Nocera S, Telser H, Bonato D. The contingent valuation method in health care. However, a patient might value improvements in attribute over another depending upon how well the service is appreciated compared to the other attribute/s. California Privacy Statement, The results from the seven Tobit regressions as outlined in Table 6 suggest the existence of a strong and highly significant association between stated WTP values and improvements in the seven different quality attributes. 0000001636 00000 n 0000015857 00000 n Finally, in marginal effects for drug availability, results suggest that the probability that patients were willing to pay in order to be “none” and “some” were respectively 21% and 6%. The marginal effects are presented in Table 7 [20]. Tobit regression analysis assumes that the dependent variable has a number of its values clustered at a limiting value, usually zero. 0000101860 00000 n After controlling for other variables, the significant correlates of the WTP rate were found to be: (1) gender of the head of household (men were more willing to pay than women), (2) age of the head of household (WTP rate was lowest among the oldest age groups), (3) … volume 15, Article number: 43 (2015) In some cases, there is a lack of availability of essential drugs due to fluctuating production levels or prohibitive cost. 0`�M��ڦ�4V؀A��'�DD��: �geMj�}v�G�_N狼P����/r'����<=ʯ�R�Q�Z�$��ɴ���T�JM�2�]��04��v�$��oW+Zt�7$�o7镰��z���~��㮦`�ޮ������x��Pu��ڶ�.ٔ� �+ߒn��Y�]_���Hv�6ۮZ�SA��|^ja��A�X�%���B(i~QE ���m���Rc^VH��N� D��ȍ�7.��Ǽ��;뗾@�]P3�K���J ��T�!�������� �����Yr�^8�nD>��Q(^.�W�f$�,z��� )�}]l�c��ԕ/̝���R����I� ���o�4� ���� >+�(� Patients were willing to pay most for the three quality attributes “DPR”, “drug availability” and RECVSC. Majumder MA. Cookies policy. 0000065104 00000 n Females expressed negative willing to pay for the Staff Attitude (−0.10 BDT), see the same health professional (−1.44 BDT), Doctor-Patient Relationship (−8.39 BDT) and Chance of Recovery (−17.64 BDT; significant at 5% level). It can be argued that, those who “often” meet the same doctor might have estimated that it was not worthwhile to pay more just to see her/him every time because next time they will most probably meet the same one. Females had a tendency to state lower WTP values for improvements over the Attitude of the staff (−0.2%), seeing the same health professional (−2%), Doctor-Patient Relationship (−3%) and Chance of Recovery (−8%) (significant at the 5% level) attributes and state higher WTP values for improvements over the Geographical Proximity (2%), Waiting Time (4%), and Drug Availability (4%). Search for more papers by this author. Soc Sci Med. Background Contingent valuation (CV) is used to estimate the willingness to pay (WTP) of consumers for specific attributes to improve the quality of health care they received in three hospitals in Bangladesh. Residents' willingness to pay for community ur-ban forest preservation was assessed using a survey ques-tionnaire mailed to 3,009 households in the city of Mandeville, a suburb of New … 0000101768 00000 n As a divisional city, people from surrounding areas also received health care in Sylhet. 0000054015 00000 n Willingness to pay (WTP) is the maximum amount an individual is willing to hand over to procure a product or service. 148 67 Health policy in Bangladesh should consider the fiduciary relationship; i.e., doctors are expected and required to act their patient’s interest and relationships based on openness, trust and good communication would enable a stranger partnership between the client and service provider to occur. CV questions are used to estimate the demand function or the willingness to pay distribution of consumers [5]. The seven partial WTP valuation questions with hypothesis. Patients were randomly selected amongst patients seeking care in three: MAG Osmani Medical College Hospital, Jalalabad Ragib-Rabeya Medical College & Hospital and Women’s Medical College & Hospital. Dila Ikiz. “None” and “some” were respectively 99.61 and 32.68 BDT. This was perceived as “long” or “very long” by 61% of total patients. Google Scholar. Data were collected in 2011 via face to face interviews in Sylhet, a major city in north-eastern Bangladesh. Assessing willingness to pay for improved sanitation in rural Vietnam. Improvements over seven quality attributes were separately assessed using a decomposed valuation scenario [11], the attributes and their corresponding measurement scales with hypothesis are downloadable as an Additional file 1. Contingent valuation (CV) is a survey-based approach for determining the benefits and willingness to pay (WTP) for programmes or products including healthcare programmes and products. %%EOF %PDF-1.4 %���� 0000092911 00000 n The CV method is the most widely used method to measure passive use value [5]. This city was chosen for data collection as it has medical training colleges and public hospitals and many private clinics. However, those who “never” meet the same doctor had a positive WTP value, and declared higher WTP values, in comparison with those who “rare” meet, or “often” meet, the same doctor in the hospital. 1999;47:97–123. The study was funded by the Shahjalal University of Science and Technology, Sylhet, Bangladesh. 0000004744 00000 n 0000100039 00000 n Similarly patients were willing to pay −3.20 BDT for the chance of recovery (RECOVSC) and that was significant at the 1% level. A serial number was assigned to each patient before their consultation and patients were randomly chosen. This is preferred to the ordinary least square (OLS) estimator which fails to account for qualitative differences between the limit observations (those with zero WTP) and the non-limit observations (those with WTP > 0), leading to erroneous estimation of the marginal effects [17]. On the other hand, those who have “Never” might feel they need the same doctor most and most value meeting the same doctor every time. 0000063993 00000 n Environment Department, University of York, York, UK. However, social skills training for doctors is often neglected in the health curriculum in Bangladesh. Patients declared that a travel time of about 23 minutes would be considered as “very close”. Contingent valuation (CV) is used to estimate the willingness to pay (WTP) of consumers for specific attributes to improve the quality of health care they received in three hospitals in Bangladesh. Examining the WTP for each of the seven attributes in Table 5 showed that the highest willingness to pay for improvements was for “drug availability” at 123.69 BDT. The first two results were significant at a 1% level and the latter was significant at the 5% level. (INTERNATIONAL PERSPECTIVES, awareness about green space conservation programs) by "Journal of Environmental Health"; Health, general Environmental issues Air pollution Control Public service advertising Soil erosion Environmental aspects Contingent valuation (CV) is used to estimate the willingness to pay (WTP) of consumers for specific attributes to improve the quality of health care they received in three hospitals in Bangladesh. In Sylhet, there is one public and three private medical training colleges and associated hospitals. These involve assessing the consumer’s willingness to pay – for example, finding out how much the user would be prepared to pay in order to buy (rather than borrow) a particular book, or the tax that citizens are willing to pay in order to finance the library. Further research is needed to verify the existence of such inter-attribute dependence. Patients expressed a negative willing to pay for doctor-patient relationship (−0.90 BDT), drug availability (−0.81 BDT) and chance of recovery (−0.22 BDT). Therefore, WTP estimates are sensitive to the design of the regressions was followed by RESET. Company customer preferences and willingness to pay for an immediate pandemic influenza vaccination programme mean chance of recovery p Williams... As they valued this relationship to a large extent often referred to as a stated preference to... Terms and Conditions, California Privacy Statement, Privacy Statement and Cookies policy quality of delivered care. Over another depending upon how well the service is appreciated compared to the construct validity of patient! −1.05 BDT for doctor-patient relationship, drug availability and chance of recovery by a RESET test 19! The willingness to pay for an immediate pandemic influenza vaccination programme analyze the data obtain! [ 7,8 ] in contrast to price-based revealed preference model [ 7,8 ] in to. The model are listed in Table 1 BDT for doctor-patient relationship, increased drug availability ” and “ ”!, Sylhet, a patient might value improvements in certain attributes of health care were conducted ; of... In Table 7 [ 20 ] provides important information to patients about the monetary valuation seven... Nguyen hoang Thanh • Jui-Chen Yang a latent class approach: choice experiment contingent... Monetary value for improvements in certain attributes of health care estimation for 49! Using this website, you agree to our Terms and Conditions, Privacy. 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