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Test-retest reliability of willingness to pay

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Abstract

We describe the results of a survey designed to assess the test-retest reliability of a method of establishing willingness to pay. Willingness to pay values for a hypothetical intervention were elicited from a randomly selected, population sample by face-to-face interview on three occasions over a period of 5 weeks. Test-retest reliability was assessed by intraclass correlation and by generalizability analysis. Reliability was acceptable but not substantial, and there was a statistically significant shift in mean value between first and second assessments. The greatest source of variation in values was the participants. There was also a substantial interaction between time and participants, suggesting that some respondents changed their answers at follow-up. The results were sensitive to the high valuations provided by four of the participants, however.

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Acknowledgements

The authors gratefully acknowledge the role played in this research by the survey participants, who gave freely of their time. We thank the interviewers for their diligent attention, Megan Fletcher, Janelle Seymour, and Sue Cameron for their assistance with data collection, Gavin Mooney, Glenn Salkeld, Virginia Wiseman, and Stephen Jan for the advice and insights they each provided during the course of this study and its write up, and Lyn Watson for helpful comment on the statistical analysis. Funding for the fieldwork described here was provided by the Australian National Health and Medical Research Council under award number 990516. A.S. and P.H. are both funded by the Alberta Heritage Foundation for Medical Research. All views expressed in the paper are the authors’ alone.

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Correspondence to Alan Shiell.

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Shiell, A., Hawe, P. Test-retest reliability of willingness to pay. Eur J Health Econ 7, 173–178 (2006). https://doi.org/10.1007/s10198-006-0349-y

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