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Are People Willing to Pay for a Community-Based Preventive Program

Published online by Cambridge University Press:  10 March 2009

Lars Lindholm
Affiliation:
Karolinska Institute
Måns Rosén
Affiliation:
Karolinska Institute
Gideon Hellsten
Affiliation:
Primary Health Care Center, Norsjö, Sweden

Abstract

This pilot study is the first known attempt to test the willingness-to-pay or willingness-to-accept (WTP/WTA) method of assessment on a community-based primary prevention program against cardiovas cular disease. The results indicate that the population's perceived WTA outweighs the program's costs by at least three to one. However, the methodological problems of using the WTP/WTA method in community-based programs are far from solved, and further research in this area is required.

Type
Research Note
Copyright
Copyright © Cambridge University Press 1994

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References

REFERENCES

1.Aaro, L. E., Hauknes, A., & Berglund, E.-L.Smoking among Norwegian schoolchildren 1975–1980. II. The influence of the social environment. Scandanavian Journal of Psychology, 1981, 22, 297309.Google Scholar
2.Acton, P. A.Evaluating public programs to save lives: The case of heart attacks. Santa Monica, CA: Rand, 1973.Google Scholar
3.Arrow, K. J.Uncertainty and the welfare economics of medical care. The American Economic Review, 1963, LIII, 943–73.Google Scholar
4.Berwick, D. M., & Weinstein, M. C.What do patients value? Willingness to pay for ultrasound in normal pregnancy. Medical Care, 1985, 23, 881–93.CrossRefGoogle ScholarPubMed
5.Bohm, P.Estimating demand for public goods: An experiment. European Economic Review, 1972, 3, 111–30.CrossRefGoogle Scholar
6.Bohm, P.Revealing demand for an actual public good. Journal of Public Economics, 1984, 24, 135–51.CrossRefGoogle Scholar
7.Brännström, I., & Lindblad, I.-B. Mass communication and health promotion: The power of the media and public opinion. Health Communication, 1994, in press.CrossRefGoogle Scholar
8.Brännström, I., Rosén, M., Wall, S., & Weinehall, L. Local health planning and intervention — The case of a Swedish municipality. Scandinavian Journal of Primary Health Care, 1988 (suppl. 1), 5764.Google Scholar
9.Brännström, I., Weinehall, L., Persson, L.-A., et al. Changing social patterns of risk factors for cardiovascular disease in a Swedish community intervention programme. International Journal of Epidemiology, 1993, 22, in press.CrossRefGoogle Scholar
10.Cohen, D. R., & Hendersson, J. B.Health, prevention and economics. Oxford: Oxford University Press, 1988.Google Scholar
11.Coursey, D. L., Hovis, J. L., & Schultze, W. D.The disparity between willingness to accept and willingness to pay measures of value. Quarterly Journal of Economics, 1987, 97, 679–90.Google Scholar
12.Culyer, A. J., & Simpson, H.Externality models and health: A ruckblick over the last twenty years. Economic Record, 1980, 56, 222–30.CrossRefGoogle Scholar
13.Donaldson, C.Willingness to pay for publicly-provided goods: A possible measure of benefit? Journal of Health Economics, 1990, 9, 103–18.Google Scholar
14.Engleman, R. S., & Forbes, J. F.Economic aspects of health education. Social Science and Medicine, 1986, 22, 443–58.Google Scholar
15.Evans, R. G.Strained mercy. Toronto: Butterworths, 1984.Google Scholar
16.Green, D. E.Teenage smoking. Immediate and long-term patterns. Washington, DC: National Institute of Education, U.S. Department of Health, Education, and Welfare, 1979.Google Scholar
17.Harless, D. W.More laboratory evidence on the disparity between willingness to pay and compensation demanded. Journal of Economic Behaviour and Organization, 1989, 11, 359–79.Google Scholar
18.Hatziandreu, E. I., Koplan, J. P., Weinstein, M. C., et al. A cost-effectiveness analysis of exercise as a health promotion activity. American Journal of Public Health, 1988, 78, 1417–21.CrossRefGoogle ScholarPubMed
19.Johannesson, M., Jönsson, B., & Borgquist, L.Willingness to pay for antihypertensive therapy—Results of a Swedish pilot study. Journal of Health Economics, 1991, 10, 461474.Google Scholar
20.Johansson, P.O.The economic theory and measurement of environmental benefits. Cambridge: Cambridge University Press, 1987.Google Scholar
21.Jones-Lee, M. W. (ed.) The value of life and safety. Amsterdam: North-Holland Publishing Company, 1982.Google Scholar
22.Marsh, A., & Matheson, J.Smoking attitudes and behaviour. London: Office of Population Censuses and Surveys, Social Survey Division, 1981.Google Scholar
23.Mattson, L., & Kristrom, B.The hunting value of the moose. (In Swedish) Umea, Sweden: Sveriges Lantbruksuniversitet, arbetsrapport 60, 1987.Google Scholar
24.Mitchell, R. B., & Carson, R. T.Using surveys to value public goods. The contingent valuation method. Washington, DC: Resources for the Future, 1990.Google Scholar
25.MONICA Principle Investigators, The WHO MONICA Project: A worldwide monitoring system for cardiovascular diseases. World Health Statistics Annual, 1989, 41, 2759.Google Scholar
26.Population and Housing Census 1985, part 5. Värnamo:Statistiska Centralbyran, 1988.Google Scholar
27.Rice, D. P., MacKenzie, E. J., et al. Cost of injury in the United States: A report to Congress. San Francisco, CA: Institute for Health and Aging, University of California and Injury Prevention Center, The Johns Hopkins University, 1989.Google Scholar
28.Rosén, M.On randomized controlled trials and lifestyle interventions. International Journal of Epidemiology, 1989, 18, 993–94.CrossRefGoogle ScholarPubMed
29.Rosén, M., & Lindholm, L.The neglected effects of lifestyle interventions in costeffectiveness analysis. Health Promotion International, 1992, 7, 163–69.CrossRefGoogle Scholar
30.Schoemaker, P. J. H.The expected utility model: Its variants, purposes, evidence and limitations. Journal of Economic Literature, 1982, 20, 529–63.Google Scholar
31.Schulze, W. D., d'Arge, R. C., & Brookshire, D. S.Valuing environmental commodities: Some recent experiments. Land Economics, 1981, 57, 151–72.CrossRefGoogle Scholar
32.Schuman, H., & Presser, S.Questions and answers in attitude surveys. Experiments on question, form, wording and context. New York, NY: Academic Press, 1981.Google Scholar
33.Sen, A. K.Rational fools: A critique of the behavioral foundations of economic theory. Ethics, 1977, 6, 317–44.Google Scholar
34.Strandman, B.Effects of health information in Norsjö. (In Swedish, stencil) Västerbotten, Sweden: County council of Västerbotten, 1990.Google Scholar
35.Thompson, M. S.Willingness to pay and accept risks to cure chronic disease. American Journal of Public Health, 1986, 76, 392–96.Google Scholar
36.Weinstein, M. C., Shepard, D. S., & Pliskin, J. S.The economic value of changing mortality probabilities: A decision-theoretic approach. Quarterly Journal of Economics, 1980, 95, 373–96.CrossRefGoogle Scholar
37.Wester-Wedman, A.The elusive jogger. A study of the process of establishing regular physical exercising habits. (In Swedish) Umeå, Sweden: University of Umeå, 1988.Google Scholar