Department of Public Administration, School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
Department of Science and Education of the Fourth Affiliated Hospital, and Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Expert Rev Pharmacoecon Outcomes Res. 2024 Jan;24(1):155-160. doi: 10.1080/14737167.2023.2262141. Epub 2024 Jan 18.
Empirical support for the appropriate cost-effectiveness threshold (CET) in China remains sparse.
This study aimed to estimate the willingness to pay (WTP) for cancer prevention and treatment from the perspective of healthcare policy-makers (i.e. supply side) and to investigate whether there is a difference between the estimated WTP in two scenarios.
We conducted a web-based survey from May to July 2022 among experts who offering consultation to the government. We surveyed 79 experts from a national think-tank (84.81% response rate) using contingent valuation method, a method for estimating the monetary value that individuals place on a non-market service.
The mean WTP for two scenarios were estimated at 1.29 times of per capita Gross Domestic Product (GDP) of China and 1.90 times of per capita GDP, respectively. There was a difference between the WTP in the two scenarios and the WTP for treatment was significantly higher than prevention.
The findings suggest that though there is a smaller gap between the two scenarios in China as compared to other countries, the WTP may vary under different scenarios. So there's a need to further refine the development of CET by adding parameters like prevention instead of defining one universal threshold.
在中国，实证支持适当的成本效益阈值（CET）的证据仍然很少。
本研究旨在从医疗保健政策制定者（即供应方）的角度估计癌症预防和治疗的支付意愿（WTP），并探讨在两种情况下估计的 WTP 是否存在差异。
我们于 2022 年 5 月至 7 月期间，使用条件价值评估法（一种用于估计个人对非市场服务的货币价值的方法），对向政府提供咨询的专家进行了一项基于网络的调查。我们对来自一个国家智库的 79 名专家进行了调查（响应率为 84.81%）。
两个情景的平均 WTP 分别估计为中国人均国内生产总值（GDP）的 1.29 倍和 1.90 倍。两种情况下的 WTP 存在差异，治疗的 WTP 明显高于预防。
研究结果表明，尽管中国两种情况下的差距比其他国家小，但在不同情况下 WTP 可能会有所不同。因此，需要通过添加预防等参数进一步完善 CET 的制定，而不是定义一个通用的阈值。
