Tehran University of Medical Sciences Health Technology Assessment in Action 2645-3835 8 2 2024 05 19 238 238 Elham Ehsani-Chimeh National Institute for Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran Leila Keikavoosi-Arani Department of Healthcare Services Management, School of Health, Research Center for Health, Safety and Environment, Alborz University of Medical Sciences, Karaj, Iran Behzad Zohrevandi Guilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran Amirhossein Asghari Guilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran Enayatollah Homaie Rad Social Determinants of Health research center, trauma Institute, Guilan University of Medical Sciences, Rasht, Iran 2024 01 19 2024 02 28 Providing pre-hospital emergency services is accessible in Iran but costly for the country’s health system. This study calculated the willingness to pay (WTP) for pre-hospital emergency services in Iran. Discrete choice experiment (DCE) was used to measure the population’s WTP for ambulance services focusing on time, price, and quality of services. Four hundred and sixty people in Rasht city, Iran, participated in this online survey. Participants preferred lower transfer fees (β = -0.7, P˂ 0.05), lower time of reaching to the scene (β = -0.061, P˂ 0.05), lower time to arrive to the hospitals (β = -0.038, P ˂ 0.05), Private ambulance (β = -0.151, P ˂ 0.05), and emergency medical services (EMS) technicians (β = 0.209, P ˂ 0.05). Patients’ WTP in selecting EMS services can help policymakers to provide the best services. https://htainaction.tums.ac.ir/index.php/hta/article/view/238 https://htainaction.tums.ac.ir/index.php/hta/article/download/238/153