 9-20.
- Pauly, Mark V. & Held, Philip J, 1990. "Benign moral hazard and the cost-effectiveness analysis of insurance coverage," Journal of Health Economics, Elsevier, vol. 9(4), pages 447-461, December.
- Jon Strand, 2007.
"Public-good valuation and intra-family allocation,"
Environmental & Resource Economics,
European Association of Environmental and Resource Economists, vol. 38(4), pages 527-543, December.
- Strand, Jon, 2009. "Public-good valuation and intrafamily allocation," HERO On line Working Paper Series 2003:20, Oslo University, Health Economics Research Programme.
- Jon Strand, 2004. "Public-Good Valuation and Intrafamily Allocation," CESifo Working Paper Series 1351, CESifo Group Munich.
- Strand, Jon, 2003. "Public-good valuation and intrafamily allocation," Memorandum 28/2002, Oslo University, Department of Economics.
- Célia Berchi & Jean-Marc Dupuis & Guy Launoy, 2006. "The reasons of general practitioners for promoting colorectal cancer mass screening in France," The European Journal of Health Economics, Springer, vol. 7(2), pages 91-98, June.
- Dorte Gyrd-Hansen & Jes S�gaard, 2001. "Analysing public preferences for cancer screening programmes," Health Economics, John Wiley & Sons, Ltd., vol. 10(7), pages 617-634.
- Newhouse, Joseph P., 2006. "Reconsidering the moral hazard-risk avoidance tradeoff," Journal of Health Economics, Elsevier, vol. 25(5), pages 1005-1014, September.
- Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
- Byrne, Margaret M. & Thompson, Peter, 2001. "Screening and preventable illness," Journal of Health Economics, Elsevier, vol. 20(6), pages 1077-1088, November.
- Walker, Andrew & Whynes, David K., 1991. "Participation and screening programmes for colorectal cancer: More would be better?," Journal of Health Economics, Elsevier, vol. 10(2), pages 207-225, July.
- Hackl, Franz & Halla, Martin & Hummer, Michael & Pruckner, Gerald J., 2012.
"The Effectiveness of Health Screening,"
IZA Discussion Papers
6310, Institute for the Study of Labor (IZA).
- Franz Hackl & Martin Halla & Michael Hummer & Gerald J. Pruckner, 2012. "The Effectiveness of Health Screening," NRN working papers 2012-01, The Austrian Center for Labor Economics and the Analysis of the Welfare State, Johannes Kepler University Linz, Austria.
- Franz Hackl & Martin Halla & Michael Hummer & Gerald J. Pruckner, 2012. "The Effectiveness of Health Screening," Economics working papers 2012-01, Department of Economics, Johannes Kepler University Linz, Austria.
- You, Kai, 2011. "Education, risk perceptions, and health behaviors," MPRA Paper 35535, University Library of Munich, Germany.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Wiley-Blackwell Digital Licensing) or (Christopher F. Baum).
If references are entirely missing, you can add them using this form.