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The role of the payment vehicle in non-market valuations of a health care service: willingness-to-pay for an ambulance helicopter service

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  • Gyrd-Hansen, Dorte

Abstract

This study analyses the role of the payment vehicle when conducting non-market valuations of health care services using stated preference methods. Based on a contingent valuation study conducted in Denmark encompassing more than 3400 respondents three important conclusions are drawn. Firstly, it is found that the valuation of a publicly financed ambulance helicopter service is higher than for an identical privately financed service. Secondly, the results suggest that the public premium is likely to be partly driven by altruistic preferences, and that some citizens value access to this type of service for all. An important driver is also perceptions of quality of services across the private and public sector. Finally, it is shown that exclusion of protest bidders is problematic and may bias welfare estimates. The take home message is that it is difficult to isolate the value of a good per se, and that analysts should take care in applying the payment vehicle that is likely to be applied in real life when valuing non-market goods. There has been little awareness of the importance of choice of payment vehicle in the literature to date.

Suggested Citation

  • Gyrd-Hansen, Dorte, 2016. "The role of the payment vehicle in non-market valuations of a health care service: willingness-to-pay for an ambulance helicopter service," Health Economics, Policy and Law, Cambridge University Press, vol. 11(1), pages 1-16, January.
    • Handle: RePEc:cup:hecopl:v:11:y:2016:i:01:p:1-16_00
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    Cited by:

    1. Penn, Jerrod & Hu, Wuyang, 2016. "Making the Most of Cheap Talk in an Online Survey," 2016 Annual Meeting, July 31-August 2, Boston, Massachusetts 236171, Agricultural and Applied Economics Association.
    2. Epstein, D.S. & Barton, C. & Mazza, D. & Woode, M.E. & Mortimer, D., 2020. "Patient chosen gap payments in primary care: Predictions of patient acceptability, uptake and willingness to pay from a discrete choice experiment," Social Science & Medicine, Elsevier, vol. 263(C).
    3. Afentoula G. Mavrodi & Vassilis H. Aletras, 2019. "Preliminary Results of a Healthcare Contingent Valuation Study in Greece," International Journal of Finance, Insurance and Risk Management, International Journal of Finance, Insurance and Risk Management, vol. 9(3-4), pages 3-16.
    4. Andersson Järnberg, Linda & Andrén, Daniela & Hultkrantz, Lars & Rutström, E. Elisabet & Vimefall, Elin, 2021. "Willingness to pay for private and public improvements of vulnerable road users’ safety," GLO Discussion Paper Series 853, Global Labor Organization (GLO).
    5. Morello, Thiago & Anderson, Liana & Silva, Sonaira, 2022. "Innovative fire policy in the Amazon: A statistical Hicks-Kaldor analysis," Ecological Economics, Elsevier, vol. 191(C).
    6. Olofsson, Sara & Gerdtham , Ulf-G & Hultkrantz , Lars & Persson , Ulf, 2016. "Chained Approach vs Contingent Valuation for Estimating the Value of Risk Reduction," Working Papers 2016:34, Lund University, Department of Economics.

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