ArticleHealthcare (Basel, Switzerland)2020
A Systematic Review of WTA-WTP Disparity for Dental Interventions and Implications for Cost-Effectiveness Analysis.
Article in Healthcare (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- A systematic review of the willingness-to-accept and willingness-to-pay disparities in empirical studies in the healthcare field.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Finite Element Analysis of Peri-Implant Stress in Maxillary All-on-Four Rehabilitation: Effects of Posterior Implant Angulation and Loading Protocol.Materials (Basel, Switzerland) · 2026Article
- Handling uncertainty in cost-effectiveness analysis in dental medicine: a systematic review with a focus on affordability and risk-aversion.Cost effectiveness and resource allocation : C/E · 2025Review
- Developing and validating a scale to measure perceived barriers to prosthodontics treatments among partially edentulous patients.Frontiers in oral health · 2024Article
- The main decision-making competence for willingness-to-pay towards COVID-19 vaccination: a family-based study in Taizhou, China.Annals of medicine · 2022Article
- Maxillary overdenture on three implants retained by low-profile stud attachments - A prospective cohort study.Journal of oral rehabilitation · 2022Article
- Mastication Wear of Two Low Profile Attachment Systems for Overdenture: An In Vitro Study.BioMed research international · 2022Article
- Handling Uncertainty in Cost-Effectiveness Analysis: Budget Impact and Risk Aversion.Healthcare (Basel, Switzerland) · 2021Article
- Prevalence of Missing Values and Protest Zeros in Contingent Valuation in Dental Medicine.International journal of environmental research and public health · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cost-effectiveness analysis is widely adopted as an analytical framework to evaluate whether health care interventions represent value for money, and its use in dentistry is increasing. Traditionally, in cost-effectiveness analysis, one assumes that the decision maker's maximum willingness to pay (WTP) for health gain is equivalent to his minimum willingness to accept (WTA) monetary compensation for health loss. It has been documented in the literature that losses are weighted higher than equivalent gains, i.e., that WTA exceeds WTP for the same health condition, resulting in a WTA/WTP ratio greater than 1. There is a knowledge gap of published WTA/WTP ratios for dental interventions in the literature. We therefore conducted a (i) systematic review of published WTA-WTP estimates in dentistry (MEDLINE, Web of Science, Cochrane Library, London, UK) and (ii) a patient-level analysis of WTA/WTP ratios of included studies, and (iii) we demonstrate the impact of a WTA-WTP disparity on cost-effectiveness analysis. Out of 55 eligible studies, two studies were included in our review. The WTA/WTP ratio ranged from 2.58 for discontinuing water fluoridation to 5.12 for mandibular implant overdentures, indicating a higher disparity for implant rehabilitations than for dental public health interventions. A WTA-WTP disparity inflates the cost-effectiveness of dental interventions when there is a substantial risk of both lower costs and health outcomes. We therefore recommend that in these cases the results of cost-effectiveness analyses are reported using different WTA/WTP ratios in a sensitivity analysis.
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