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Valuing the benefit of varicella vaccination: a comparison of willingness to pay and Quality-Adjusted Life years

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Author Info
Marc Brisson ()
John Edmunds () (Department of Economics, City University, London)
Abstract

Vaccination is different from most health interventions because it is preventative, it protects against infectious disease (leading to knock-on effects), the diseases it prevents are usually acute and self-limiting, and most vaccines are given to children from whom it is very difficult to elicit preferences. Because of its unique characteristics, vaccination may possess its own specific attributes. In this paper, we estimate the average Willingness to Pay (WTP) for varicella vaccination and the Quality-Adjusted Life-Years (QALY) lost due to chickenpox using Contingent Valuation (CV), Standard Gamble and Health Utility Index Mark II (HUI2). Furthermore, we identify what attributes of vaccination are important to vaccinees and what elicitation technique can capture these components. To do this, we administered computerised interviews to a sample of parents attending primary Health Centres. Using CV we demonstrate that individuals are willing to pay more for vaccination than treatment. Furthermore, we show that prevention of work loss is an important intervention attribute for parents. On the other hand, consistent with economic theory, the elicitation techniques used to estimate QALYs (Standard Gamble and HUI2) did not capture non-health benefits. Finally, results elicited using the CV were correlated with QALYs measured through the HUI2 questionnaire.

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Paper provided by Department of Economics, City University, London in its series City University Economics Discussion Papers with number 04/02.

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Length: 37 pages
Date of creation: Feb 2004
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Handle: RePEc:cty:dpaper:0402

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  1. Jorge E. Araña & Carmelo J. León, 2002. "Willingness to pay for health risk reduction in the context of altruism," Health Economics, John Wiley & Sons, Ltd., vol. 11(7), pages 623-635. [Downloadable!]
  2. Jan Abel Olsen, 1997. "Aiding priority setting in health care: is there a role for the contingent valuation method?," Health Economics, John Wiley & Sons, Ltd., vol. 6(6), pages 603-612.
  3. Jane Hall & Patricia Kenny & Madeleine King & Jordan Louviere & Rosalie Viney & Angela Yeoh, 2002. "Using stated preference discrete choice modelling to evaluate the introduction of varicella vaccination," Health Economics, John Wiley & Sons, Ltd., vol. 11(5), pages 457-465. [Downloadable!]
  4. Johannesson, Magnus & Johansson, Per-Olov & Kristrom, Bengt & Gerdtham, Ulf-G., 1993. "Willingness to pay for antihypertensive therapy -- further results," Journal of Health Economics, Elsevier, vol. 12(1), pages 95-108, April. [Downloadable!] (restricted)
  5. G. Ardine De Wit & Jan J.V. Busschbach & Frank Th. De Charro, 2000. "Sensitivity and perspective in the valuation of health status: whose values count?," Health Economics, John Wiley & Sons, Ltd., vol. 9(2), pages 109-126.
  6. Torrance, George W., 1986. "Measurement of health state utilities for economic appraisal : A review," Journal of Health Economics, Elsevier, vol. 5(1), pages 1-30, March. [Downloadable!] (restricted)
  7. Rowe, Robert D. & D'Arge, Ralph C. & Brookshire, David S., 1980. "An experiment on the economic value of visibility," Journal of Environmental Economics and Management, Elsevier, vol. 7(1), pages 1-19, March. [Downloadable!] (restricted)
  8. Streefland, Pieter H., 2001. "Public doubts about vaccination safety and resistance against vaccination," Health Policy, Elsevier, vol. 55(3), pages 159-172, March. [Downloadable!] (restricted)
  9. Labelle, Roberta J. & Hurley, Jeremiah E., 1992. "Implications of basing health-care resource allocations on cost-utility analysis in the presence of externalities," Journal of Health Economics, Elsevier, vol. 11(3), pages 259-277, October. [Downloadable!] (restricted)
  10. Jan Abel Olsen & Richard D. Smith, 2001. "Theory versus practice: a review of 'willingness-to-pay' in health and health care," Health Economics, John Wiley & Sons, Ltd., vol. 10(1), pages 39-52.
  11. Stavros Petrou, 2003. "Methodological issues raised by preference-based approaches to measuring the health status of children," Health Economics, John Wiley & Sons, Ltd., vol. 12(8), pages 697-702. [Downloadable!]
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