Yonsei Med J.  2011 May;52(3):510-521. 10.3349/ymj.2011.52.3.510.

Willingness to Pay for Hospice Care Using the Contingent Valuation Method

Affiliations
  • 1Department of Health Policy, Seoul Medical Center, Seoul, Korea.
  • 2Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Korea. kunsei.lee@kku.ac.kr
  • 3Health Insurance Review & Assessment Service, Seoul, Korea.

Abstract

PURPOSE
It is necessary to develop a proper payment system for more health care facilities to provide hospice and palliative cares. In deciding the proper level of payment for hospice per diem fee, willingness to pay (WTP) may provide one of the critical information. This study was conducted to determine WTP for hospice care and to analyze those factors affecting WTP.
MATERIALS AND METHODS
A contingent valuation method with a double-bounded dichotomous-choice model was used. Interview survey was organized and conducted by a survey company from April 4 to 18, 2008. The mean WTP was calculated through an infinite integration of survival functions.
RESULTS
The average willingness to pay was found to be 42,240 Korean won (KRW) (USD 35), with the amount becoming higher as hospice services were deemed more necessary or where average monthly household income was higher. The amount was also higher among male respondents than females.
CONCLUSION
To compare this WTP with actual cost (32,500 KRW) (USD 27) for hospice care. To facilitate hospice service, hospice specific payment system should be developed. This study provides information regarding the general public's preference of hospice service and their WTP for hospice care, and it may be useful in the decision-making process.

Keyword

Hospice; willingness to pay; Per diem payment

MeSH Terms

Fees and Charges
Female
Health Care Costs
Hospice Care/*economics/psychology
Humans
Male
*Public Opinion
Socioeconomic Factors

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