Willingness to Pay for Diagnostic Technologies: A Review of the Contingent Valuation Literature

Lin, Pei‐Jung; Cangelosi, Michael J.; Lee, David W.; Neumann, Peter J.

doi:10.1016/j.jval.2013.04.005

Cited by 58 publications

(39 citation statements)

References 73 publications

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“… 9 24 27 32–34 The literature also underlined a great variability regarding populations (patients, general population, family members and so on) and health conditions when measuring levels of interest 9 and estimating WTP values. 32 This point supports the relevance of conducting a study for BCST in the particular context of Québec. Moreover, while the literature shows the existence of an association between interest in and cost of genetic tests for cancer susceptibility, 27 35–38 there is no consensus on which one influences the other.…”

Section: Literature Backgroundmentioning

confidence: 57%

“… 9 32 To deal with these issues, we identified a list of recurrent individual variables empirically tested in the context of cancer susceptibility testing. Inspired by the classifications of Sweeny et al 9 and Lin et al , 32 these variables were thereafter classified into three categories: demographic, medical and psychosocial (see online supplementary appendix 1 for the literature overview). Finally, previous study findings did not allow a detailed understanding of how preferences and WTP values vary according to individual factors.…”

Section: Literature Backgroundmentioning

confidence: 99%

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Disentangling the determinants of interest and willingness-to-pay for breast cancer susceptibility testing in the general population: a cross-sectional Web-based survey among women of Québec (Canada)

et al. 2018

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ObjectivesTo identify common and specific individual factors that favour or impede women’s interest in and willingness-to-pay (WTP) for breast cancer susceptibility testing (BCST) and to identify the most impactful factors on both outcome measures.Design and methodsThis study used a self-administered cross-sectional Web-based questionnaire that included hypothetical scenarios about the availability of a new genetic test for breast cancer.ParticipantsFrench-speaking women of the general population of Québec (Canada), aged between 35 and 69 years, were identified from a Web-based panel (2410 met the selection criteria, 1160 were reached and 1031 completed the survey).MeasuresThe outcomes are the level of interest in and the range of WTP for BCST. Three categories of individual factors identified in the literature were used as potential explanatory factors, that is, demographic, clinical and psychosocial.ResultsDescriptive statistics indicated that the vast majority of sampled women are interested in BCST (90%). Among those, more than half of them are willing-to-pay for such a test (57%). The regression models pointed out several factors associated with both outcomes (eg, age, income, family history, locus of control-powerful others) and marginal effects were used to highlight the most impactful factors for each outcome.ConclusionThe results of this study provide a proxy of the readiness of women of the general population to use and to pay for BCST. They also offer insights for developing inclusive and specific strategies to foster informed decision-making and guide the services offered by health organisations corresponding to women’s preferences and needs.

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Section: Literature Backgroundmentioning

confidence: 57%

Section: Literature Backgroundmentioning

confidence: 99%

Disentangling the determinants of interest and willingness-to-pay for breast cancer susceptibility testing in the general population: a cross-sectional Web-based survey among women of Québec (Canada)

et al. 2018

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“…Use of MRI resulted in overall savings per patient. Moreover, Lin et al demonstrated that people are willing to undergo diagnostic radiology exams—and are willing to pay more—to reduce unnecessary, invasive medical procedures and overall health costs [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Women seeking second opinion for symptomatic uterine leiomyoma: role of comprehensive fibroid center

Tan

McClure

Tarnay

et al. 2014

Journal of Therapeutic Ultrasound

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ObjectiveThe objective of the study was to describe our early experience with a comprehensive uterine fibroid center and report our results in women seeking a second opinion for management of symptomatic uterine leiomyoma.MethodsWe performed a HIPAA-complaint, IRB-approved retrospective study of women seeking second opinion for management of uterine fibroids at our multidisciplinary fibroid treatment center in a tertiary care facility from July 2008 to August 2011. After a review of patients’ history, physical examination, and magnetic resonance imaging (MRI) findings, treatment options were discussed which included conservative management, uterine-preserving options, and hysterectomy. We performed Fisher’s exact test for categorical variables between the cohort that did or did not undergo a uterine-preserving treatment. Differences were considered significant at p < 0.05.ResultsThe mean age of the 205 patient study cohort was 43.8 years (SD 7.5). One hundred sixty-two (79.0%) patients had no prior therapy. Based on MRI, one or more fibroids were detected in 178/205 (86.8%), adenomyosis in 8/205 (3.9%), and a combination of fibroid and nonfibroid condition (i.e., adenomyosis, endometrial polyp) in 18/205 (8.8%). In those who desired to transition their care to our institution (n = 109), 85 patients underwent 90 interventions: 39 MRgFUS (magnetic resonance-guided high-intensity focused ultrasound surgery), 14 UAE (uterine artery embolization), 25 myomectomies, 8 hysterectomies, 3 polypectomies, and 1 endometrial ablation. Five patients had two procedures. Intramural and subserosal fibroids were most commonly treated with MRgFUS followed by myomectomy and then UAE; in contrast, pedunculated fibroids were frequently managed with myomectomy.ConclusionsMultidisciplinary fibroid evaluation may facilitate the increase use of less invasive options over hysterectomy for symptomatic fibroid treatment.

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“…Contingent valuation has become widespread in the evaluation of health interventions (8–14). We provided separate measures of average WTP and price elasticity of demand by delivery model and respondent type, and we estimated the cost of providing the DPP under different delivery models.…”

Section: Discussionmentioning

confidence: 99%

A Feasibility Study of Supply and Demand for Diabetes Prevention Programs in North Carolina

et al. 2017

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IntroductionDiabetes Prevention Programs (DPPs) have shown that healthy eating and moderate physical activity are effective ways of delaying and preventing type 2 diabetes in people with impaired glucose tolerance. We assessed willingness to pay for DPPs from the perspective of potential recipients and the cost of providing these programs from the perspective of community health centers and local health departments in North Carolina.MethodsWe used contingent valuation to determine how much potential recipients would be willing to pay to participate in DPPs under 3 different models: delivered by registered professionals (traditional model), by community health workers, or online. By using information on the minimum reimbursement rate at which public health agencies would be prepared to provide the 3 models, we estimated the marginal costs per person of supplying the programs. Matching supply and demand, we estimated the degree of cost sharing between recipients and providers.ResultsPotential program recipients (n = 99) were willing to pay more for programs led by registered professionals than by community health workers, and they preferred face-to-face contact to an online format. Socioeconomic status (measured by education and employment) and age played the biggest roles in determining willingness to pay. Leaders of public health agencies (n = 27) reported up to a 40% difference in the cost of providing the DPP, depending on the delivery model.ConclusionBy using willingness to pay to understand demand for DPPs and computing the provider’s marginal cost of providing these services, we can estimate cost sharing and market coverage of these services and thus compare the viability of alternate approaches to scaling up and sustaining DPPs with available resources.

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Willingness to Pay for Diagnostic Technologies: A Review of the Contingent Valuation Literature

Cited by 58 publications

References 73 publications

Disentangling the determinants of interest and willingness-to-pay for breast cancer susceptibility testing in the general population: a cross-sectional Web-based survey among women of Québec (Canada)

Disentangling the determinants of interest and willingness-to-pay for breast cancer susceptibility testing in the general population: a cross-sectional Web-based survey among women of Québec (Canada)

Women seeking second opinion for symptomatic uterine leiomyoma: role of comprehensive fibroid center

A Feasibility Study of Supply and Demand for Diabetes Prevention Programs in North Carolina

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