Willingness-to-Pay for One Quality-Adjusted Life-Year: A Population-Based Study from Iran

Lankarani, KB and Ghahramani, S and Moradi, N and Shahraki, HR and Lotfi, F5 and Honarvar, B (2018) Willingness-to-Pay for One Quality-Adjusted Life-Year: A Population-Based Study from Iran. Appl Health Econ Health Policy.

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Official URL: https://www.ncbi.nlm.nih.gov/pubmed/30123949


OBJECTIVE: This study was aimed at estimating the value of the general population's willingness-to-pay (WTP) for one quality-adjusted life-year (QALY) in Iran. METHODS: Using multistage randomized cluster sampling, we recruited and interviewed 651 adult residents of Shiraz, south Iran. The mean age of the interviewees was 43.9 ± 16.3 years, and 326 (50.1%) of them were male. To each interviewee, we presented one of the hypothetical health scenarios that were used in the European value of a QALY project. Questionnaires, which were validated for the Persian language, were administered in digitally-assisted format, and a gray block questionnaire was used for special cases. The data were then analyzed using STATA and SPSS. RESULTS: The overall mean value of payment for one QALY of respondents who expressed WTP was US$2847, which is equal to 0.57 of the GDP per capita of Iran's population. Under the end-of-life (terminal illness) scenario, this value was 13% higher than health-gain scenarios. WTP was also associated with high educational level, household income, and household expenditure. CONCLUSION: Our results provided a threshold range of WTP and insights into rigorous scientific decision making about healthcare technology for the future.

Item Type: Article
Uncontrolled Keywords: healthcare technology
Subjects: W General medicine- Health professions
Divisions: Faculty of Health
Depositing User: Unnamed user with email nazari@skums.ac.ir
Date Deposited: 12 Sep 2018 07:28
Last Modified: 20 Apr 2019 09:09
URI: http://eprints.skums.ac.ir/id/eprint/7137

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