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Willingness to Pay per Quality-Adjusted Life Year: Is One Threshold Enough for Decision-Making? Results From a Study in Patients With Chronic Prostatitis

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机构: [1]School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, NSW, Australia [2]Department of Urology, 306 Hospital of PLA, Beijing, China [3]Department of Urology, The First People’s Hospital of Yunnan Province, Yunnan, China [4]Department of Pharmacy, 306 Hospital of PLA, Beijing, China.
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关键词: willingness to pay quality-adjusted life year cost-effectiveness threshold chronic prostatitis

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Objective: To estimate the willingness to pay (WTP) per quality-adjusted life year (QALY) ratio with the stated preference data and compare the results obtained between chronic prostatitis (CP) patients and general population (GP). Methods: WTP per QALY was calculated with the subjects' own health-related utility and the WTP value. Two widely used preference-based health-related quality of life instruments, EuroQol (EQ-5D) and Short Form 6D (SF-6D), were used to elicit utility for participants' own health. The monthly WTP values for moving from participants' current health to a perfect health were elicited using closed-ended iterative bidding contingent valuation method. Results: A total of 268 CP patients and 364 participants from GP completed the questionnaire. We obtained 4 WTP/QALY ratios ranging from $4700 to $7400, which is close to the lower bound of local gross domestic product per capita, a threshold proposed by World Health Organization. Nevertheless, these values were lower than other proposed thresholds and published empirical researches on diseases with mortality risk. Furthermore, the WTP/QALY ratios from the GP were significantly lower than those from the CP patients, and different determinants were associated with the within group variation identified by multiple linear regression. Conclusions: Preference elicitation methods are acceptable and feasible in the socio-cultural context of an Asian environment and the calculation of WTP/QALY ratio produced meaningful answers. The necessity of considering the QALY type or disease-specific QALY in estimating WTP/QALY ratio was highlighted and 1 to 3 times of gross domestic product/capita recommended by World Health Organization could potentially serve as a benchmark for threshold in this Asian context.

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出版当年[2011]版:
大类 | 3 区 医学
小类 | 2 区 卫生保健与服务 2 区 公共卫生、环境卫生与职业卫生
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 卫生政策与服务 2 区 公共卫生、环境卫生与职业卫生 3 区 卫生保健与服务
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出版当年[2010]版:
Q1 HEALTH CARE SCIENCES & SERVICES Q1 HEALTH POLICY & SERVICES Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q1 HEALTH CARE SCIENCES & SERVICES Q1 HEALTH POLICY & SERVICES Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均 出版当年[2010版] 出版当年五年平均 出版前一年[2009版] 出版后一年[2011版]

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第一作者机构: [1]School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, NSW, Australia
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通讯机构: [1]School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, NSW, Australia [*1]Discipline of Pharmacy and Experimental Pharmacology, School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, NSW 2308, Australia.
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