Informing decision makers about public preferences for different modalities of cancer treatment in the Rhône–Alps region in France

Jennifer Margier (), Amiram Gafni and Nora Moumjid ()
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Jennifer Margier: HCL - Hospices Civils de Lyon
Amiram Gafni: McMaster University [Hamilton, Ontario]
Nora Moumjid: UCBL - Université Claude Bernard Lyon 1 - Université de Lyon, P2S - Parcours santé systémique - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon, Centre Léon Bérard [Lyon], Département cancer environnement (Centre Léon Bérard - Lyon) - Centre Léon Bérard [Lyon]

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Abstract: Background: Alternative options to hospital care like home care or local health centers (LHCs) are being advocated. However, no study has measured citizens' preferences (who will finance these services via taxation) for these options. Objectives: We measured (i) citizens' preferences for these services, that is, respondents stated where they would like to get the treatment; (ii) the strength of their preference. Methods: A computerized survey composed of (i) a decision aid to inform respondents about the three options; (ii) three scenarios, from light-to-heavy care, that respondents should rank from the most to the least preferred option of care. (iii) a contingent valuation survey (CVS) to assess how much respondents were willing to pay for their preferred option (except for hospital care if chosen, because it is the default option and free). (iv) a socio-demographic questionnaire. Results: Data were collected from a representative sample of citizens living in the Rhône-Alps Region (n = 800). The heavier the care was, the more respondents preferred hospital care. Willingness to pay for additional taxation per household/month varied from €13.9 for light care in LHC to €19.1 for heavy home care. The small number of protesting respondents and outliers, and the close correlation between preferences, income, and WTP supports the validity of the CVS. Conclusion: In France, for cancer, not all citizens would prefer to be treated at home rather than in a hospital. Only less than a quarter would prefer LHC. These results show the mismatch between public health policies and the citizens' preferences.

Keywords: willingness to pay; home care; preference; cancer; hospital; public decision-making; contingent valuation willingness to pay home care preference cancer hospital public decision-making; contingent valuation (search for similar items in EconPapers)
Date: 2023
Note: View the original document on HAL open archive server: https://hal.science/hal-04936140v1
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Published in International Journal of Technology Assessment in Health Care, 2023, 39 (1), pp.e5. ⟨10.1017/s0266462322000599⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04936140

DOI: 10.1017/s0266462322000599

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