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Using willingness to pay to assess the benefits of assisted reproductive techniques

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  • Mandy Ryan

Abstract

Current economic evaluations of Assisted Reproductive Techniques (ARTs) are criticized for assuming that the only factor important to users is whether they leave the service with a child. Such an approach ignores, first, outcomes beyond some narrow medical definition of success, second, the majority of users who leave the service childless and, third, the actual process of treatment. The aim of this study was to establish the importance of factors beyond some medical definition of success in the provision of ARTs, using the economic instrument of willingness to pay (WTP). The results suggest that there is some value in going through the service, even if the couple leaves it childless. It is concluded that the WTP technique is potentially useful in evaluating ARTs but further studies need to be undertaken to assess its reliability and validity.

Suggested Citation

  • Mandy Ryan, 1996. "Using willingness to pay to assess the benefits of assisted reproductive techniques," Health Economics, John Wiley & Sons, Ltd., vol. 5(6), pages 543-558, November.
  • Handle: RePEc:wly:hlthec:v:5:y:1996:i:6:p:543-558
    DOI: 10.1002/(SICI)1099-1050(199611)5:63.0.CO;2-R
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    Cited by:

    1. Jeppsson, Anders & Okuonzi, Sam Agatre & Ostergren, Per-Olof & Hagstrom, Bo, 2004. "Using burden of disease/cost-effectiveness as an instrument for district health planning: experiences from Uganda," Health Policy, Elsevier, vol. 70(3), pages 261-270, December.
    2. Ryan, Mandy & Scott, David A. & Donaldson, Cam, 2004. "Valuing health care using willingness to pay: a comparison of the payment card and dichotomous choice methods," Journal of Health Economics, Elsevier, vol. 23(2), pages 237-258, March.
    3. Klose, Thomas, 1999. "The contingent valuation method in health care," Health Policy, Elsevier, vol. 47(2), pages 97-123, May.
    4. David Cohen & Mirella F Longo & John Williams & Wai‐yee Cheung & Hayley Hutchings & I.T. Russell, 2003. "Estimating the marginal value of ‘better’ research output: ‘designed’ versus ‘routine’ data in randomised controlled trials," Health Economics, John Wiley & Sons, Ltd., vol. 12(11), pages 959-974, November.
    5. Petra Baji & Milena Pavlova & László Gulácsi & Miklós Farkas & Wim Groot, 2014. "The link between past informal payments and willingness of the Hungarian population to pay formal fees for health care services: results from a contingent valuation study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(8), pages 853-867, November.
    6. Emma McIntosh, 2006. "Using Discrete Choice Experiments within a Cost-Benefit Analysis Framework," PharmacoEconomics, Springer, vol. 24(9), pages 855-868, September.
    7. Nick Hanley & Mandy Ryan & Robert Wright, 2003. "Estimating the monetary value of health care: lessons from environmental economics," Health Economics, John Wiley & Sons, Ltd., vol. 12(1), pages 3-16, January.
    8. Borghi, Josephine & Jan, Stephen, 2008. "Measuring the benefits of health promotion programmes: Application of the contingent valuation method," Health Policy, Elsevier, vol. 87(2), pages 235-248, August.
    9. Brouwer, Roy & Bateman, Ian J., 2005. "Benefits transfer of willingness to pay estimates and functions for health-risk reductions: a cross-country study," Journal of Health Economics, Elsevier, vol. 24(3), pages 591-611, May.
    10. Fu, Tsu-Tan & Lin, Yih-Ming & Huang, Chung L., 2011. "Willingness to pay for obesity prevention," Economics & Human Biology, Elsevier, vol. 9(3), pages 316-324, July.
    11. Emmanouil Mentzakis & Mandy Ryan & Paul McNamee, 2011. "Using discrete choice experiments to value informal care tasks: exploring preference heterogeneity," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 930-944, August.

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