Shiell Alan, McIntosh Karen
Population Health Intervention Research Centre, Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Health Econ. 2008 Feb;17(2):287-92. doi: 10.1002/hec.1261.
In a recent article in this journal, Smith offers additional evidence to support his claim that the test-retest reliability of willingness to pay measures increases along with willingness to pay because people take more time to consider their answers for the more highly valued (and therefore more 'expensive') goods. Unfortunately, by repeating a common misconception about what reliability actually measures, he overlooks an alternative explanation for the relationship he observed; namely, that subject variation increases with willingness to pay and that it is this, rather than any reduction in measurement error, that explains his findings. We show that 75% of the increase in reliability comes from increases in subject variation (that is different views about the value of good health), and that the relationship between measurement error and willingness to pay is not as simple as Smith suggests. However, our critique of Smith's paper should not be construed as criticism of the ideas being explored. We need to better understand the responses people give to contingent valuation exercises. Such understanding has to be based on a better appreciation of what reliability is and on more robust testing of alternative hypotheses.
在本期刊最近的一篇文章中,史密斯提供了更多证据来支持他的主张,即支付意愿测量的重测信度会随着支付意愿的增加而提高,因为人们会花更多时间来思考对价值更高(因此也更“昂贵”)的商品的回答。不幸的是,由于重复了一个关于信度实际测量内容的常见误解,他忽略了对他所观察到的关系的另一种解释;也就是说,受试者的变异性会随着支付意愿的增加而增大,正是这一点,而非测量误差的任何减少,解释了他的研究结果。我们表明,信度增加的75%来自受试者变异性的增加(即对健康价值的不同看法),并且测量误差与支付意愿之间的关系并不像史密斯所认为的那么简单。然而,我们对史密斯论文的批评不应被理解为对所探讨观点的批判。我们需要更好地理解人们对或有估值练习给出的回答。这种理解必须基于对信度是什么的更好理解以及对替代假设的更有力检验。