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Democracy Culture and Cancer Patients’ Willingness to Pay for Healthcare Services: A Meta-analysis

机译:民主文化和癌症患者的医疗保健服务愿意:META分析

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摘要

Cancer is one of the leading causes of death globally and expenditure associated with cancer is quite high. Efficient resource allocation needs information on economic evaluations of healthcare interventions. The purposes of the study are to provide a comprehensive overview of cancer patients’ willingness to pay (WTP) for healthcare services and to investigate the influence of democracies, culture dimensions, and other factors on WTP. A meta-analysis was conducted using PubMed, Scopus, and Google Scholar to identify all studies of stated preference approach to estimate cancer patients’ WTP healthcare services. A set of criteria was constructed for selecting relevant studies. A total of 79 studies were related to selection criteria and held sufficient information for the purposes of meta-analysis. A total of 393 estimates of WTP from 79 healthcare valuation studies were pooled to identify the links between WTP and influential factors. The findings suggest that values of benefits in healthcare services are higher in more democratic nations, but they are lower in cultural traits that are stronger indulgence and uncertainty avoidance. Further, the types of cancer matter. Compared to breast cancer, WTP is higher for skin cancer, yet lower for liver cancer and lymphoma. A higher national income and public health expenditure increase WTP for healthcare services, while a higher death rate by cancer leads to lower values of healthcare benefits.
机译:癌症是全球性死亡的主要原因之一,与癌症相关的支出相当高。有效的资源分配需要关于医疗保健干预的经济评估信息。该研究的目的是提供癌症患者支付(WTP)支付(WTP)的综合概述,并调查民主国家,文化维度和其他因素对WTP的影响。使用PubMed,Scopus和Google Scholar进行了META分析,以确定所有对估计癌症患者WTP保健服务的偏好方法的研究。构建了一系列标准,用于选择相关研究。共有79项研究与选择标准有关,并为荟萃分析的目的持有足够的信息。合并了来自79个医疗保健估值研究的393个WTP估计,以确定WTP和影响因素之间的联系。调查结果表明,医疗保健服务的福利价值在更加民主的国家,但它们在更强大的放纵和不确定性避免的文化特征中较低。此外,癌症的类型。与乳腺癌相比,皮肤癌的WTP较高,但肝癌和淋巴瘤的皮肤癌降低。较高的国家收入和公共卫生支出增加了医疗保健服务的WTP,而癌症的死亡率较高导致医疗保健福利的价值较低。

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