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Using contingent valuation to elicit public preferences for water fluoridation

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  • Phil Shackley
  • Simon Dixon

Abstract

The methods and results of a contingent valuation survey to elicit public preferences for water fluoridation are reported. The study demonstrates that not only is it important to acknowledge that there will be losers from the introduction of such a programme but that losers must be allowed to express a value for the magnitude of their perceived loss. Two methods of valuing this loss are explored. Conventional willingness to accept compensation questions are compared with questions in which losers are asked to state their willingness to pay to prevent their water being fluoridated. The results provide tentative support for asking willingness to pay to prevent questions instead of willingness to accept questions when evaluating certain types of public good. The issue of protest responses in contingent valuation surveys is also highlighted and discussed.

Suggested Citation

  • Phil Shackley & Simon Dixon, 2000. "Using contingent valuation to elicit public preferences for water fluoridation," Applied Economics, Taylor & Francis Journals, vol. 32(6), pages 777-787.
  • Handle: RePEc:taf:applec:v:32:y:2000:i:6:p:777-787 DOI: 10.1080/000368400322408
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    Cited by:

    1. Parkinson, Bonny & Goodall, Stephen, 2011. "Considering consumer choice in the economic evaluation of mandatory health programmes: A review," Health Policy, Elsevier, vol. 101(3), pages 236-244, August.
    2. 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.
    3. Cam Donaldson & Helen Mason & Phil Shackley, 2012. "Contingent Valuation in Health Care," Chapters,in: The Elgar Companion to Health Economics, Second Edition, chapter 40 Edward Elgar Publishing.
    4. David Cohen & Mirella F Longo & John Williams & Wai-yee Cheung & Hayley Hutchings & I.T. Russell, 2003. "Estimating the marginal value of 'better' research output: 'designed' versus 'routine' data in randomised controlled trials," Health Economics, John Wiley & Sons, Ltd., vol. 12(11), pages 959-974.
    5. Weatherly, Helen & Drummond, Michael & Claxton, Karl & Cookson, Richard & Ferguson, Brian & Godfrey, Christine & Rice, Nigel & Sculpher, Mark & Sowden, Amanda, 2009. "Methods for assessing the cost-effectiveness of public health interventions: Key challenges and recommendations," Health Policy, Elsevier, vol. 93(2-3), pages 85-92, December.
    6. Denise L. Stanley, 2005. "Local Perception of Public Goods: Recent Assessments of Willingness-to-pay for Endangered Species," Contemporary Economic Policy, Western Economic Association International, vol. 23(2), pages 165-179, April.
    7. Shackley, Phil & Donaldson, Cam, 2002. "Should we use willingness to pay to elicit community preferences for health care?: New evidence from using a 'marginal' approach," Journal of Health Economics, Elsevier, vol. 21(6), pages 971-991, November.

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