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Validity and reliability of willingness-to-pay estimates: evidence from two overlapping discrete-choice experiments


Telser, Harry; Becker, Karolin; Zweifel, Peter (2008). Validity and reliability of willingness-to-pay estimates: evidence from two overlapping discrete-choice experiments. The Patient: Patient-Centered Outcomes Research, 1(4):283-298.

Abstract

Discrete-choice experiments, while becoming increasingly popular, have rarely been tested for validity and reliability. This contribution purports to provide some evidence of a rather unique type. Two surveys designed to measure willingness-to-accept (WTA) for reform op-tions in Swiss health care and health insurance are used to provide independent information with regard to two elements of reform. The issue to be addressed is whether WTA values converge although the three overlapping attributes (a more restrictive drug benefit, a delayed access to medical innovation, and a change in the monthly insurance premium) are embedded in widely differing choice sets. Experiment A contains rather radical health system reform options, while experiment B concentrates on more familiar elements such as copayment and the benefit catalogue. While mean WTA values differ between experiments, they tend to vary in similar ways, suggesting at least theoretical validity and reliability.

Abstract

Discrete-choice experiments, while becoming increasingly popular, have rarely been tested for validity and reliability. This contribution purports to provide some evidence of a rather unique type. Two surveys designed to measure willingness-to-accept (WTA) for reform op-tions in Swiss health care and health insurance are used to provide independent information with regard to two elements of reform. The issue to be addressed is whether WTA values converge although the three overlapping attributes (a more restrictive drug benefit, a delayed access to medical innovation, and a change in the monthly insurance premium) are embedded in widely differing choice sets. Experiment A contains rather radical health system reform options, while experiment B concentrates on more familiar elements such as copayment and the benefit catalogue. While mean WTA values differ between experiments, they tend to vary in similar ways, suggesting at least theoretical validity and reliability.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:03 Faculty of Economics > Department of Economics
Dewey Decimal Classification:330 Economics
Language:English
Date:2008
Deposited On:15 Dec 2008 15:13
Last Modified:06 Dec 2017 15:25
Publisher:Adis International
ISSN:1178-1653
Additional Information:Paper presented at the annual meeting of the Economics of Population Health: Inaugural Conference of the American Society of Health Economists, TBA, Madison, WI, USA, Jun 04, 2006
Publisher DOI:https://doi.org/10.2165/1312067-200801040-00010
Official URL:http://api.ingentaconnect.com/content/adis/ptt/2008/00000001/00000004/art00010
Related URLs:http://www.soi.uzh.ch/research/wp/2004/wp0412.pdf

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