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Willingness-to-Pay to Avoid the Time Spent and Discomfort Associated with Screening Colonoscopy

Identifieur interne : 002777 ( Pmc/Corpus ); précédent : 002776; suivant : 002778

Willingness-to-Pay to Avoid the Time Spent and Discomfort Associated with Screening Colonoscopy

Auteurs : Daniel E. Jonas ; Louise B. Russell ; Jon Chou ; Michael Pignone

Source :

RBID : PMC:4174545

Abstract

Background

The screening colonoscopy process requires a considerable amount of time and some discomfort for patients.

Objective

We sought to use willingness-to-pay (WTP) to value the time required and the discomfort associated with screening colonoscopy. In addition, we aimed to explore some of the differences between and potential uses of the WTP and the human capital methods.

Methods

Subjects completed a diary recording time and a questionnaire including WTP questions to value the time and discomfort associated with colonoscopy. We also valued the elapsed time reported in the diaries (but not the discomfort) using the human capital method.

Results

110 subjects completed the study. Mean WTP to avoid the time and discomfort was $263. Human capital values for elapsed time were greater. Linear regressions showed that WTP was influenced most by the difficulty of the preparation, which added $147 to WTP (p=0.03).

Conclusions

WTP values to avoid the time and discomfort associated with the screening colonoscopy process were substantially lower than most of the human capital values for elapsed time alone. The human capital method may overestimate the value of time in situations that involve an irregular, episodic series of time intervals, such as preparation for or recovery after colonoscopy.


Url:
DOI: 10.1002/hec.1545
PubMed: 19725018
PubMed Central: 4174545

Links to Exploration step

PMC:4174545

Le document en format XML

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<name sortKey="Russell, Louise B" sort="Russell, Louise B" uniqKey="Russell L" first="Louise B." last="Russell">Louise B. Russell</name>
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<nlm:aff id="A2">Department of Economics, Rutgers University, Institute for Health, New Brunswick, NJ, USA</nlm:aff>
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<name sortKey="Chou, Jon" sort="Chou, Jon" uniqKey="Chou J" first="Jon" last="Chou">Jon Chou</name>
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<name sortKey="Pignone, Michael" sort="Pignone, Michael" uniqKey="Pignone M" first="Michael" last="Pignone">Michael Pignone</name>
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<title>Background</title>
<p id="P1">The screening colonoscopy process requires a considerable amount of time and some discomfort for patients.</p>
</sec>
<sec id="S2">
<title>Objective</title>
<p id="P2">We sought to use willingness-to-pay (WTP) to value the time required and the discomfort associated with screening colonoscopy. In addition, we aimed to explore some of the differences between and potential uses of the WTP and the human capital methods.</p>
</sec>
<sec id="S3">
<title>Methods</title>
<p id="P3">Subjects completed a diary recording time and a questionnaire including WTP questions to value the time and discomfort associated with colonoscopy. We also valued the elapsed time reported in the diaries (but not the discomfort) using the human capital method.</p>
</sec>
<sec id="S4">
<title>Results</title>
<p id="P4">110 subjects completed the study. Mean WTP to avoid the time and discomfort was $263. Human capital values for elapsed time were greater. Linear regressions showed that WTP was influenced most by the difficulty of the preparation, which added $147 to WTP (p=0.03).</p>
</sec>
<sec id="S5">
<title>Conclusions</title>
<p id="P5">WTP values to avoid the time and discomfort associated with the screening colonoscopy process were substantially lower than most of the human capital values for elapsed time alone. The human capital method may overestimate the value of time in situations that involve an irregular, episodic series of time intervals, such as preparation for or recovery after colonoscopy.</p>
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<journal-id journal-id-type="nlm-journal-id">9306780</journal-id>
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<journal-title>Health economics</journal-title>
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<given-names>Daniel E.</given-names>
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<surname>Russell</surname>
<given-names>Louise B.</given-names>
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<surname>Chou</surname>
<given-names>Jon</given-names>
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Department of Medicine, University of North Carolina, Chapel Hill, NC, USA</aff>
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Department of Economics, Rutgers University, Institute for Health, New Brunswick, NJ, USA</aff>
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Correspondence to: UNC Department of Medicine, CB ]7110, 5034 Old Clinic Building, Chapel Hill, NC 27599, USA.
<email>daniel_jonas@med.unc.edu</email>
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<pub-date pub-type="nihms-submitted">
<day>30</day>
<month>8</month>
<year>2014</year>
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<pub-date pub-type="ppub">
<month>10</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>25</day>
<month>9</month>
<year>2014</year>
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<volume>19</volume>
<issue>10</issue>
<fpage>1193</fpage>
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<pmc-comment>elocation-id from pubmed: 10.1002/hec.1545</pmc-comment>
<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">The screening colonoscopy process requires a considerable amount of time and some discomfort for patients.</p>
</sec>
<sec id="S2">
<title>Objective</title>
<p id="P2">We sought to use willingness-to-pay (WTP) to value the time required and the discomfort associated with screening colonoscopy. In addition, we aimed to explore some of the differences between and potential uses of the WTP and the human capital methods.</p>
</sec>
<sec id="S3">
<title>Methods</title>
<p id="P3">Subjects completed a diary recording time and a questionnaire including WTP questions to value the time and discomfort associated with colonoscopy. We also valued the elapsed time reported in the diaries (but not the discomfort) using the human capital method.</p>
</sec>
<sec id="S4">
<title>Results</title>
<p id="P4">110 subjects completed the study. Mean WTP to avoid the time and discomfort was $263. Human capital values for elapsed time were greater. Linear regressions showed that WTP was influenced most by the difficulty of the preparation, which added $147 to WTP (p=0.03).</p>
</sec>
<sec id="S5">
<title>Conclusions</title>
<p id="P5">WTP values to avoid the time and discomfort associated with the screening colonoscopy process were substantially lower than most of the human capital values for elapsed time alone. The human capital method may overestimate the value of time in situations that involve an irregular, episodic series of time intervals, such as preparation for or recovery after colonoscopy.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Willingness-to-pay</kwd>
<kwd>contingent valuation method</kwd>
<kwd>health economics methods</kwd>
<kwd>colorectal cancer</kwd>
</kwd-group>
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</front>
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