Determining the Marginal Willingness to Pay for the Cervical Cancer Screening Program in Croatia: A Best-Worst Scaling Approach

Croatia is faced with a low response to cancer-screening programs, especially the national cervical cancer screening program, which ultimately resulted in its suspension. If judged solely on the basis of revealed preferences, such a poor response would imply that the population assigns a low social...

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Bibliographic Details
Published in:Society and economy 2019-12, Vol.41 (4), p.433-447
Main Author: Samarzija, Nikolina Dukic
Format: Article
Language:English
Subjects:
Cancer research
Cancer screening
Cervical cancer
Economic development
Economic theory
Health care
Human Ecology
Human Resources in Economy
Identity of Collectives
Medical screening
Preventive medicine
Public health
Public health movements
Socio-Economic Research
Willingness to pay
Women's health
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Summary:Croatia is faced with a low response to cancer-screening programs, especially the national cervical cancer screening program, which ultimately resulted in its suspension. If judged solely on the basis of revealed preferences, such a poor response would imply that the population assigns a low social value to preventive screening programs. However, the question arises as to whether revealed preferences (the population's response), in the case of the absence of response to a preventive program, provide insight into its value (utility). Therefore, the objective of this paper is to determine the value that respondents assign to different attributes of cervical screening and, in a broader sense, to decide whether the best-worst scaling (BWS) approach is appropriate for determining the marginal willingness to pay (MWTP) for public health programs. The MWTP for certain attributes of cervical cancer screening is derived from the results of a BWS study conducted in Primorje-Gorski Kotar County, Croatia. The cost function was estimated by regressing the conditional logit coefficients (level of utility) of three levels of the cost attribute on its corresponding values, that is, the hypothetical price. Because the sum of the MWTP corresponds with the market price of a gynecological examination in private practice, we conclude that the results obtained by the BWS confirm the revealed preferences (the market value of the service).
ISSN:1588-9726
1588-970X
DOI:10.1556/204.2019.016