Willingness to Pay per Quality-Adjusted Life Year: Is One Threshold Enough for Decision-Making? Results From a Study in Patients With Chronic Prostatitis
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外科片泌尿外科云南省第一人民医院[4]Department of Pharmacy, 306 Hospital of PLA, Beijing, China.
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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外文
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PubmedID:
中科院(CAS)分区:
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
JCR分区:
出版当年[2010]版:
Q1HEALTH CARE SCIENCES & SERVICESQ1HEALTH POLICY & SERVICESQ1PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q1HEALTH CARE SCIENCES & SERVICESQ1HEALTH POLICY & SERVICESQ1PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
第一作者机构:[1]School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, NSW, Australia
通讯作者:
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.
推荐引用方式(GB/T 7714):
Zhao Fei-Li,Yue Ming,Yang Hua,et al.Willingness to Pay per Quality-Adjusted Life Year: Is One Threshold Enough for Decision-Making? Results From a Study in Patients With Chronic Prostatitis[J].MEDICAL CARE.2011,49(3):267-272.doi:10.1097/MLR.0b013e31820192cd.
APA:
Zhao, Fei-Li,Yue, Ming,Yang, Hua,Wang, Tian,Wu, Jiu-Hong&Li, Shu-Chuen.(2011).Willingness to Pay per Quality-Adjusted Life Year: Is One Threshold Enough for Decision-Making? Results From a Study in Patients With Chronic Prostatitis.MEDICAL CARE,49,(3)
MLA:
Zhao, Fei-Li,et al."Willingness to Pay per Quality-Adjusted Life Year: Is One Threshold Enough for Decision-Making? Results From a Study in Patients With Chronic Prostatitis".MEDICAL CARE 49..3(2011):267-272