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Using Respondents’ Uncertainty Scores to Mitigate Hypothetical Bias in Community-Based Health Insurance Studies

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  • Hermann Pythagore Pierre Donfouet

    (CREM, UMR 6211, University of Rennes I, France)

  • Pierre-Alexandre Mahieu

    (LEMNA, University of Nantes, France)

  • Eric Malin

    (CREM, UMR CNRS 6211, University of Rennes I, France)

Abstract

Community-based health insurance has been implemented in several developing countries to help the poor to gain access to adequate health care services. Assessing what the poor are willing to pay is of paramount importance for policy-making. The contingent valuation method, which relies on a hypothetical market, is commonly used for this purpose. But the presence of the hypothetical bias which is most often inherent in this method tends to bias the estimates upward, and compromises policy-making. This paper uses respondents’ uncertainty scores in an attempt to mitigate hypothetical bias in community-based health insurance in one rural setting in Cameroon. Uncertainty scores are often employed in single dichotomous choice surveys. An originality of the paper is to use such an approach in a double-bounded dichotomous choice survey. The results suggest that this instrument is effective at decreasing the mean WTP.

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Bibliographic Info

Paper provided by Center for Research in Economics and Management (CREM), University of Rennes 1, University of Caen and CNRS in its series Economics Working Paper Archive (University of Rennes 1 & University of Caen) with number 201129.

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Date of creation: Oct 2011
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Handle: RePEc:tut:cremwp:201129

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Keywords: Community-based health insurance; contingent valuation method; hypothetical bias;

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References

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