Valuing the benefits of publicly-provided health care: does 'ability to pay' preclude the use of 'willingness to pay'?

被引：64

作者：

Donaldson, C

机构：

[1] Univ Aberdeen, Hlth Econ Res Unit, Aberdeen AB25 2ZD, Scotland

[2] Univ Calgary, Dept Econ, Calgary, AB T2N 1N4, Canada

[3] Univ Calgary, Dept Community Hlth Sci, Calgary, AB T2N 1N4, Canada

来源：

SOCIAL SCIENCE & MEDICINE | 1999年 / 49卷 / 04期

关键词：

economic evaluation; measuring benefits; willingness to pay; utility; distribution of income;

D O I：

10.1016/S0277-9536(99)00173-2

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The case against the use of willingness to pay (WTP) methods to value the benefits of publicly-provided health care is often made on the basis that WTP is associated with ability to pay. In this paper, it is demonstrated that this argument is not so straightforward, depending on two criteria: (a) the association of people's preferences with ability to pay and (b) the disparities of WTP for given options within categories of ability to pay. A method of dealing with ability to pay, based on these criteria, is proposed and illustrated through the use of data from a case study. (C) 1999 Elsevier Science Ltd. All rights reserved.

引用

页码：551 / 563

页数：13

共 35 条

[21] Mishan E. J., 1988, COST BENEFIT ANAL IN
[22] National Oceanic and Atmospheric Administration (NOAA), 1993, Federal Register, V58, P4601
[23] STATISTICAL VERSUS QUANTITATIVE SIGNIFICANCE IN THE SOCIOECONOMIC EVALUATION OF MEDICINES
OBRIEN, BJ
DRUMMOND, MF
[J]. PHARMACOECONOMICS, 1994, 5 (05) : 389 - 398
[24] Office of Population Censuses and Surveys, 1991, STAND OCC CLASS
[25] Helicopters, hearts and hips: Using willingness to pay to set priorities for public sector health care programmes
Olsen, JA
Donaldson, C
[J]. SOCIAL SCIENCE & MEDICINE, 1998, 46 (01) : 1 - 12
[26] Pauly M, 1995, VALUING HLTH CARE CO
[27] PHILIPS PR, 1989, EC SAFETY PHYSICAL R
[28] Willingness to pay and the distribution of risk and wealth
Pratt, JW
Zeckhauser, RJ
[J]. JOURNAL OF POLITICAL ECONOMY, 1996, 104 (04) : 747 - 763
[29] RAMSEY JB, 1969, J ROY STAT SOC B, V31, P350
[30] COST-UTILITY ANALYSIS - WHAT SHOULD BE MEASURED
RICHARDSON, J
[J]. SOCIAL SCIENCE & MEDICINE, 1994, 39 (01) : 7 - 21

← 1 2 3 4 →