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Principles in Health Economics and Policy

ISBN-10: 0199237816

ISBN-13: 9780199237814

Edition: 2nd 2009

Authors: Jan Abel Olsen

List price: $61.00
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Description:

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.
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Book details

List price: $61.00
Edition: 2nd
Copyright year: 2009
Publisher: Oxford University Press, Incorporated
Publication date: 10/11/2009
Binding: Paperback
Pages: 220
Size: 6.00" wide x 9.00" long x 0.50" tall
Weight: 0.792
Language: English

The context of health and health care
Health and health care
What is health?
What is health care?
What do health care and health do for people?
Health and health care across the world
Conclusion
Economics and efficiency
More in means more out-but at a diminishing rate
Substitution: �more than one way to skin a cat�
Scarcity: a dismal reality for the dismal science
Supply and demand-and the magic equilibrium
Conclusion
What makes the market for health care different?
The perfect market model and the imperfect market for health care
Asymmetric information and the agency relationship
Externalities: selfishly motivated
Conclusion
Equality and fairness
Externalities: unselfishly motivated
Transfers in cash or in kind
Three theories of distributive justice
The health frontier and trade-offs
Conclusion and some conceptual clarifications
Intervening in the determinants of health
The health environment
The physical environment
The social environment
Conclusion
Health-related lifestyle
Diet
Exercise
Substance use
Conclusion
Financing health care
Uncertainty and health insurance
The welfare gain from insurance
Moral hazard
Risks differ: actuarially fair insurance
Adverse selection
Conclusion
Compulsory insurance
Social health insurance
Tax-financed health care
Comparing three insurance systems
Conclusion
Patient payment
The third party or the patient pays
Co-payment, co-insurance, co-funding, cost sharing
Deductibles
Distributive implications
Negative patient payments
Autonomous consumer or compliant patient
Conclusion
Paying health care providers
Primary care
Fee for service
Capitation
Salary
Comparing three payment systems
Conclusion
Secondary care: reimbursing hospitals
Retrospective variable: cost reimbursement
Prospective fixed budgets
Prospective variable
Macro vs micro level
Conclusion
Integrating the health care provider system
Combinations of payment systems in primary and secondary care
The�body�of the health care provider system
Interventions: integration and incentives
Conclusion
Economic evaluation and priority setting
Non-monetary effects and monetary benefits
Incommensurable outcome measures
Commensurable measures of health effects
Production gains resulting from improved health
The monetary value of improved health
Threshold values and net monetary benefits
Conclusion
Costs and discounting
Average vs marginal costs
Identifying cost items: analysis viewpoint
Health service costs
Non-health service costs
The discount rate
Conclusion
Equity issues: going beyond CBA and ICER
Productivity changes and willingness to pay vary with income
Health gains: size and distribution matter
Severity: equality in prospective health
Age: equality in total health
Causes of ill health
Consequences beyond patients� health gains
Conclusion
References
Index