Eliciting Preferences for Collectively Financed Health Programmes: the Willingness to Assign Approach
AbstractImproving public involvement in health system decision making stands as a primary goal in health systems reform. However, still limited evidence is found on how best to elicit preferences for health care programs. This paper examines a contingent choice technique to elicit preferences among health programs so called, willingness to assign (WTAS). Moreover, we elicited contingent rankings as well as the willingness to pay extra taxes for comparative purposes. We argue that WTAS reveals relative (monetary-based) values of a set of competing public programmes under a hypothetical healthcare budget assessment. Experimental evidence is reported from a deliberative empirical study valuing ten health programmes in the context of the Catalan Health Service. Evidence from a our experimental study reveals that preferences are internally more consistent and slightly less affected by preference reversals as compared to values revealed from the willingness to pay (WTP) extra taxes approach. Consistent with prior studies, we find that the deliberative approach helped to avoid possible misunderstandings. Interestingly, although programmes promoting health received the higher relative valuation, those promoting other health benefits also ranked highly.
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Bibliographic InfoPaper provided by Universitat de Barcelona. Espai de Recerca en Economia in its series Working Papers in Economics with number 117.
Length: 24 pages
Date of creation: 2004
Date of revision:
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Postal: Espai de Recerca en Economia, Facultat de CiÃ¨ncies EconÃ²miques. Tinent Coronel Valenzuela, Num 1-11 08034 Barcelona. Spain.
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Other versions of this item:
- Joan Costa-Font & Joan Rovira, 2005. "Eliciting preferences for collectively financed health programmes: the 'willingness to assign' approach," Applied Economics, Taylor & Francis Journals, vol. 37(14), pages 1571-1583.
- D70 - Microeconomics - - Analysis of Collective Decision-Making - - - General
- H43 - Public Economics - - Publicly Provided Goods - - - Project Evaluation; Social Discount Rate
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
This paper has been announced in the following NEP Reports:
- NEP-ALL-2004-07-04 (All new papers)
- NEP-DCM-2004-07-04 (Discrete Choice Models)
- NEP-EDU-2004-07-04 (Education)
- NEP-EXP-2004-07-04 (Experimental Economics)
- NEP-HEA-2004-07-04 (Health Economics)
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.:
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