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Determinants of willingness to pay for health services: a systematic review of contingent valuation studies

Author

Listed:
  • Caroline Steigenberger

    (UMIT - University for Health Sciences, Medical Informatics and Technology)

  • Magdalena Flatscher-Thoeni

    (UMIT - University for Health Sciences, Medical Informatics and Technology)

  • Uwe Siebert

    (UMIT - University for Health Sciences, Medical Informatics and Technology
    ONCOTYROL, Center for Personalized Cancer Medicine
    Harvard Medical School
    Harvard T.H. Chan School of Public Health)

  • Andrea M. Leiter

    (University of Innsbruck)

Abstract

Introduction Stated preference studies are a valuable tool to elicit respondents’ willingness to pay (WTP) for goods or services, especially in situations where no market valuation exists. Contingent valuation (CV) is a widely used approach among stated-preference techniques for eliciting WTP if prices do not exist or do not reflect actual costs, for example, when services are covered by insurance. This review aimed to provide an overview of relevant factors determining WTP for health services to support variable selection. Methods A comprehensive systematic literature search and review of CV studies assessing determinants of WTP for health services was conducted, including 11 electronic databases. Two of the authors made independent decisions on the eligibility of studies. We extracted all determinants used and related p values for the effect sizes (e.g. reported in regression models with WTP for a health service as outcome variable). Determinants were summarised in systematic evidence tables and structured by thematic domains. Results We identified 2082 publications, of which 202 full texts were checked for eligibility. We included 62 publications on 61 studies in the review. Across all studies, we identified 22 WTP determinants and other factors from 5 thematic domains: sociodemographic characteristics, perceived threat, perceived benefit, perceived barriers, and other information. Conclusion Our review provides evidence on 22 relevant determinants of WTP for health services, which may be used for variable selection and as guidance for planning CV surveys. Endogeneity should be carefully considered before interpreting these determinants as causal factors and potential intervention targets.

Suggested Citation

  • 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.
  • Handle: RePEc:spr:eujhec:v:23:y:2022:i:9:d:10.1007_s10198-022-01437-x
    DOI: 10.1007/s10198-022-01437-x
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    2. Siuda, Fabian & Zörner, Thomas, 2023. "Vaccination Spillovers in Economic Interactions," Department of Economics Working Paper Series 347, WU Vienna University of Economics and Business.

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    More about this item

    Keywords

    Contingent valuation; Willingness to pay; Public health; Sociodemographic determinants; Economic valuation; Literature review;
    All these keywords.

    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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