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Eliciting Preferences for Collectively Financed Health Programmes: the Willingness to Assign Approach

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  • Joan Costa Font
  • Juan Rovira Forns

    (Universitat de Barcelona)

Abstract

Improving public involvement in health system decision making stands as a primary goal in health systems reform. However, still limited evidence is found on how best to elicit preferences for health care programs. This paper examines a contingent choice technique to elicit preferences among health programs so called, willingness to assign (WTAS). Moreover, we elicited contingent rankings as well as the willingness to pay extra taxes for comparative purposes. We argue that WTAS reveals relative (monetary-based) values of a set of competing public programmes under a hypothetical healthcare budget assessment. Experimental evidence is reported from a deliberative empirical study valuing ten health programmes in the context of the Catalan Health Service. Evidence from a our experimental study reveals that preferences are internally more consistent and slightly less affected by preference reversals as compared to values revealed from the willingness to pay (WTP) extra taxes approach. Consistent with prior studies, we find that the deliberative approach helped to avoid possible misunderstandings. Interestingly, although programmes promoting health received the higher relative valuation, those promoting other health benefits also ranked highly.

Suggested Citation

  • Joan Costa Font & Juan Rovira Forns, 2004. "Eliciting Preferences for Collectively Financed Health Programmes: the Willingness to Assign Approach," Working Papers in Economics 117, Universitat de Barcelona. Espai de Recerca en Economia.
  • Handle: RePEc:bar:bedcje:2004117
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    References listed on IDEAS

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    1. Cookson, Richard & Dolan, Paul, 1999. "Public views on health care rationing: a group discussion study," Health Policy, Elsevier, vol. 49(1-2), pages 63-74, September.
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    6. 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.
    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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    9. M. Common & I. Reid & R. Blamey, 1997. "Do existence values for cost benefit analysis exist?," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 9(2), pages 225-238, March.
    10. Nord, Erik & Richardson, Jeff & Street, Andrew & Kuhse, Helga & Singer, Peter, 1995. "Maximizing health benefits vs egalitarianism: An Australian survey of health issues," Social Science & Medicine, Elsevier, vol. 41(10), pages 1429-1437, November.
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    Cited by:

    1. 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.
    2. Zigante, Valentina, 2011. "Assessing welfare effects of the European Choice Agenda: the case of health care in the United Kingdom," LSE Research Online Documents on Economics 53449, London School of Economics and Political Science, LSE Library.
    3. Valentina Zigante, 2011. "Assessing Welfare Effects of the European Choice Agenda: The case of health care in the United Kingdom," Europe in Question Discussion Paper Series of the London School of Economics (LEQs) 5, London School of Economics / European Institute.
    4. Costa -Font, Joan & Forns, Joan Rovira & Sato, Azusa, 2015. "Participatory health system priority setting: Evidence from a budget experiment," Social Science & Medicine, Elsevier, vol. 146(C), pages 182-190.
    5. Ozdemir, Semra & Johnson, F. Reed & Whittington, Dale, 2016. "Ideology, public goods and welfare valuation: An experiment on allocating government budgets," Journal of choice modelling, Elsevier, vol. 20(C), pages 61-72.
    6. Valentina Zigante, 2011. "Assessing Welfare Effects of the European Choice Agenda: The case of health care in the United Kingdom," LEQS – LSE 'Europe in Question' Discussion Paper Series 35, European Institute, LSE.
    7. Erik Nord & Jose Luis Pinto & Jeff Richardson & Paul Menzel & Peter Ubel, 1999. "Incorporating societal concerns for fairness in numerical valuations of health programmes," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 25-39.

    More about this item

    JEL classification:

    • D70 - Microeconomics - - Analysis of Collective Decision-Making - - - General
    • H43 - Public Economics - - Publicly Provided Goods - - - Project Evaluation; Social Discount Rate
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement

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