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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Willingness-to-Pay to Avoid the Time Spent and Discomfort Associated with Screening Colonoscopy</title>
<author><name sortKey="Jonas, Daniel E" sort="Jonas, Daniel E" uniqKey="Jonas D" first="Daniel E." last="Jonas">Daniel E. Jonas</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of North Carolina, Chapel Hill, NC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Russell, Louise B" sort="Russell, Louise B" uniqKey="Russell L" first="Louise B." last="Russell">Louise B. Russell</name>
<affiliation><nlm:aff id="A2">Department of Economics, Rutgers University, Institute for Health, New Brunswick, NJ, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chou, Jon" sort="Chou, Jon" uniqKey="Chou J" first="Jon" last="Chou">Jon Chou</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of North Carolina, Chapel Hill, NC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pignone, Michael" sort="Pignone, Michael" uniqKey="Pignone M" first="Michael" last="Pignone">Michael Pignone</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of North Carolina, Chapel Hill, NC, USA</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">19725018</idno>
<idno type="pmc">4174545</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174545</idno>
<idno type="RBID">PMC:4174545</idno>
<idno type="doi">10.1002/hec.1545</idno>
<date when="2010">2010</date>
<idno type="wicri:Area/Pmc/Corpus">002777</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002777</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Willingness-to-Pay to Avoid the Time Spent and Discomfort Associated with Screening Colonoscopy</title>
<author><name sortKey="Jonas, Daniel E" sort="Jonas, Daniel E" uniqKey="Jonas D" first="Daniel E." last="Jonas">Daniel E. Jonas</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of North Carolina, Chapel Hill, NC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Russell, Louise B" sort="Russell, Louise B" uniqKey="Russell L" first="Louise B." last="Russell">Louise B. Russell</name>
<affiliation><nlm:aff id="A2">Department of Economics, Rutgers University, Institute for Health, New Brunswick, NJ, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chou, Jon" sort="Chou, Jon" uniqKey="Chou J" first="Jon" last="Chou">Jon Chou</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of North Carolina, Chapel Hill, NC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pignone, Michael" sort="Pignone, Michael" uniqKey="Pignone M" first="Michael" last="Pignone">Michael Pignone</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of North Carolina, Chapel Hill, NC, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Health economics</title>
<idno type="ISSN">1057-9230</idno>
<idno type="eISSN">1099-1050</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><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>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9306780</journal-id>
<journal-id journal-id-type="pubmed-jr-id">2536</journal-id>
<journal-id journal-id-type="nlm-ta">Health Econ</journal-id>
<journal-id journal-id-type="iso-abbrev">Health Econ</journal-id>
<journal-title-group><journal-title>Health economics</journal-title>
</journal-title-group>
<issn pub-type="ppub">1057-9230</issn>
<issn pub-type="epub">1099-1050</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">19725018</article-id>
<article-id pub-id-type="pmc">4174545</article-id>
<article-id pub-id-type="doi">10.1002/hec.1545</article-id>
<article-id pub-id-type="manuscript">NIHMS621540</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Willingness-to-Pay to Avoid the Time Spent and Discomfort Associated with Screening Colonoscopy</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Jonas</surname>
<given-names>Daniel E.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Russell</surname>
<given-names>Louise B.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chou</surname>
<given-names>Jon</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pignone</surname>
<given-names>Michael</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Medicine, University of North Carolina, Chapel Hill, NC, USA</aff>
<aff id="A2"><label>2</label>
Department of Economics, Rutgers University, Institute for Health, New Brunswick, NJ, USA</aff>
<author-notes><corresp id="cor1"><label>*</label>
Correspondence to: UNC Department of Medicine, CB ]7110, 5034 Old Clinic Building, Chapel Hill, NC 27599, USA. <email>daniel_jonas@med.unc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>30</day>
<month>8</month>
<year>2014</year>
</pub-date>
<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>
</pub-date>
<volume>19</volume>
<issue>10</issue>
<fpage>1193</fpage>
<lpage>1211</lpage>
<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>
</article-meta>
</front>
</pmc>
</record>
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