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Willingness and ability of Bulgarian consumers to pay for improved public health care services

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  • Milena Pavlova
  • Wim Groot
  • Godefridus Van Merode

Abstract

An application of the contingent valuation method to the willingness and ability of Bulgarian consumers to pay for public health care services is presented. The study uses data from a household survey conducted in May-June 2000. The willingness and ability to pay for outpatient, inpatient and dental services is investigated. A combination of interval checklist and open-ended questions are used to elicit the willingness-to-pay amounts. The impact of the sociodemographic characteristics on the responses is examined by a generalized Tobit regression. Based on the regression equation, the welfare effects of various fee levels are simulated.

Suggested Citation

  • Milena Pavlova & Wim Groot & Godefridus Van Merode, 2004. "Willingness and ability of Bulgarian consumers to pay for improved public health care services," Applied Economics, Taylor & Francis Journals, vol. 36(10), pages 1117-1130.
    • Handle: RePEc:taf:applec:v:36:y:2004:i:10:p:1117-1130
    DOI: 10.1080/0003684042000246821
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    References listed on IDEAS

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    1. Alan Diener & Bernie O'Brien & Amiram Gafni, 1998. "Health care contingent valuation studies: a review and classification of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 7(4), pages 313-326, June.
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    3. Delcheva, Evgenia & Balabanova, Dina & McKee, Martin, 1997. "Under-the-counter payments for health care: Evidence from Bulgaria," Health Policy, Elsevier, vol. 42(2), pages 89-100, November.
    4. 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, January.
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    Cited by:

    1. 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.
    2. Tiziana Cuccia & Roberto Cellini, 2007. "Is cultural heritage really important for tourists? A contingent rating study," Applied Economics, Taylor & Francis Journals, vol. 39(2), pages 261-271.
    3. Cuccia Tiziana, 2008. "A contingent ranking study on the preferences of tourists across seasons," EBLA Working Papers 200802, University of Turin.
    4. Atanasova, Elka & Pavlova, Milena & Velickovski, Robert & Nikov, Bogomil & Moutafova, Emanuela & Groot, Wim, 2011. "What have 10 years of health insurance reforms brought about in Bulgaria? Re-appraising the Health Insurance Act of 1998," Health Policy, Elsevier, vol. 102(2), pages 263-269.
    5. Milena Pavlova & Wim Groot & Godefridus Merode, 2005. "An Application of Rating Conjoint Analysis to Study the Importance of Quality-, Access- and Price-attributes to Health Care Consumers," Economic Change and Restructuring, Springer, vol. 37(3), pages 267-286, September.
    6. Pedram Sendi & Arta Ramadani & Michael M. Bornstein, 2021. "Prevalence of Missing Values and Protest Zeros in Contingent Valuation in Dental Medicine," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    7. Kaisa Kotakorpi & Jani‐Petri Laamanen, 2010. "Welfare State and Life Satisfaction: Evidence from Public Health Care," Economica, London School of Economics and Political Science, vol. 77(307), pages 565-583, July.
    8. Nieboer, Anna P. & Koolman, Xander & Stolk, Elly A., 2010. "Preferences for long-term care services: Willingness to pay estimates derived from a discrete choice experiment," Social Science & Medicine, Elsevier, vol. 70(9), pages 1317-1325, May.
    9. Andriy Danyliv & Milena Pavlova & Irena Gryga & Wim Groot, 2015. "Preferences for physician services in Ukraine: a discrete choice experiment," International Journal of Health Planning and Management, Wiley Blackwell, vol. 30(4), pages 346-365, October.
    10. Rinaldo Brau & Matteo Lippi Bruni & Anna Maria Pinna, 2010. "Public versus private demand for covering long-term care expenditures," Applied Economics, Taylor & Francis Journals, vol. 42(28), pages 3651-3668.
    11. Tambor, Marzena & Pavlova, Milena & Rechel, Bernd & Golinowska, Stanisława & Sowada, Christoph & Groot, Wim, 2014. "Willingness to pay for publicly financed health care services in Central and Eastern Europe: Evidence from six countries based on a contingent valuation method," Social Science & Medicine, Elsevier, vol. 116(C), pages 193-201.
    12. Mahmoud K. El-Jafari, 2013. "Palestinian Household Willingness and Ability to Pay for Public Utilities in The West Bank: The Case of Electricity and Water," Working Papers 784, Economic Research Forum, revised Oct 2013.
    13. Muhammed Nazmul Islam & Atonu Rabbani & Malabika Sarker, 2019. "Health shock and preference instability: assessing health-state dependency of willingness-to-pay for corrective eyeglasses," Health Economics Review, Springer, vol. 9(1), pages 1-14, December.
    14. Caroline Steigenberger & Magdalena Flatscher-Thoeni & Uwe Siebert & Andrea M. Leiter, 2022. "Determinants of willingness to pay for health services: a systematic review of contingent valuation studies," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(9), pages 1455-1482, December.

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