Willingness to pay for publicly financed health care services in Central and Eastern Europe: Evidence from six countries based on a contingent valuation method

Tambor, Marzena; Pavlova, Milena; Rechel, Bernd; Golinowska, Stanisława; Sowada, Christoph; Groot, Wim

doi:10.1016/j.socscimed.2014.07.009

Cited by 25 publications

(14 citation statements)

References 27 publications

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“…As such, the utilization of dental care services increases due to reduction in cost to access these services. 42,43 Our findings suggest that inequalities in dentist-visit probability in the past 12 months and 6-monthly checkups were biased in favor of therich. This implies that richer households utilized dental care service more than poorer households and routine checkups were more concentrated among wealthier households.…”

Section: Discussionmentioning

confidence: 74%

<p>Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran</p>

Rezaei

Pulok

Moghadam

et al. 2020

CCIDE

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Introduction: There have been multiple studies on socioeconomic-related inequalities in the use of dental services in Iran, but the evidence is still limited. This study measured inequality in dental care utilization by socioeconomic status and examined factors explaining this inequality among households in Ardabil, Iran in 2019. Methods: A total of 436 household heads participated in this cross-sectional study. Using a validated questionnaire, face-to-face interviews were conducted to collect data on dental care utilization, unmet needs, sociodemographic characteristics, economic status, health insurance, and oral health status of the participants. We used the concentration curve and relative concentration index (RCI) to visualize and quantify the level of inequality in dental care utilization by income. Regression-based decomposition was also applied to understand the causes of inequality. Results: About 59.2% (95% CI 54.4%-63.7%) and 14.7% (95% CI 11.6%-18.4%) of participants had visited a dentist for dental treatment in the previous 12 months and for 6-month dental checkups, respectively. The RCI for the probability of visiting a dentist in the last 12 months was 0.243 (95% CI 0.140-0.346). This suggests that dental care utilization was more concentrated among the rich. The RCI for unmet dental care needs was negative, which indicates more prevalence among the poor. Monthly household income (20.9%), selfrated oral health (6.9%), regular brushing (3.2%), and dental health insurance (2.5%) were the main factors in socioeconomic inequality in dental care utilization. Conclusion: This study reveals that dental care-service utilization did not match the need for dental care, due to differences in socioeconomic status in Ardabil, Iran. Policies could be implemented to increase the coverage of dental care services among socioeconomically disadvantaged groups to tackle socioeconomic-related inequality in dental care utilization.

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Section: Discussionmentioning

confidence: 74%

<p>Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran</p>

Rezaei

Pulok

Moghadam

et al. 2020

CCIDE

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“…It came into use to estimate the benefits of outdoor recreation in the Maine backwoods of the United States [20]. CVM is widely used in many fields, such as measuring valuation for publicly financed health care services [21], assessing landfill mining projects [22], understanding public perceptions of nuclear power [23], conducting an economic valuation of forest ecosystem services [17], and so on. However, few studies on CVM have focused on Chinese wetlands.…”

Section: Literature Reviewmentioning

confidence: 99%

Determinants of Farmers’ Willingness to Pay and Its Level for Ecological Compensation of Poyang Lake Wetland, China: A Household-Level Survey

2014

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This study examines the determinants of farmers' willingness to pay (WTP) and their payment levels for ecological compensation of the Poyang Lake Wetland in China. We developed a farmer household survey and gathered 292 effective responses. The contingent valuation method (CVM) and Heckman's two-step model were employed for the empirical study. Results show that 46.58% of farmers are willing to pay ecological compensation, with an average price of $64.39/household per year. The influencing factors that significantly influence farmers' WTP include household income, residential location, emphasis on improvement of wetland resources, arable land area, and contracted water area. In addition, household income, residential location, arable land area, and contracted water area are significantly related to their payment levels. The results of this empirical study inform important policy implications and recommendations.

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“…This issue is highlighted by the disconnect between the relatively low desire to increase taxation to fund public services, and high expectations regarding the quality of services. Previous studies have emphasized the fact that the desire for greater public spending is often accompanied by strong sentiments against raising taxes to fund public services (Sears and Citrin, 1985;Steinmo, 1993;Edlund and Sevä, 2013;Tambor et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

How does the quality of public education influence the citizens’ willingness to support it? Evidence from a comparative survey of 27 countries

Habibov

Auchynnikava

Luo

2019

IJCED

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Purpose The purpose of this paper is to empirically test two opposing theoretical hypotheses from research literature: low quality of public education boosts support for public education; and low quality of public education weakens support for public education. Design/methodology/approach The authors use microdata from 27 post-communist countries over a period of five years. This study uses two outcome variables in order to capture the level of support for public education: the willingness to elevate investments in public education to an important policy priority; and the willingness to pay more taxes to improve public healthcare. A series of logistic regressions is used to find how the outcome variable is influenced by six dimensions of the quality of the public education system. Findings The main finding is that a lower quality of public education strengthens the willingness of citizens to make investments into public education by: making it a political priority for the government; and through a professed increased willingness to pay more taxes towards improving public education. These findings remain valid for both years of investigation and for both EU and non-EU samples. In contrast, the authors could not find support for the hypothesis that postulates that a lower quality of public education will reduce support for public education. Research limitations/implications The main implication of these findings is that despite the increases in availability of private schooling opportunities, the citizens of post-communist countries have not abandoned their support for public education. Even if citizens of post-communist countries believe that public education is no longer of an appropriately high quality, they continue to support the provision of resources to it in order to improve on the current situation. Practical implications The current low quality of public education can be seen as providing an impetus for encouraging support for public education. Social implications In terms of policy-making, the findings demonstrate the opportunity to shore up public support for further reforms in public- education in post-communist countries. Originality/value The current education policy research literature is silent about the direction of the effect of low quality public education on the willingness to provide support for public education. Against this background, this is the first study which empirically tested whether quality of public education affect willingness to support it. Covering a period of five years, the authors test the above-postulated hypotheses using a diverse sample of 27 post-communist countries.

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Willingness to pay for publicly financed health care services in Central and Eastern Europe: Evidence from six countries based on a contingent valuation method

Cited by 25 publications

References 27 publications

<p>Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran</p>

<p>Socioeconomic-Related Inequalities in Dental Care Utilization in Northwestern Iran</p>

Determinants of Farmers’ Willingness to Pay and Its Level for Ecological Compensation of Poyang Lake Wetland, China: A Household-Level Survey

How does the quality of public education influence the citizens’ willingness to support it? Evidence from a comparative survey of 27 countries

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