6533b82afe1ef96bd128b8cf
RESEARCH PRODUCT
Europeans' willingness to pay for ending homelessness: A contingent valuation study.
Sandrine LoubièreRoberto BernadMaria J. Vargas-monizMassimo SantinelloOwen TaylorBranagh R. O'shaughnessyJosé OrnelasAnderson LoundouHåkan KällménPascal AuquierAnna BokszczaninJudith R. L. M. WolfAurélie Tinlandsubject
Health (social science)Housing FirstPsychological interventionHealthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]03 medical and health sciencesAll institutes and research themes of the Radboud University Medical Center0302 clinical medicineHistory and Philosophy of ScienceWillingness to payContingent valuation method; Europe; Homelessness; Housing first; Willingness to payHealth careWillingness to pay030212 general & internal medicineContingent valuation030505 public healthPublic economicsbusiness.industryHousing firstWillingness to pay Contingent valuation method Housing first HomelessnessHomelessnessBiddingEuropehousing first homelessnessRespondentValue (economics)Contingent valuation methodBusinesscontingent valuation method0305 other medical sciencewillingness to paydescription
The purpose of this study is to assess the utility value European citizens put on an innovative social program aimed at reducing homelessness. The Housing First (HF) model involves access to regular, scattered, independent and integrated housing in the community with the support of a multidisciplinary team. Currently, HF is not implemented by most European countries or funded by healthcare or social plans, but randomised controlled trials have stressed significant results for improved housing stability, recovery and healthcare services use. The broader implementation of HF across Europe would benefit from a better understanding of citizens' preferences and "willingness to pay" (WTP) for medico-social interventions like HF. We conducted a representative telephone survey between March and December 2017 in eight European countries (France, Ireland, Italy, the Netherlands, Poland, Portugal, Spain, and Sweden). Respondent's WTP for HF (N = 5631) was assessed through a contingent valuation method with a bidding algorithm. 42.3% of respondents were willing to pay more taxes to reduce homelessness through the HF model, and significant differences were found between countries (p < 0.001); 30.4% of respondents who did not value the HF model were protest zeros (either contested the payment vehicle-taxes- or the survey instrument). Respondents were willing to pay €28.2 (±11) through annual taxation for the HF model. Respondents with higher educational attainment, who paid national taxes, reported positive attitudes about homelessness, or reported practices to reduce homelessness (donations, volunteering) were more likely to value the HF model, with some countries' differences also related to factors at the environmental level. These findings inform key stakeholders that European citizens are aware of the issue of homelessness in their countries and that scaling up the HF model across Europe is both feasible and likely to have public support. info:eu-repo/semantics/publishedVersion
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-01-01 | Social sciencemedicine (1982) |