Influence of prior knowledge and experience on willingness to pay for home hospice services: a contingent valuation study.

Caroline Steigenberger, Andrea M Leiter, Uwe Siebert, Claudia Schusterschitz, Magdalena Flatscher-Thoeni

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Article in International journal of health economics and management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Caroline SteigenbergerInstitute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL - University for Health Sciences and Technology, Hall in Tirol, Austria. caroline.steigenberger@umit-tirol.at.ORCID http://orcid.org/0000-0003-0713-2623

Andrea M LeiterDepartment of Economics, Faculty of Economics and Statistics, University of Innsbruck, Innsbruck, Austria.ORCID http://orcid.org/0000-0002-8628-5072

Uwe SiebertInstitute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL - University for Health Sciences and Technology, Hall in Tirol, Austria.ORCID http://orcid.org/0000-0001-6425-7671

Claudia SchusterschitzInstitute of Psychology and Sports Medicine, Department of Psychology and Medical Science, UMIT TIROL - University for Health Sciences and Technology, Hall in Tirol, Austria.ORCID http://orcid.org/0000-0003-4482-6245

Magdalena Flatscher-ThoeniInstitute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL - University for Health Sciences and Technology, Hall in Tirol, Austria.

Funding

Anniversary Fund of the Austrian National Bank A-14.653

6 · The paper itself

Abstract

Home hospice services contribute to dying in dignity by addressing medical and social needs at the end of life. The respective monetary valuation in a sense of willingness to pay is not available yet. We aim to quantify the benefits of home hospice services to society using society's monetary valuation and examine the influence of prior knowledge and experience on willingness to pay for home hospice services. A nationwide cross-sectional contingent valuation study was conducted in Austria. We analyzed the impact of the determinants of interest on having a positive willingness to pay for home hospice services via multivariate Probit regression. Stated willingness to pay was analyzed using interval regression. Variable selection of potential influence factors and confounders was based on the literature. The variables of interest, prior knowledge of and experience with home hospice services, were represented by twelve related variables. We included 1262 respondents in the analysis. The two-part regression analysis showed a statistically significant positive impact on the probability of having a positive willingness to pay by prior knowledge of home hospice services, prior donations, and the wish of not dying alone. Prior donations also increase the level of willingness to pay. The probability of a positive willingness to pay was statistically significantly lower for respondents that stated to have experienced the death of more than ten close persons and perceived spending time with dying persons as burden than their respective counterparts. Our study provides evidence that information campaigns to increase the recognition and awareness of existing home hospice services could increase their perceived value in society.

Indexed as

Financing, PersonalHealth Knowledge, Attitudes, PracticeHome Care ServicesHospice CareAdultAgedAged, 80 and overAustriaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAttitude to deathContingent valuationHospicesKnowledgeTerminal careWillingness to pay

Identifiers

PMID40131701

DOI10.1007/s10754-025-09393-8

PMCPMC12568916

What Socratic holds

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LicenceCC BY

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.