检验条件价值法和旅行成本法在评估医疗保健效益中的收敛效度

Testing the convergent validity of the contingent valuation and travel cost methods in valuing the benefits of health care

Health Economics · 2002
被引 44
人大 A-

中文导读

通过比较澳大利亚农村妇女对移动乳腺筛查服务的支付意愿,检验条件价值法和旅行成本法的收敛效度,发现前者估计值显著高于后者,可能反映非使用价值或方法偏差。

Abstract

In this study, the convergent validity of the contingent valuation method (CVM) and travel cost method (TCM) is tested by comparing estimates of the willingness to pay (WTP) for improving access to mammographic screening in rural areas of Australia. It is based on a telephone survey of 458 women in 19 towns, in which they were asked about their recent screening behaviour and their WTP to have a mobile screening unit visit their nearest town. After eliminating missing data and other non-usable responses the contingent valuation experiment and travel cost model were based on information from 372 and 319 women, respectively. Estimates of the maximum WTP for the use of mobile screening units were derived using both methods and compared. The highest mean WTP estimated using the TCM was $83.10 (95% C.I. $99.06-$68.53), which is significantly less than the estimate of $148.09 ($131.13-$166.60) using the CVM. This could be due to the CVM estimates also reflecting non-use values such as altruism, or a range of potential biases that are known to affect both methods. Further tests of validity are required in order to gain a greater understanding of the relationship between these two methods of estimating WTP.

意愿支付条件价值法旅行成本法效度检验