Valuing the Benefit for Cancer Patients of Receiving Blood Transfusions at Home
In the field of health care management, contingent valuation surveys (CV) are used in cost benefit analyses (CBA) to elicit patients monetary valuation of program benefits. We considered the empirical situation of blood transfusions (BT) in cancer patients. Before planning such a CBA, we had to make sure that the CV approach could be used in a particularly critical clinical situation to estimate the marginal benefit of changing from hospital BT to home BT. The fact that the CV approach is feasible and acceptable to severely ill patients was not taken for granted a priori.We measured patients willingness-to-pay (WTP) for home BT in a sample of 139 patients who received transfusions either at home or in the hospital. After considering patients participation to the survey and protest responses, we identified possible determinants of WTP values derived from previous knowledge, then we compared their expected influences to predicted influences resulting from econometric analysis to assess the validity of our results. Participation was high (90%) and few patients gave protest responses. Most patients (65%) had received home care, including 43% BT. The median WTP for home BT was 26.5 per patient.Good consistency was observed between the expected and predicted influences of possible determinants of WTP. The anchoring bias hypothesis was confirmed. The WTP for home BT increased with previous experience of home care, age, living far from the hospital and low quality of life. Our CV approach is thus a first contribution to the debate on the appropriateness of generalizing access to home BT. However, our results would be worth confirming with a formal cost-benefit analysis.
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Volume (Year): 2 (2011)
Issue (Month): 3 (August)
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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.:
- Amemiya, Takeshi, 1984. "Tobit models: A survey," Journal of Econometrics, Elsevier, vol. 24(1-2), pages 3-61.
- Mandy Ryan, 1997. "Should government fund assisted reproductive techniques? A study using willingness to pay," Applied Economics, Taylor & Francis Journals, vol. 29(7), pages 841-849.
- Cawley, John, 2008.
"Contingent valuation analysis of willingness to pay to reduce childhood obesity,"
Economics & Human Biology,
Elsevier, vol. 6(2), pages 281-292, July.
- John Cawley, 2006. "Contingent Valuation Analysis of Willingness to Pay To Reduce Childhood Obesity," NBER Working Papers 12510, National Bureau of Economic Research, Inc.
- Kahneman, Daniel & Tversky, Amos, 1979.
"Prospect Theory: An Analysis of Decision under Risk,"
Econometric Society, vol. 47(2), pages 263-91, March.
- Amos Tversky & Daniel Kahneman, 1979. "Prospect Theory: An Analysis of Decision under Risk," Levine's Working Paper Archive 7656, David K. Levine.
- Ramsey, Scott D. & Sullivan, Sean D. & Psaty, Bruce M. & Patrick, Donald L., 1997. "Willingness to pay for antihypertensive care: Evidence from a staff-model HMO," Social Science & Medicine, Elsevier, vol. 44(12), pages 1911-1917, June.
- 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.
- Herriges, Joseph A. & Shogren, Jason F., 1996.
"Starting Point Bias in Dichotomous Choice Valuation with Follow-Up Questioning,"
Staff General Research Papers Archive
1501, Iowa State University, Department of Economics.
- Herriges, Joseph A. & Shogren, Jason F., 1996. "Starting Point Bias in Dichotomous Choice Valuation with Follow-Up Questioning," Journal of Environmental Economics and Management, Elsevier, vol. 30(1), pages 112-131, January.
- Phil Shackley & Cam Donaldson, 2000. "Willingness to pay for publicly-financed health care: how should we use the numbers?," Applied Economics, Taylor & Francis Journals, vol. 32(15), pages 2015-2021.
- Richard D. Smith, 2003. "Construction of the contingent valuation market in health care:a critical assessment," Health Economics, John Wiley & Sons, Ltd., vol. 12(8), pages 609-628.
- Minhaj Mahmud, 2006.
"Contingent Valuation of Mortality Risk Reduction in Developing Countries: A Mission Impossible?,"
Keele Economics Research Papers
KERP 2006/01, Centre for Economic Research, Keele University.
- Mahmud, Minhaj, 2005. "Contingent Valuation of Mortality Risk Reduction in Developing Countries: A Mission Impossible?," Working Papers in Economics 169, University of Gothenburg, Department of Economics.
- Cam Donaldson & Andrew Jones & Tracy Mapp & Jan Abel Olson, 1998. "Limited dependent variables in willingness to pay studies: applications in health care," Applied Economics, Taylor & Francis Journals, vol. 30(5), pages 667-677.
- Ryan, Mandy, 1998. "Valuing psychological factors in the provision of assisted reproductive techniques using the economic instrument of willingness to pay," Journal of Economic Psychology, Elsevier, vol. 19(2), pages 179-204, April.
- Donaldson, Cam, 1999. "Valuing the benefits of publicly-provided health care: does 'ability to pay' preclude the use of 'willingness to pay'?," Social Science & Medicine, Elsevier, vol. 49(4), pages 551-563, August.
- Meyerhoff, Jurgen & Liebe, Ulf, 2006. "Protest beliefs in contingent valuation: Explaining their motivation," Ecological Economics, Elsevier, vol. 57(4), pages 583-594, June.
- Johannesson, Magnus & Jonsson, Bengt & Borgquist, Lars, 1991. "Willingness to pay for antihypertensive therapy -- results of a Swedish pilot study," Journal of Health Economics, Elsevier, vol. 10(4), pages 461-473.
- Richard D. Smith, 2006. "It's not just what you do, it's the way that you do it: the effect of different payment card formats and survey administration on willingness to pay for health gain," Health Economics, John Wiley & Sons, Ltd., vol. 15(3), pages 281-293.
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