Objective: To investigate preferences for fertility treatment from the Australian general population with the aims of calculating the willingness to pay in tax contribution for attributes (characteristics) that make up treatment and for an “ideal” fertility treatment program. We also assessed whether willingness-to-pay varies by the relationship status or sexual orientation of the patient.
Methods: A stated preference discrete choice experiment was administered to a panel of 801 individuals representative of the Australian general population. Seven attributes of fertility treatment under three broad categories were included: outcome, process, and cost. Attributes were identified through published literature, focus group discussions, expert knowledge, and a pilot study. A Bayesian fractional experimental design was used, and data analysis was performed using a generalized multinomial logit model. Further analyses included interaction terms and latent class modeling.
Results: Six of the seven attributes influenced the choice of a treatment program. Under process attributes, individuals preferred: continuity of care of clinic staff, where patients are seen by the same doctor but different nurses at each visit; “alternative” treatments being offered to all patients; and onsite clinic counseling and peer-support groups. Personalization and tailoring of the treatment journey were not important. Among outcome attributes, the improved success rate of having a baby per cycle and significant side-effects were considered important. Cost of treatment also influenced the choice of treatment program. Individual preferences for fertility treatment were not associated with patients’ relationship status or sexual orientation. Latent class modeling revealed sub-groups with distinct fertility treatment preferences.
Conclusion: This study provides important insights into the attributes that influence the preferences of fertility treatment in Australia. It also estimates socially-inclusive willingness-to-pay values in tax contributions for an “ideal” package of treatment. The results can inform economic evaluations of fertility treatment programs. 相似文献
This dissertation aims at elucidating the history of Vernon Smith’s experimental economics by focusing its attention upon the three themes of rationality, minds and machines that assumed significance at different (albeit overlapping) stages of the development of Smith’s experimental economics with the help of his published and unpublished papers.Chapter 1 is devoted to the scrutiny of the form of rationality incorporated into the portions of Smith’s laboratory experiments whose results have usually been taken as corroborations of his “Hayek Hypothesis.” By bringing into the foreground Smith’s definite position on demand theory and its concrete instantiations on many different occasions, we make the case that Smith has consistently imposed by means of the induced value theory certain narrowly defined preference structures that have definite implications for the form of rationality instantiated in the laboratory.The main narrative in Chapter 2 concerns Smith’s intellectual interchanges with behavioral scientists in the early 1960s, more specifically, his reactions to behavioral scientists’ attempts at cognitive modeling. We present several reasons for interpreting Smith’s initiation of the attempt at the maximization-based induced value theory as an endeavor to discipline subjects’ minds. We also provide in Chapter 2 a portrayal of Smith’s missed opportunities to get involved in the large-scale laboratory experimentation projects pursued in the 1950s in close connection with several branches of psychology.Chapter 3 consists of two parts. In Part 1, we describe the origin of mechanism design economics, and offer a detailed explanation of the analytical kinship between Smith’s “microeconomic system theory” and the standard conceptual framework utilized in mechanism design economics. Part 2 is devoted to describing the roles played by the computer in both Smith’s empirical research agenda and the theoretical, mechanism design research pursued by Stanley Reiter (one of Smith’s intellectual companions since the 1950s). Our historical narrative in Chapter 3 is intended to clarify that computer experience and computational theory drove the development of Reiter’ version of mechanism design economics, and that they also (partially) shaped some crucial events in the history of Smith’s version of experimental economics.JEL Classification: B21, B31, C90, C92, D02Prof. Philip E. Mirowski: Advisor 相似文献
