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O.V. Zelenova
Federal Research Institute for Health Organization and Informatics of
Ministry of Health and Social Development of the Russian Federation,
Moscow
Summary. The first trial in Russia. Analysis of
threshold willingness-to- pay for quality adjusted life year in Russia
is a very urgent and serious matter. Methods of willingness-to- pay
investigation are different for various countries and depend on
development of Health Care system. We have estimated willingness-to- pay
method of Contingent valuation and proved that the results vary from
other countries. Submitted data shows payment dedications and demands of
our people for goods and services in medical care.
We have held the opinion poll to define the willingness to pay for quality adjusting life year. Average willingness-to- pay self and willingness-to- pay self5 are rather equal 69 000 and 72 000 rubles (the rub/$ rate in Russia is 30 rub for 1 $). The average willingness-to- pay fam is 16% more than willingness-to- pay self. The fact that willingness-to- pay fam was higher than willingness-to- pay self
suggests that altruistic utility is larger than the respondent’s
perceived value of one QALY gained for themselves, at least in the case
of health care for a family member. Average willingness-to- pay soc is 146 000 rubles that is twice over WTPself5 (72 000 rubles). The fact that willingness-to- pay soc exceeded willingness-to- pay self
may be explained by altruistic motivation in people who were led to
offer a healthcare payment to individuals in need. WTP value is
increasing sequentially from willingness-to- pay self to willingness-to- pay soc
in each category of questionnaire. The main factors which had huge
impact are occupation, age and education. Whereas factors such as
gender, hospitalization (within the last 5 years) and hospitalization of
any member of household (within the last 5 years) didn`t played an
important role.
Key words: Willingness to Pay, threshold, Quality Adjusted Life Year, Incremental cost-effectiveness ratio.
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