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Tytuł pozycji:

Willingness to Pay for Colorectal Cancer Screening and Effect of Copayment in Southern Thailand

Tytuł :
Willingness to Pay for Colorectal Cancer Screening and Effect of Copayment in Southern Thailand
Autorzy :
Saengow, Udomsak
Birch, Stephen
Geater, Alan
Chongsuwiwatvong, Virasakdi
Pokaż więcej
Temat :
Insurance, Health
Occult Blood
screening
willingness to pay
Research Article
Colorectal cancer
Research Design
Aged
Middle Aged
Deductibles and Coinsurance/statistics & numerical data
Prognosis
Cross-Sectional Studies
copayment
Fees, Medical/statistics & numerical data
Colorectal Neoplasms/diagnosis
Follow-Up Studies
Cost-Benefit Analysis
Thailand
Cost Sharing
Female
Colonoscopy
Early Detection of Cancer/economics
Humans
Male
Źródło :
Asian Pacific Journal of Cancer Prevention : APJCP
Saengow, U, Birch, S, Geater, A & Chongsuwiwatvong, V 2018, ' Willingness to Pay for Colorectal Cancer Screening and Effect of Copayment in Southern Thailand ', Asian Pacific journal of cancer prevention, vol. 19, no. 6, pp. 1727-1734 . https://doi.org/10.22034/APJCP.2018.19.6.1727
Wydawca :
West Asia Organization for Cancer Prevention, 2018.
Rok publikacji :
2018
Oryginalny identyfikator :
pmc: PMC6103562
pmid: 29938473
Język :
English
ISSN :
2476-762X
1513-7368
DOI :
10.22034/APJCP.2018.19.6.1727
Background: The incidence rate of colorectal cancer in Thailand is increasing. Hence, the nationwide screening programme with copayment is being considered. There are two proposed screening alternatives: annual fecal immunochemical test (FIT) and once-in-10-year colonoscopy. A copayment for FIT is 60 Thai baht (THB) per test (≈ 1.7 USD); a copayment for colonoscopy is 2,300 THB per test (≈ 65.5 USD). Methods: The willingness to pay (WTP) technique, which is theoretically founded on a cost-benefit analysis, was used to assess an effect of copayment on the uptake. Subjects were patients aged 50-69 years without cancer or screening experience. WTP for the proposed tests was elicited. Results: Nearly two thirds of subjects were willing to pay for FIT. Less than half of subjects were willing to pay for colonoscopy. Among them, median WTP for both tests was greater than the proposed copayments. In a probit model, knowing CRC patient and presence of companion were associated with non-zero WTP for FIT. Presence of companion, female, and family history of cancer were associated with non-zero WTP for colonoscopy. After adjustment for starting price in the linear model, marital status, drinking behavior, and risk attitude were associated with WTP. None of factors was significant for colonoscopy. Uptake decreased as levels of copayment increased. At proposed copayments, the uptake rates of 59.8% and 21.6% were estimated for colonoscopy and FIT respectively. The demand for FIT was price inelastic; the demand for colonoscopy was price elastic. Estimates of optimal copayment were 62.1 THB for FIT and 460.2 THB for colonoscopy. At the optimal copayment, uptake rates would be 59.8% for FIT and 42.3% for colonoscopy.Conclusion(s): More subjects were willing to pay for FIT than for colonoscopy (59.0% versus 46.5%). The estimated uptake rates were 59.8% and 21.6% for colonoscopy and FIT at the proposed copayments.

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