A comparison of two methods for eliciting contingent valuations of colorectal cancer screening.

Willingness-to-pay (WTP) is being used increasingly in health technology assessment, although a number of methodological issues remain unresolved. Using data obtained from a randomised questionnaire survey, we investigated the metrical properties of two WTP formats, the open-ended question versus th...

Full description

Bibliographic Details
Main Authors: Whynes, D, Frew, E, Wolstenholme, J
Format: Journal article
Language:English
Published: 2003
_version_ 1797101152495468544
author Whynes, D
Frew, E
Wolstenholme, J
author_facet Whynes, D
Frew, E
Wolstenholme, J
author_sort Whynes, D
collection OXFORD
description Willingness-to-pay (WTP) is being used increasingly in health technology assessment, although a number of methodological issues remain unresolved. Using data obtained from a randomised questionnaire survey, we investigated the metrical properties of two WTP formats, the open-ended question versus the payment scale, in the context of screening for colorectal cancer. Approximately, 2800 responses were analysed. Household income, attitudes toward health promotion and personal risk perceptions were the principal determinants of the nature and value of response. In comparison with the open-ended format, the payment scale achieved a higher completion rate and generated higher valuations. We believe that a framing effect is the most plausible explanation for these differences in performance. In contrast to previous findings, we do not find subjects' perceptions of the resource cost of interventions to be a convincing explanation for either their WTP values or inconsistencies between values and preferences. Although a proportion of respondents protested at the notion of valuation, the majority offer positive valuations, although typically of a lower value that non-protesters.
first_indexed 2024-03-07T05:47:46Z
format Journal article
id oxford-uuid:e7c959ca-d93b-4df7-9685-237fe1bf0f9b
institution University of Oxford
language English
last_indexed 2024-03-07T05:47:46Z
publishDate 2003
record_format dspace
spelling oxford-uuid:e7c959ca-d93b-4df7-9685-237fe1bf0f9b2022-03-27T10:41:40ZA comparison of two methods for eliciting contingent valuations of colorectal cancer screening.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e7c959ca-d93b-4df7-9685-237fe1bf0f9bEnglishSymplectic Elements at Oxford2003Whynes, DFrew, EWolstenholme, JWillingness-to-pay (WTP) is being used increasingly in health technology assessment, although a number of methodological issues remain unresolved. Using data obtained from a randomised questionnaire survey, we investigated the metrical properties of two WTP formats, the open-ended question versus the payment scale, in the context of screening for colorectal cancer. Approximately, 2800 responses were analysed. Household income, attitudes toward health promotion and personal risk perceptions were the principal determinants of the nature and value of response. In comparison with the open-ended format, the payment scale achieved a higher completion rate and generated higher valuations. We believe that a framing effect is the most plausible explanation for these differences in performance. In contrast to previous findings, we do not find subjects' perceptions of the resource cost of interventions to be a convincing explanation for either their WTP values or inconsistencies between values and preferences. Although a proportion of respondents protested at the notion of valuation, the majority offer positive valuations, although typically of a lower value that non-protesters.
spellingShingle Whynes, D
Frew, E
Wolstenholme, J
A comparison of two methods for eliciting contingent valuations of colorectal cancer screening.
title A comparison of two methods for eliciting contingent valuations of colorectal cancer screening.
title_full A comparison of two methods for eliciting contingent valuations of colorectal cancer screening.
title_fullStr A comparison of two methods for eliciting contingent valuations of colorectal cancer screening.
title_full_unstemmed A comparison of two methods for eliciting contingent valuations of colorectal cancer screening.
title_short A comparison of two methods for eliciting contingent valuations of colorectal cancer screening.
title_sort comparison of two methods for eliciting contingent valuations of colorectal cancer screening
work_keys_str_mv AT whynesd acomparisonoftwomethodsforelicitingcontingentvaluationsofcolorectalcancerscreening
AT frewe acomparisonoftwomethodsforelicitingcontingentvaluationsofcolorectalcancerscreening
AT wolstenholmej acomparisonoftwomethodsforelicitingcontingentvaluationsofcolorectalcancerscreening
AT whynesd comparisonoftwomethodsforelicitingcontingentvaluationsofcolorectalcancerscreening
AT frewe comparisonoftwomethodsforelicitingcontingentvaluationsofcolorectalcancerscreening
AT wolstenholmej comparisonoftwomethodsforelicitingcontingentvaluationsofcolorectalcancerscreening