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Willingness-to-Pay for One Quality-Adjusted Life-Year: A Population-Based Study from Iran

Author

Listed:
  • Kamran Bagheri Lankarani

    (Shiraz University of Medical Sciences)

  • Sulmaz Ghahramani

    (Shiraz University of Medical Sciences)

  • Najmeh Moradi

    (Iran University of Medical Sciences)

  • Hadi Raeisi Shahraki

    (Shahrekord University of Medical Sciences)

  • Farhad Lotfi

    (Shiraz University of Medical Sciences)

  • Behnam Honarvar

    (Shiraz University of Medical Sciences)

Abstract

Objective This study was aimed at estimating the value of the general population’s willingness-to-pay (WTP) for one quality-adjusted life-year (QALY) in Iran. Methods Using multistage randomized cluster sampling, we recruited and interviewed 651 adult residents of Shiraz, south Iran. The mean age of the interviewees was 43.9 ± 16.3 years, and 326 (50.1%) of them were male. To each interviewee, we presented one of the hypothetical health scenarios that were used in the European value of a QALY project. Questionnaires, which were validated for the Persian language, were administered in digitally-assisted format, and a gray block questionnaire was used for special cases. The data were then analyzed using STATA and SPSS. Results The overall mean value of payment for one QALY of respondents who expressed WTP was US$2847, which is equal to 0.57 of the GDP per capita of Iran’s population. Under the end-of-life (terminal illness) scenario, this value was 13% higher than health-gain scenarios. WTP was also associated with high educational level, household income, and household expenditure. Conclusion Our results provided a threshold range of WTP and insights into rigorous scientific decision making about healthcare technology for the future.

Suggested Citation

  • Kamran Bagheri Lankarani & Sulmaz Ghahramani & Najmeh Moradi & Hadi Raeisi Shahraki & Farhad Lotfi & Behnam Honarvar, 2018. "Willingness-to-Pay for One Quality-Adjusted Life-Year: A Population-Based Study from Iran," Applied Health Economics and Health Policy, Springer, vol. 16(6), pages 837-846, December.
    • Handle: RePEc:spr:aphecp:v:16:y:2018:i:6:d:10.1007_s40258-018-0424-4
    DOI: 10.1007/s40258-018-0424-4
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    References listed on IDEAS

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    1. Shah, Koonal K., 2009. "Severity of illness and priority setting in healthcare: A review of the literature," Health Policy, Elsevier, vol. 93(2-3), pages 77-84, December.
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    3. Takeru Shiroiwa & Yoon‐Kyoung Sung & Takashi Fukuda & Hui‐Chu Lang & Sang‐Cheol Bae & Kiichiro Tsutani, 2010. "International survey on willingness‐to‐pay (WTP) for one additional QALY gained: what is the threshold of cost effectiveness?," Health Economics, John Wiley & Sons, Ltd., vol. 19(4), pages 422-437, April.
    4. Linda Ryen & Mikael Svensson, 2015. "The Willingness to Pay for a Quality Adjusted Life Year: A Review of the Empirical Literature," Health Economics, John Wiley & Sons, Ltd., vol. 24(10), pages 1289-1301, October.
    5. Marlies Ahlert & Friedrich Breyer & Lars Schwettmann, 2013. "What You Ask is What You Get: Willingness-to-Pay for a QALY in Germany," CESifo Working Paper Series 4239, CESifo.
    6. Clive Pritchard;Nancy Devlin;Adrian Towse, 2002. "Cost-Effectiveness Thresholds: Economic and ethical issues," Monograph 000473, Office of Health Economics.
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    Cited by:

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