Main Article Content
Abstract
Pemerintah mengamanatkan penerapan kajian teknologi kesehatan atau health technology assessment (HTA) untuk melakukan kendali mutu dan kendali biaya, dimana salah satu upaya adalah dengan mengetahui nilai WTP per QALY untuk terapi penyakit moderate, karena harapan seseorang untuk sembuh pada terapi moderate ini tinggi. Tujuan dari penelitian ini adalah untuk mengetahui nilai willingness to pay per quality-adjusted life year (WTP per QALY) untuk terapi penyakit moderate pada masyarakat di Kota Yogyakarta. Penelitian ini menggunakan rancangan penelitian observasional dengan pendekatan cross-sectional. Estimasi nilai WTP per QALY menggunakan metode stated preference dengan pendekatan contingent valuation. Instrumen penelitian berupa kuesioner yang berisi skenario hipotetik yang dikembangkan dari dua jenis instrumen yaitu kuesioner untuk mengukur quality-adjusted life year (QALY) dan kuesioner untuk mengukur willingness to pay (WTP). Data dianalisis secara deskriptif dan analitik untuk mengetahui nilai estimasi WTP per QALY secara kuantitatif. Peneltian dengan 100 responden dalam penelitian ini 97% bersedia membayar dengan alasan ingin sembuh secepatnya. Nilai utility EQ-5D-5L adalah 0,904 dan nilai EQ-VAS utility adalah 0,823. Nilai rata-rata WTP adalah Rp 13.587.629 dan nilai rata-rata WTP per QALY yaitu Rp 44.827.474.
Kata kunci: willingness to pay per quality-adjusted life year, penyakit moderate
ABSTRACT
The government suggests an application of health technology assessment (HTA) in order to do the quality control and funding control, where one of the effortsis to know the value of WTP per QALY for moderate illness, because the expectancy of someone cured from moderate illness is high. The purpose of this research is to know the value of the willingness to pay per quality-adjusted life year (WTP per QALY) for moderate illness’ therapy among Yogyakarta Citizens This research is using observational research design with cross-sectional approach. The estimation of WTP per QALY value is counted using stated preference method with contingent valuation approach. The research instrument used is questionnaire to measure the willingness to pay (WTP). Data are analyzed in a descriptive and analytical manner in order to know the estimation of WTP per QALY in quantitative manner and to know factors that might affect by using bivariate and multivariate statistic analysis. Out of 100 respondents in this research, 97% are willing to pay with the reason of want to get cured as soon as possible. The utility value of EQ-5D-5L is 0,904 and EQ-Vas utility is 0,823. The mean of WTP and WTP per QALY are Rp13.587,692 and Rp 44.827,474 respectively.
Keywords: willingness to pay per quality-adjusted life year, moderate illness
Article Details
References
- DAFTAR PUSTAKA
- Arnold, R.J.G., 2009. Pharmacoeconomics: From Theory To Practice, 1st Ed. Crc Press, United State Of America
- Bobinac, A., Van Exel, N.J.A., Rutten, F.F.H., Brouwer, W.B.F., 2010. 'Willingness To Pay For A quality- Adjusted life year : the individual prespective. Value in Health 13, 1046-1055.
- Endarti, D., Andayani.T.M, kristina. S.A and Rokhman.M.R. 2017. Develoving Instrument For Estimation Of Willingness To Pay Per Qauality Adjusted Life Year (WTP Per QALY) As Cost- Effectiveness Threshold In Indonesia. ICHS;Yogyakarta.
- Fernandez JM, Castro EP, Cura-Gonzalez MI, Cardiel GA, Abraira V, LaCruz AI dan Perez SG. 2014. Willingness to pay for a quality adjusted life year: an evaluation of attitudes toward risk and preferences. BMC health services research 14: 287
- Gao, Lan, LiXia, Song-QingPan, TaoXiong, Shu-ChuenLi. 2015. Health-Related Quality of Life and Willingness to Pay per Quality-Adjusted Life-Year Threshold—A Studyin Patient s with Epilepsyin China .Va lue in health regional issues 6c(2015) 89 – 9 7.
- Herold, D.K., 2010. Patient Willingness To Pay For A Kidney Transplantation. American Journal Of Transplantation. 1394-1400. Doi: 10.1111/J.1600-6143.2010.03113.X
- Javanbakht, M., abolhasani, F., Mashayekhi, A., Baradaran, H.R., and jahangirinoudeh, Y., 2012. Health Related Quality Of Life In Patiens With Type 2 Diabetes Melitus In Iran: Anational Survey. PLos ONE, 7.
- Jhita, T., Petrou, S., Gumber, A., Szczepura, A., Raymond, N.T., and Bellary, S., 2014. Etnich Difference In Health Related Quality Of Life For Pattients With Type 2 Diabetes. Health And Quality Of Life Outcomes,12;83
- Ko, F., Frick, K.D., Tzu, j., He, M., Congdon, N., 2012. 'Willingness To Pay For potensial enhancements to A Low-Cost Cataract surgical Package in rulal Southern china. Acta ophtalmologica. E 54-e 60. Doi:10.1111/j.1755-3768.2011.02207.x
- Marseille, E., Larson, B., Kazi, D. S., Kahn, J. G. And Rosen, S. 2015, 'Thresholds For The Cost–Effectiveness Of Interventions: Alternative Approaches', Bulletin Of The World Health Organization, 93(2), 118-124.
- Owens, D. K. 1998, 'Interpretation Of Cost-Effectiveness Analyses', Journal Of General Internal Medicine, 13(10), 716
- Shafie, A.A., Hassali, M.A., 2010 willingness to pay for A pharmacist’s dispensing services: A cross-sectional pilot study in the state of penang, malaysia. Pharmacy practice. 8, 116-121
- Shafie Aa, Lim Yw, Chua Gn, Azmi M Dan Hassali A. 2014, Exploring The Willingness To Pay For A Quality-Adjusted Life-Year In The State Of Penang, Malaysia. Clinic Economics And Outcomes Research , (6) 473-481 Ncbi
- Shiroiwa T, Igarashi A, Fukuda T, Ikeda S. 2013. WTP for a QALY and health states: More money for severer health states? Cost Eff Resour Alloc 11: 22. doi: 10.1186/1478-7547-11-22 PMID: 24128004
- Thavorncharoensap, M., Teerawattananon, Y., Natanant, S., Kulpeng, W., Yothasamut, J. And Werayingyong, P. 2013, 'Estimating The Willingness To Pay For A Quality-Adjusted Life Year In Thailand: Does The Context Of Health Gain Matter?',Clinicoeconomics And Outcomes Research,
References
DAFTAR PUSTAKA
Arnold, R.J.G., 2009. Pharmacoeconomics: From Theory To Practice, 1st Ed. Crc Press, United State Of America
Bobinac, A., Van Exel, N.J.A., Rutten, F.F.H., Brouwer, W.B.F., 2010. 'Willingness To Pay For A quality- Adjusted life year : the individual prespective. Value in Health 13, 1046-1055.
Endarti, D., Andayani.T.M, kristina. S.A and Rokhman.M.R. 2017. Develoving Instrument For Estimation Of Willingness To Pay Per Qauality Adjusted Life Year (WTP Per QALY) As Cost- Effectiveness Threshold In Indonesia. ICHS;Yogyakarta.
Fernandez JM, Castro EP, Cura-Gonzalez MI, Cardiel GA, Abraira V, LaCruz AI dan Perez SG. 2014. Willingness to pay for a quality adjusted life year: an evaluation of attitudes toward risk and preferences. BMC health services research 14: 287
Gao, Lan, LiXia, Song-QingPan, TaoXiong, Shu-ChuenLi. 2015. Health-Related Quality of Life and Willingness to Pay per Quality-Adjusted Life-Year Threshold—A Studyin Patient s with Epilepsyin China .Va lue in health regional issues 6c(2015) 89 – 9 7.
Herold, D.K., 2010. Patient Willingness To Pay For A Kidney Transplantation. American Journal Of Transplantation. 1394-1400. Doi: 10.1111/J.1600-6143.2010.03113.X
Javanbakht, M., abolhasani, F., Mashayekhi, A., Baradaran, H.R., and jahangirinoudeh, Y., 2012. Health Related Quality Of Life In Patiens With Type 2 Diabetes Melitus In Iran: Anational Survey. PLos ONE, 7.
Jhita, T., Petrou, S., Gumber, A., Szczepura, A., Raymond, N.T., and Bellary, S., 2014. Etnich Difference In Health Related Quality Of Life For Pattients With Type 2 Diabetes. Health And Quality Of Life Outcomes,12;83
Ko, F., Frick, K.D., Tzu, j., He, M., Congdon, N., 2012. 'Willingness To Pay For potensial enhancements to A Low-Cost Cataract surgical Package in rulal Southern china. Acta ophtalmologica. E 54-e 60. Doi:10.1111/j.1755-3768.2011.02207.x
Marseille, E., Larson, B., Kazi, D. S., Kahn, J. G. And Rosen, S. 2015, 'Thresholds For The Cost–Effectiveness Of Interventions: Alternative Approaches', Bulletin Of The World Health Organization, 93(2), 118-124.
Owens, D. K. 1998, 'Interpretation Of Cost-Effectiveness Analyses', Journal Of General Internal Medicine, 13(10), 716
Shafie, A.A., Hassali, M.A., 2010 willingness to pay for A pharmacist’s dispensing services: A cross-sectional pilot study in the state of penang, malaysia. Pharmacy practice. 8, 116-121
Shafie Aa, Lim Yw, Chua Gn, Azmi M Dan Hassali A. 2014, Exploring The Willingness To Pay For A Quality-Adjusted Life-Year In The State Of Penang, Malaysia. Clinic Economics And Outcomes Research , (6) 473-481 Ncbi
Shiroiwa T, Igarashi A, Fukuda T, Ikeda S. 2013. WTP for a QALY and health states: More money for severer health states? Cost Eff Resour Alloc 11: 22. doi: 10.1186/1478-7547-11-22 PMID: 24128004
Thavorncharoensap, M., Teerawattananon, Y., Natanant, S., Kulpeng, W., Yothasamut, J. And Werayingyong, P. 2013, 'Estimating The Willingness To Pay For A Quality-Adjusted Life Year In Thailand: Does The Context Of Health Gain Matter?',Clinicoeconomics And Outcomes Research,