Willingness to Pay for a Quality Adjusted Life Year in Bavi District, Hanoi 2014

Abstract

Background: Cost effective threshold is essential in an economic evaluation. This study aimed to estimate the willingness to pay (WTP) for a Quality Adjusted Life Year (QALY) in Bavi district, Hanoi 2014 and examine some associated factors. Method: 360 respondents from Bavi district, Hanoi were interviewed. Dichotomous bidding choice followed by open-ended question was employed in this study. Results: Mean of willingness to pay for a Quality Adjusted life year in Bavi, Hanoi, 2014 ranged from 13,934,010 to 20,737,620 VND (~667.3 – 993.1$ US). The WTP per QALY for worse health states are higher than those for better states. Gender, utility of health status assessed by respondents and monthly household income were determined as associated factors. Conclusions: The WTP/QALY values were slightly lower than the recommendation of WHO. It is recommended to have more than one threshold for every situation based on the severity.