Clin Mol Hepatol.  2015 Sep;21(3):268-278. 10.3350/cmh.2015.21.3.268.

Preference elicitation approach for measuring the willingness to pay for liver cancer treatment in Korea

• Cho D
• Jo C

• KMID: 2351027
• DOI: http://doi.org/10.3350/cmh.2015.21.3.268

Abstract

BACKGROUND/AIMS
The Korean government has expanded the coverage of the national insurance scheme for four major diseases: cancers, cardiovascular diseases, cerebrovascular diseases, and rare diseases. This policy may have a detrimental effect on the budget of the national health insurance agency. Like taxes, national insurance premiums are levied on the basis of the income or wealth of the insured.
METHODS
Using a preference elicitation method, we attempted to estimate how much people are willing to pay for insurance premiums that would expand their coverage for liver cancer treatment.
RESULTS
We calculated the marginal willingness to pay (MWTP) through the marginal rate of substitution between the two attributes of the insurance premium and the total annual treatment cost by adopting conditional logit and mixed logit models.
CONCLUSIONS
The effects of various other terms that could interact with socioeconomic status were also estimated, such as gender, income level, educational attainment, age, employment status, and marital status. The estimated MWTP values of the monthly insurance premium for liver cancer treatment range from 4,130 KRW to 9,090 KRW.

Keyword

Preference elicitation; Marginal willingness to pay; Marginal rate of substitution; Conditional logit; Mixed logit

MeSH Terms

Age Factors
Aged
Employment
Female
Humans
Liver Neoplasms/diagnosis/*economics/mortality/*therapy
Logistic Models
Male
Middle Aged
*Patient Preference
Republic of Korea
Sex Factors
Social Class
Survival Rate