Research Seminar Series on “Global Challenges” – Lise Rochaix (Paris School of Economics and Université of Paris 1), 16th November 2023 at 12:15 p.m. (CET)

Research Seminar Series on “Global Challenges”

Lise Rochaix (Paris School of Economics and Université of Paris 1) “Into the Far West? Investigating Health Policy-Makers’ Willingness to Adopt Decrementally Cost-Effective Innovations Using a DCE Approach” (with Ivan Tzintzun and Jonathan Sicsic), jointly organised by Centro Studi Luca d’Agliano, BAFFI and the Department of Economics, Management and Quantitative Methods (University of Milan) in collaboration with the Dipartimento di Economia, Metodi Quantitativi e Strategie di Impresa (Università Milano Bicocca), the Dipartimento di Ingegneria Gestionale (Politecnico di Milano) and the Department of Economics of the University of Insubria.

The seminar will be held on Thursday, 16th November 2023 at 12:15 p.m. (CET) in a hybrid format:

– DEMM seminar room, Via Conservatorio 7, 2nd floor.
– Via Zoom. Please register by email to centro.dagliano@unimi.it

Abstract:

In a context of increasingly limited resources, a number of strategies, such as the adoption of decrementally cost-effective interventions (d-CEIs), could offer potential levers at enhancing both efficiency and equity in healthcare systems. In this paper, we investigate policy-makers’ willingness to adopt d-CEIs using a two-stage pairwise choice experiment survey eliciting preferences for d-CEIs’ attributes in forced choices and the determinants of d-CEIs’ adoption (unforced choices). We investigate the effect (and trade-offs) between three attributes: health loss, reversibility (possibility to switch back to usual care), and cost-savings. Such trade-offs are contextualized by using two sensitivity attributes: disease severity and savings uncertainty. Our final sample consists of 180 decision-makers from various EU countries.
All attributes’ levels have a significant effect in both stages. The ”health loss” attribute dominates in the first stage decision-makers would require 28.3% increase of budget savings to be indifferent between a scenario of small versus significant health losses. In contrast, the ”reversibility” attribute dominates in the second stage suggesting that anticipated regret may play a role in adoption decisions. Sensitivity analyses reveal the existence of heterogeneity across respondents in both stages. Our analyses provide original results regarding the inter-individual determinants of policy-makers’ willingness to adopt d-CEIs.