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Eliciting Preferences for Reimbursed Drugs Selection Criteria in Côte d’Ivoire

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  • Vakaramoko Diaby
  • Henri Kakou
  • Jean Lachaine

Abstract

Background: Côte d’Ivoire, a West African country, has decided to set up a formulary as part of its universal health insurance (UHI) program. One of its goals will be to facilitate access to safe and efficacious drugs. To guarantee transparency throughout the formulary listing process, it is important to select and value relevant decision criteria for that purpose. Objective: To investigate the preferences of healthcare professionals (physicians) when selecting reimbursable drugs and to analyze trade-offs between criteria for formulary listing in Côte d’Ivoire. Methods: Choice sets based on four attributes (cost effectiveness of treatments, severity of the disease for which the treatments are indicated, age of the population affected by diseases considered, and social class affected by diseases considered [poor, rich]) were presented in a self-completion questionnaire. Results: Analysis of questionnaire responses showed that ‘cost effectiveness’, ‘severity of disease’, and ‘social class’ were significant attributes in responder’s preferences for reimbursable drugs. More specifically, respondents’ choices were more sensitive to drugs that are very cost effective, that target very severe disease, and that target diseases in poor people. Conclusion: This explorative study enabled us to elicit the preferences of a sample of healthcare professionals (physicians) for reimbursed drug selection criteria in Côte d’Ivoire using the discrete-choice experiment method. Further work is required to achieve the ultimate objective of developing a formulary for Côte d’Ivoire. Copyright Adis Data Information BV 2011

Suggested Citation

  • Vakaramoko Diaby & Henri Kakou & Jean Lachaine, 2011. "Eliciting Preferences for Reimbursed Drugs Selection Criteria in Côte d’Ivoire," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 4(2), pages 125-131, June.
  • Handle: RePEc:spr:patien:v:4:y:2011:i:2:p:125-131
    DOI: 10.2165/11586060-000000000-00000
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    References listed on IDEAS

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    1. Emily Lancsar & Jordan Louviere, 2008. "Conducting Discrete Choice Experiments to Inform Healthcare Decision Making," PharmacoEconomics, Springer, vol. 26(8), pages 661-677, August.
    2. W. Michael Hanemann, 1984. "Welfare Evaluations in Contingent Valuation Experiments with Discrete Responses," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 66(3), pages 332-341.
    3. Kelvin J. Lancaster, 1966. "A New Approach to Consumer Theory," Journal of Political Economy, University of Chicago Press, vol. 74(2), pages 132-132.
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    Cited by:

    1. Vakaramoko Diaby & Jean Lachaine, 2011. "An application of a proposed framework for formulary listing in low-income countries," Applied Health Economics and Health Policy, Springer, vol. 9(6), pages 389-402, November.

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