Comparing welfare estimates from payment card contingent valuation and discrete choice experiments

Health Econ. 2009 Apr;18(4):389-401. doi: 10.1002/hec.1364.


This study presents the first comparison of willingness to pay estimates derived from the payment card (PC) contingent valuation and discrete choice experiment (DCE) methods. A within-sample experiment was used to elicit women's preferences for Chlamydia screening. The willingness to pay estimate derived from the DCE was larger than that derived from the PC. To investigate why the willingness to pay estimates were different, a range of validity tests were conducted. Both methods produced theoretically valid results, and there was no difference in the reported difficulty of completing the tasks. Evidence of a prominence effect was found in the PC responses. Responses to the DCE satisfied tests of non-satiation. Responses to both methods were compared with revealed preference data. There were significant differences between stated screening intention in both methods and actual screening uptake. Future work should address the external validity of stated preference methods.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Algorithms
  • Chlamydia / isolation & purification
  • Choice Behavior*
  • Female
  • Financing, Personal / statistics & numerical data*
  • Humans
  • Mass Screening / economics*
  • Mass Screening / organization & administration
  • Social Welfare / economics*
  • Surveys and Questionnaires
  • Young Adult