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dc.contributor.authorMartín-Fernández, Jesus
dc.contributor.authorPolentinos-Castro, Elena
dc.contributor.authordel Cura-González, Ma Isabel
dc.contributor.authorAriza-Cardiel, Gloria
dc.contributor.authorAbraira, Victor
dc.contributor.authorGil-LaCruz, Ana Isabel
dc.contributor.authorGarcia-Perez, Sonia
dc.identifier.citationBMC Health Serv Res. 2014 Jul 3;14:287.es_ES
dc.description.abstractBACKGROUND: This paper examines the Willingness to Pay (WTP) for a quality-adjusted life year (QALY) expressed by people who attended the healthcare system as well as the association of attitude towards risk and other personal characteristics with their response. METHODS: Health-state preferences, measured by EuroQol (EQ-5D-3L), were combined with WTP for recovering a perfect health state. WTP was assessed using close-ended, iterative bidding, contingent valuation method. Data on demographic and socioeconomic characteristics, as well as usage of health services by the subjects were collected. The attitude towards risk was evaluated by collecting risky behaviors data, by the subject's self-evaluation, and through lottery games. RESULTS: Six hundred and sixty two subjects participated and 449 stated a utility inferior to 1. WTP/QALY ratios varied significantly when payments with personal money (mean €10,119; median €673) or through taxes (mean €28,187; median €915) were suggested. Family income, area income, higher education level, greater use of healthcare services, and the number of co-inhabitants were associated with greater WTP/QALY ratios. Age and female gender were associated with lower WTP/QALY ratios. Risk inclination was independently associated with a greater WTP/QALY when "out of pocket" payments were suggested. Clear discrepancies were demonstrated between linearity and neutrality towards risk assumptions and experimental results. CONCLUSIONS: WTP/QALY ratios vary noticeably based on demographic and socioeconomic characteristics of the subject, but also on their attitude towards risk. Knowing the expression of preferences by patients from this outcome measurement can be of interest for health service planning.es_ES
dc.description.sponsorshipThe field work of this study has been financed by the funds for research projects in the field of Primary Care health outcomes, established by order 472/2010 of the Consejería de Sanidad (Community of Madrid, Spain), on September 16, 2010.es_ES
dc.publisherBioMed Central (BMC) es_ES
dc.subjectWillingness to payes_ES
dc.subjectQuality-adjusted life yeares_ES
dc.subjectContingent valuationes_ES
dc.subjectPrimary carees_ES
dc.subject.meshAged es_ES
dc.subject.meshCross-Sectional Studies es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshRisk Assessment es_ES
dc.subject.meshSpain es_ES
dc.subject.meshSurveys and Questionnaires es_ES
dc.subject.meshFinancing, Personal es_ES
dc.subject.meshHealth Status es_ES
dc.subject.meshPatient Preference es_ES
dc.subject.meshQuality-Adjusted Life Years es_ES
dc.titleWillingness to pay for a quality-adjusted life year: an evaluation of attitudes towards risk and preferenceses_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderComunidad de Madrid (España) 
dc.identifier.journalBMC health services researches_ES
dc.repisalud.centroISCIII::Agencia de Evaluación de Tecnologías Sanitariases_ES
dc.rights.accessRightsopen accesses_ES

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