Ha Thuy Van, Hoang Minh Van, Vu Mai Quynh, Hoang Ngoc-Anh Thi, Khuong Long Quynh, Vu Anh Nu, Pham Phuong Cam, Vu Chinh Van, Duong Lieu Huy
Viet Nam Department of Health Insurance, Ministry of Health.
Hanoi University of Public Health.
Medicine (Baltimore). 2020 Feb;99(9):e19379. doi: 10.1097/MD.0000000000019379.
To examine the willingness to pay (WTP) for a quality-adjusted life year (QALY) gained among advanced non-small cell lung cancer (NSCLC) patients in Viet Nam and to analyze the factors affecting an individual's WTP.A cross-sectional, contingent valuation study was conducted among 400 NSCLC patients across 6 national hospitals in Viet Nam. Self-reported information was recorded from patients regarding their socio-demographic status, EQ-5D (EuroQol-5 dimensions) utility, EQ-5D vas, and WTP for 1 QALY gained. To explore the factors related to the WTP, Gamma Generalized Linear Model and multiple logistic regression tools were applied to analyze data.The overall mean and median of WTP/QALY among the NSCLC patients were USD $11,301 and USD $8002, respectively. Strong association was recorded between WTP/QALY amount and the patient's education, economic status, comorbidity status, and health utility.Government and policymakers should consider providing financial supports to disadvantaged groups to improve their access to life saving cancer treatment.
为了研究越南晚期非小细胞肺癌(NSCLC)患者对获得一个质量调整生命年(QALY)的支付意愿(WTP),并分析影响个人支付意愿的因素。在越南6家国立医院对400例NSCLC患者进行了一项横断面条件价值评估研究。记录患者自我报告的社会人口统计学状况、EQ-5D(欧洲五维度健康量表)效用、EQ-5D视觉模拟量表以及获得1个QALY的支付意愿等信息。为探究与支付意愿相关的因素,应用伽马广义线性模型和多元逻辑回归工具进行数据分析。NSCLC患者中支付意愿/质量调整生命年的总体均值和中位数分别为11,301美元和8002美元。支付意愿/质量调整生命年金额与患者的教育程度、经济状况、合并症状况及健康效用之间存在强关联。政府和政策制定者应考虑为弱势群体提供财政支持,以改善他们获得挽救生命的癌症治疗的机会。