Willingness to pay for cancer prevention versus treatment in China: implications for cost-effectiveness threshold

Expert Rev Pharmacoecon Outcomes Res. 2024 Jan;24(1):155-160. doi: 10.1080/14737167.2023.2262141. Epub 2024 Jan 18.

Abstract

Background: Empirical support for the appropriate cost-effectiveness threshold (CET) in China remains sparse.

Objective: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

Keywords: Contingent valuation; cancer; cost-effectiveness threshold; prevention; treatment.

MeSH terms

  • China
  • Cost-Benefit Analysis
  • Delivery of Health Care
  • Humans
  • Neoplasms* / prevention & control
  • Surveys and Questionnaires