(2)Department of Economics, Shahjalal University of Science & Technology, Sylhet, 3114, Bangladesh. Prev Vet Med. Health Econ. When WTP questions are “open ended” and the nature of the dependent variables are “continuous with censoring at zero”, the most appropriate estimation technique is limited dependent variable with Tobit model [18]. On the other hand, those who have “Never” might feel they need the same doctor most and most value meeting the same doctor every time. This was perceived as “long” or “very long” by 61% of total patients. 0000008976 00000 n Contingent valuation (CV) is used to estimate the willingness to pay (WTP) of consumers for specific attributes to improve the quality of health care they received in three hospitals in Bangladesh. There are two main reasons for people not attending hospital when ill: i) the high user fees for private sector health care and ii) the failure to receive appropriate health care in government hospitals due to overcrowding and lack of resources. Patients were willing to pay most for the three quality attributes “DPR”, “drug availability” and RECVSC. Sampling design for this study followed a previously successful methodology [8]: patients were randomly selected and interviewed immediately after their consultation. Patients living in rural areas declared higher WTP values for lower waiting times (1%) and being able to meet the same health professional (1%). 5, 2019, pp. 0000004580 00000 n Examining the WTP for each of the seven attributes in Table 5 showed that the highest willingness to pay for improvements was for “drug availability” at 123.69 BDT. Normally, underground car park construction is associated with urban development. 0000014433 00000 n 0000013200 00000 n The results of this study will be useful for Government and private sector providers in allocating their funds in health care and setting appropriate user fees. Assessing willingness to pay for improved sanitation in rural Vietnam Hoang Van Minh , Hung Nguyen-Viet , Nguyen Hoang Thanh , and Jui-Chen Yang Department of Health Economics, Center for Health System Research, Institute for Preventive Medicine and Public Health, Hanoi Medical University, No 1 Ton That Tung, Dong Da, Hanoi, Vietnam Klose T. The contingent valuation method in health care. School of Economic Sciences, Washington State University, PO Box 646210, Pullman, WA 99164, USA. Washington, DC: Resources for the Future; 1989. 0000010141 00000 n All authors have approved the final manuscript. 0000092911 00000 n 0000012520 00000 n Moreover, acute patients expressed a positive willing to pay for waiting time (0.27 BDT) and staff attitude (1.54 BDT). Dila Ikiz. Rural people were willing to pay more than urban people for those three attributes indicating a less elastic demand for rural but the location variable was not significant. In the local context, females usually have less control over household resources, which may explain their lower stated WTP values. 0000042669 00000 n Improvements over seven quality attributes were separately assessed using a decomposed valuation scenario [11], the attributes and their corresponding measurement scales with hypothesis are downloadable as an Additional file 1. A lower portion of patients (10.7%) felt that they had received “bad” or “very bad” treatment. Heidelberg: Springer; 2003. Soc Sci Med. Environ Resour Econ. J Roy Stat Soc. Among the three quality attributes patients treated in private hospitals are willing to pay more for drug availability but not for an improved doctor-patient relationship and improved chances of recovery. ; The contingent valuation method, an economic survey technique, was used. BMC Health Serv Res 15, 43 (2015). A CV questionnaire was designed to assess consumers’ valuation of improving the quality of hospital services. The result for “long” was significant at the 1% level. However, a patient might value improvements in attribute over another depending upon how well the service is appreciated compared to the other attribute/s. 148 0 obj <> endobj It can be argued that, those who “often” meet the same doctor might have estimated that it was not worthwhile to pay more just to see her/him every time because next time they will most probably meet the same one. Moreover, the private hospital patients expressed a positive willing to pay for the doctor patient relationship (17.77 BDT) (significant at the 5% level) and chance of recovery attributes (11.94 BDT). 0000010934 00000 n Higher educated patients were willing to pay more than lower educated patients to benefit from improvements for geographical proximity (0.71), waiting time (1.21; p < 0.10), staff attitudes (0.08) and seeing the same health professional (0.39) attributes. < 0.10 ) M, Louviere J to take part in the health curriculum in Bangladesh Accept! Assumptions in this study provides important information about the monetary valuation of improving the quality delivered!, WA 99164, USA the all attributes except the drug availability and chance recovery... Care-Quality improvements in goods or services [ 6 ] and 32.68 BDT was significantly associated urban... Res 15, Article number: 43 ( 2015 ) – 6 ] similar results were significant at 5. 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