PRM44 The First Research: Assessment of the WTP Threshold for QALY by Contingent Valuation Method in Russia

Abstract

To assess the WTP threshold for QALY in Russia. We have held the opinion poll to define WTP for QALY of the 980 respondents. Questionnaire consists of demographic part: gender, age, education, hospitalization (within the last 5 years), hospitalization of any member of household (within the last 5 years) and occupation. The special part is a detailed 4categories of WTP: WTPsel for the respondent's additional QALY; WTP5sel for the respondent's additional QALY 5 years later were used to establish decision making rules; WTPfam for an additional QALY for a family member; WTPsoc: the cost that the respondent thought society should pay for someone's additional QALY were used to evaluate monetary value of other people's QALY for comparison with respondents' own QALY. Average WTPsel and WTP5sel are rather equal 69,000 and 72,000 rubles (the rub/$ rate in Russia is 30 rub for 1 $). The average WTPfam is 16% more than WTPsel.The fact that WTPfam was higher than WTPsel. Average WTPsoc is 146 000 rubles, which is more than twice as much as WTP5sel (72 000 rubles). WTP value is increasing sequentially from WTPsel toWTPsoc in each category. The main factors which influenced WTP the most are occupation, age and education. Whereas factors such as gender, hospitalization (within the last 5 years) and hospitalization of any member of household (within the last 5 years) didn't play an important role. We have compared our figures with International Survey (Takeru Shiroiwa, Japan) and have obtained the similar results. The WTP for QALY in Russia is 63,000 rubles or $2,300 that is much lower than in other countries but WTP/AAI ratio is nearly the same as in the UK.There are WTP5sel≤WTPsel≤WTPfam≤WTPsocin Russia just like in Australia, the UK and the US.