Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Appl Health Econ Health Policy. 2018 Dec;16(6):837-846. doi: 10.1007/s40258-018-0424-4.
This study was aimed at estimating the value of the general population's willingness-to-pay (WTP) for one quality-adjusted life-year (QALY) in Iran.
Using multistage randomized cluster sampling, we recruited and interviewed 651 adult residents of Shiraz, south Iran. The mean age of the interviewees was 43.9 ± 16.3 years, and 326 (50.1%) of them were male. To each interviewee, we presented one of the hypothetical health scenarios that were used in the European value of a QALY project. Questionnaires, which were validated for the Persian language, were administered in digitally-assisted format, and a gray block questionnaire was used for special cases. The data were then analyzed using STATA and SPSS.
The overall mean value of payment for one QALY of respondents who expressed WTP was US$2847, which is equal to 0.57 of the GDP per capita of Iran's population. Under the end-of-life (terminal illness) scenario, this value was 13% higher than health-gain scenarios. WTP was also associated with high educational level, household income, and household expenditure.
Our results provided a threshold range of WTP and insights into rigorous scientific decision making about healthcare technology for the future.
本研究旨在估算伊朗普通人群对一个质量调整生命年（QALY）的支付意愿（WTP）的价值。
采用多阶段随机聚类抽样方法，我们招募并采访了伊朗南部设拉子的 651 名成年居民。受访者的平均年龄为 43.9±16.3 岁，其中 326 人（50.1%）为男性。我们向每位受访者展示了欧洲 QALY 项目中使用的一种假设健康情景。经过验证适用于波斯语的问卷以数字化辅助格式进行管理，并为特殊情况使用了灰色块问卷。然后使用 STATA 和 SPSS 分析数据。
表示 WTP 的受访者对一个 QALY 的支付意愿的总体平均值为 2847 美元，相当于伊朗人口人均 GDP 的 0.57。在生命末期（终末期疾病）情景下，这一数值比健康获益情景高出 13%。WTP 还与高教育水平、家庭收入和家庭支出相关。
我们的研究结果提供了一个支付意愿的阈值范围，并为未来的医疗保健技术提供了严格的科学决策的见解。
