Eliciting willingness to pay: comparing closed-ended with open-ended and payment scale formats

Med Decis Making. 2003 Mar-Apr;23(2):150-9. doi: 10.1177/0272989X03251245.

Abstract

Willingness to pay (WTP) is increasingly being used as a measure of valuation in health technology assessment. A variety of formats for eliciting values are available, although the relative virtues of each remain the subject of methodological controversy. This article compares valuation results obtained using a WTP survey instrument in a closed-ended format with those obtained from instruments using open-ended and payment scale formats. Samples of subjects were drawn from a general population, and all were asked to value the same intervention--alternative methods of screening for colorectal cancer. It was discovered that, whereas the open-ended and payment scale formats produced broadly similar valuations, the closed-ended format produced significantly higher WTP valuations and different justifications for those valuations. It is hypothesized that anchoring and yea-saying effects explain these differences and that the closed-ended format triggers a different response mode in subjects.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Attitude to Health
  • Colorectal Neoplasms / diagnosis*
  • Colorectal Neoplasms / economics
  • Educational Status
  • Female
  • Financing, Personal*
  • Health Expenditures*
  • Humans
  • Linear Models
  • Male
  • Mass Screening / economics*
  • Middle Aged
  • Models, Econometric
  • Occult Blood
  • Odds Ratio
  • Research Design
  • Sex Factors
  • Surveys and Questionnaires / standards*
  • United Kingdom