Open AccessWillingness to pay for a quality-adjusted life year among advanced non-small cell lung cancer patients in Viet Nam, 2018
Author(s) -
Thuy Van Ha,
Minh Van Hoang,
Vu Quynh,
Ngoc-Anh Hoang,
Quynh Long Khuong,
Anh Nu Vu,
Phuong Cam Pham,
Chinh Van Vu,
Lieu Huy Duong
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000019379
Subject(s) - medicine , willingness to pay , viet nam , contingent valuation , logistic regression , lung cancer , disadvantaged , quality of life (healthcare) , eq 5d , quality adjusted life year , demography , environmental health , health related quality of life , cost effectiveness , oncology , economic growth , risk analysis (engineering) , economy , nursing , sociology , economics , microeconomics , disease
To examine the willingness to pay (WTP) for a quality-adjusted life year (QALY) gained among advanced non-small cell lung cancer (NSCLC) patients in Viet Nam and to analyze the factors affecting an individual's WTP. A cross-sectional, contingent valuation study was conducted among 400 NSCLC patients across 6 national hospitals in Viet Nam. Self-reported information was recorded from patients regarding their socio-demographic status, EQ-5D (EuroQol-5 dimensions) utility, EQ-5D vas, and WTP for 1 QALY gained. To explore the factors related to the WTP, Gamma Generalized Linear Model and multiple logistic regression tools were applied to analyze data. The overall mean and median of WTP/QALY among the NSCLC patients were USD $11,301 and USD $8002, respectively. Strong association was recorded between WTP/QALY amount and the patient's education, economic status, comorbidity status, and health utility. Government and policymakers should consider providing financial supports to disadvantaged groups to improve their access to life saving cancer treatment.