Principles in health economics and policy: Distributing health care / Edition 2 by Jan Abel Olsen | 9780199237814 | Paperback | Barnes & Noble
Principles in health economics and policy: Distributing health care / Edition 2

Principles in health economics and policy: Distributing health care / Edition 2

by Jan Abel Olsen
     
 

ISBN-10: 0199237816

ISBN-13: 9780199237814

Pub. Date: 10/11/2009

Publisher: Oxford University Press

Examining the different structures and techniques involved in making decisions about who benefits from those health care resources available in a publicly funded system, this book is a concise and compact introduction to health economics and policy. It introduces the subject of economics, explains the fundamental failures in the market for health care and discusses

Overview

Examining the different structures and techniques involved in making decisions about who benefits from those health care resources available in a publicly funded system, this book is a concise and compact introduction to health economics and policy. It introduces the subject of economics, explains the fundamental failures in the market for health care and discusses the concepts of equity and fairness when applied to health and health care.

Written for students and health professionals with no background in economics, this new edition has been fully updated and revised. It now provides a more policy-oriented appraoch than before, emphasizing the application of economic analysis to health policy issues. User-friendly and filled with non-specialist language and easily understandable mathematics, this volume addresses a range of universal health policy issues through the application of health economic analyses. Exploring key questions currently facing health policy makers across the globe, it asks: how should society intervene in the determinants that affect health?; how should health care be financed?; how should health care providers be paind?; and how should alternative health care programs be evaluated when setting priorities?

With exercises and suggested further reading lists at the end of each chapter, Principles in Health Economics and Policy, 2nd edition, is an ideal resource for students and health professionals. It is the perfect place to find a clear and concise policy relevant introduction to the application of health economics to health care funding from a unique economics perspective that cannot be found anywhere else.

Product Details

ISBN-13:
9780199237814
Publisher:
Oxford University Press
Publication date:
10/11/2009
Edition description:
New Edition
Pages:
220
Product dimensions:
6.10(w) x 9.10(h) x 0.60(d)

Table of Contents

Part 1 The context of health and health care

1 Health and health care 3

1.1 What is health? 3

1.2 What is health care? 6

1.3 What do health care and health do for people? 8

1.4 Health and health care across the world 11

1.5 Conclusion 14

2 Economics and efficiency 17

2.1 More in means more out-but at a diminishing rate 19

2.2 Substitution: 'more than one way to skin a cat' 24

2.3 Scarcity: a dismal reality for the dismal science 32

2.4 Supply and demand-and the magic equilibrium 38

2.5 Conclusion 44

3 What makes the market for health care different? 47

3.1 The perfect market model and the imperfect market for health care 47

3.2 Asymmetric information and the agency relationship 52

3.3 Externalities: selfishly motivated 55

3.4 Conclusion 59

4 Equality and fairness 61

4.1 Externalities: unselfishly motivated 61

4.2 Transfers in cash or in kind 64

4.3 Three theories of distributive justice 67

4.4 The health frontier and trade-offs 72

4.5 Conclusion and some conceptual clarifications 77

Part 2 Intervening in the determinants of health

5 The health environment 85

5.1 The physical environment 85

5.2 The social environment 89

5.3 Conclusion 92

6 Health-related lifestyle 95

6.1 Diet 96

6.2 Exercise 98

6.3 Substance use 98

6.4 Conclusion 101

Part 3 Financing health care

7 Uncertainty and health insurance 107

7.1 The welfare gain from insurance 108

7.2 Moral hazard 112

7.3 Risks differ: actuarially fair insurance 113

7.4 Adverse selection 114

7.5 Conclusion 116

8 Compulsory insurance 119

8.1 Social health insurance 120

8.2 Tax-financed health care 121

8.3 Comparing three insurance systems123

8.4 Conclusion 123

9 Patient payment 127

9.1 The third party or the patient pays 128

9.2 Co-payment, co-insurance, co-funding, cost sharing 128

9.3 Deductibles 129

9.4 Distributive implications 131

9.5 Negative patient payments 132

9.6 Autonomous consumer or compliant patient 133

9.7 Conclusion 134

Part 4 Paying health care providers

10 Primary care 139

10.1 Fee for service 140

10.2 Capitation 143

10.3 Salary 145

10.4 Comparing three payment systems 148

10.5 Conclusion 151

11 Secondary care: reimbursing hospitals 153

11.1 Retrospective variable: cost reimbursement 154

11.2 Prospective fixed budgets 155

11.3 Prospective variable 155

11.4 Macro vs micro level 157

11.5 Conclusion 157

12 Integrating the health care provider system 161

12.1 Combinations of payment systems in primary and secondary care 161

12.2 The'body'of the health care provider system 163

12.3 Interventions: integration and incentives 165

12.4 Conclusion 167

Part 5 Economic evaluation and priority setting

13 Non-monetary effects and monetary benefits 175

13.1 Incommensurable outcome measures 176

13.2 Commensurable measures of health effects 178

13.3 Production gains resulting from improved health 185

13.4 The monetary value of improved health 189

13.5 Threshold values and net monetary benefits 192

13.6 Conclusion 193

14 Costs and discounting 195

14.1 Average vs marginal costs 195

14.2 Identifying cost items: analysis viewpoint 199

14.3 Health service costs 200

14.4 Non-health service costs 200

14.5 The discount rate 201

14.6 Conclusion 205

15 Equity issues: going beyond CBA and ICER 207

15.1 Productivity changes and willingness to pay vary with income 207

15.2 Health gains: size and distribution matter 209

15.3 Severity: equality in prospective health 210

15.4 Age: equality in total health 210

15.5 Causes of ill health 213

15.6 Consequences beyond patients' health gains 214

15.7 Conclusion 215

References 219

Index 223

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