Assessing the Willingness of Parents to Pay for Reducing Postoperative Emesis in Children
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This study assessed the willingness of parents to pay for a reduction in the postoperative emesis experienced by children.
The willingness-to-pay technique was used to value the intangible benefits, such as relief from anxiety and discomfort, resulting from a reduction in postoperative emesis in children; anxiety and discomfort are currently excluded from most cost-effectiveness studies of antiemetic agents.
A structured questionnaire was used to interview a representative sample of 162 parents. These were parents, identified by Gallup, whose children had undergone surgery within the previous 2 years and, therefore, were familiar with the postoperative experience.
The median willingness to pay for a reduction in postoperative emesis in children was found to be £50 (30% of parents were unwilling to pay more than £5, while more than 35% of parents were willing to pay £100 or more). Most parents expressed some degree of worry about postoperative nausea and vomiting; 24% were very worried about it. This study found that simple cost—effectiveness studies of antiemetic agents including only direct costs underestimate the true value of the intervention.
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- 6.Morris RW, Ernst E, Greaves DJ, et al. An audit of the incidence and costs associated with postoperative nausea and vomiting following major gynaecological surgery. Eur Soc Anaesthesiol (Brussels): May 1993Google Scholar
- 7.Thwaites RMA, Cohen LA. Cost-effectiveness of intravenous ondansetron in the prevention of PONV in paediatric adenotonsillectomy patients [abstract no. F211]. Proceedings of the 11th World Congress of Anaesthesiology; Sydney, Australia, 1996Google Scholar
- 8.Patel RI, Hannallah RS. Anesthetic complications following pediatric ambulatory surgery: a 3-yr study. Anesthesiology 1988; 6: 1009-129. Ernst EMC. The economics of quality care. United Kingdom: Direct Publishing Solutions, 1994Google Scholar
- 11.British Medical Association and Royal Pharmaceutical Society of Great Britain. Br National Formulary 1996; Sept: 32Google Scholar
- 12.Donaldson C. Theory and practice of willingness to pay for healthcare. Health Economics Research Unit: University of Aberdeen. Discussion paper no.: 01/93Google Scholar
- 18.Hollander M, Wolfe DA. Nonparametric statistical methods. New York: John Wiley and Sons, 1973Google Scholar
- 19.Hawksworth C. Willingness to pay for ‘better’ day surgery drugs. J One—Day Surg, Winter 1996/1997: 3–4Google Scholar
- 20.Nightingale K. Achieving quality of care. United Kingdom: Direct Publishing Solutions, 1994Google Scholar
- 21.Donaldson C. Distributional aspects of willingness to pay. Health Economics Resource Unit: University of Aberdeen, Discussion paper no.: 01/96Google Scholar
- 22.Little IMD. A critique of welfare economics. 2nd ed. Oxford: Oxford University Press, 1973Google Scholar
- 23.NHS Executive. Priorities and planning guidance for the NHS: 1997/8. Department of Health: June 1996Google Scholar