Economic analysis in health care:
Gespeichert in:
| Beteiligte Personen: | , , |
|---|---|
| Format: | Buch |
| Sprache: | Englisch |
| Veröffentlicht: |
Chichester
Wiley
2007
|
| Schlagwörter: | |
| Links: | http://www.loc.gov/catdir/toc/ecip077/2006100396.html http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015672350&sequence=000008&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| Beschreibung: | Includes bibliographical references and index |
| Umfang: | XIV, 400 S. Ill., graph. Darst. |
| ISBN: | 047001685X 9780470016855 |
Internformat
MARC
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| 100 | 1 | |a Morris, Stephen |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Economic analysis in health care |c Stephen Morris ; Nancy Devlin ; David Parkin |
| 264 | 1 | |a Chichester |b Wiley |c 2007 | |
| 300 | |a XIV, 400 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Includes bibliographical references and index | ||
| 650 | 7 | |a Financiering |2 gtt | |
| 650 | 7 | |a Gezondheidszorg |2 gtt | |
| 650 | 7 | |a Kostenanalyse |2 gtt | |
| 650 | 7 | |a Kwaliteitszorg |2 gtt | |
| 650 | 4 | |a Soins médicaux - Coût | |
| 650 | 4 | |a Soins médicaux - Finances | |
| 650 | 4 | |a Économie de la santé | |
| 650 | 4 | |a Gesundheitswesen | |
| 650 | 4 | |a Medical care |v Case studies | |
| 650 | 4 | |a Medical care |x Finance |v Case studies | |
| 650 | 4 | |a Medical care |x Finance |v Cross-cultural studies | |
| 650 | 4 | |a Delivery of Health Care |x economics | |
| 650 | 4 | |a Costs and Cost Analysis | |
| 650 | 0 | 7 | |a Effizienz |0 (DE-588)4013585-8 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Gesundheitsökonomie |0 (DE-588)4130935-2 |2 gnd |9 rswk-swf |
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| 700 | 1 | |a Devlin, Nancy |e Verfasser |4 aut | |
| 700 | 1 | |a Parkin, David |e Verfasser |4 aut | |
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Datensatz im Suchindex
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|---|---|
| DE-BY-TUM_katkey | 1712390 |
| DE-BY-TUM_location | 00 |
| DE-BY-TUM_media_number | 040007115657 |
| _version_ | 1821933784255168512 |
| adam_text | Contents
Preface xiii
Chapter 1 Introduction to Economic Analysis in Health Care 1
1.1 Life, Death and Big Business: Why Health Economics is Important 1
1.2 Health Care as an Economic Good 3
1.3 Health and Health Care 6
1.4 Wants, Demands and Needs 7
1.5 The Production of Health and Health Care 8
1.6 Deciding Who Gets What in Health Care 10
1.7 Is Health Care Different? 12
1.8 Describing versus Evaluating the Use of Health Care Resources 14
1.9 Judging the Use of Health Care Resources 17
Summary 20
Part I Health Care Markets
Chapter 2 The Demand for Health Care 23
2.1 Demand, Profits and Health Policy Targets 23
2.2 Consumer Choice Theory 24
2.2.1 Preferences and Utility 24
2.2.2 Budget Constraints and Maximisation 26
2.3 Demand Functions 30
2.3.1 The Determinants of Demand 32
2.3.2 Estimating Demand Functions 36
2.3.3 Price and Income Elasticity of Demand 37
2.4 Modelling Choices About Health 40
2.4.1 Understanding Consumption of Health and Health Care 41
2.4.2 Understanding Investment in Health Care 43
2.4.3 Predictions of the Grossman Model 45
2.5 Needs, Wants and Demands 47
2.6 Asymmetry of Information and Imperfect Agency 48
2.7 Aggregate Demand for Health Care: Theory and Evidence 51
2.8 Conclusion 55
Summary 56
viii CONTENTS
Chapter 3 The Production and Costs of Health Care 59
3.1 Introduction 59
3.2 The Theory of Production 60
3.2.1 Production Functions 60
3.2.2 Isoquants 61
3.2.3 Marginal Products 62
3.2.4 Substitutability between Inputs 63
3.2.5 Production Frontiers 65
3.3 Multi Product Firms 66
3.4 Returns to Scale, Additivity and Fixed Factors 69
3.5 Costs 73
3.5.1 Costs and Production 73
3.5.2 Cost Functions 77
3.5.3 Economies of Scale, Short Run Cost Functions and Economies
of Scope 78
Summary 85
Chapter 4 The Supply of Health Care 87
4.1 Firms, Markets and Industries in the Health Care Sector of the Economy 87
4.2 Structure, Conduct and Performance in the Health Care Industry 90
4.3 Profit Maximisation Models 95
4.3.1 How Firms Maximise Profits 96
4.3.2 Perfect Competition 100
4.3.3 Monopoly 103
4.3.4 Monopolistic Competition 105
4.3.5 Oligopoly 109
4.3.6 Game Theory 110
4.4 Goals Other than Profit Maximisation 114
4.4.1 Growth Maximisation 116
4.4.2 Behavioural Theories of the Firm 118
4.4.3 Utility Maximisation 119
4.4.4 Maximising Net Income per Physician 121
Summary 123
Chapter 5 Markets, Market Failure and the Role of Government in Health Care 125
5.1 Introduction 125
5.2 Using Perfectly Competitive Markets to Allocate Resources 126
5.2.1 Equilibrium in Competitive Markets 126
5.2.2 The Efficiency of Competitive Markets 126
5.3 Market Failure in Health Care 129
5.3.1 Externalities 129
5.3.2 Caring Externalities 130
CONTENTS
5.3.3 Market Power 132
5.3.4 Public Goods 133
5.3.5 Information Imperfections 134
5.4 Government Intervention in Health Care 136
5.4.1 Direct Government Involvement in the Finance and Provision
of Health Care 137
5.4.2 Taxes and Subsidies 137
5.4.3 Regulation 138
5.4.4 Provision of Information 139
5.4.5 Theory of Second Best 139
5.5 Government Failure 144
Summary 145
Chapter 6 Health Insurance and Health Care Financing 149
6.1 Uncertainty in Health Care 149
6.2 Attitudes to Risk 152
6.3 Diminishing Marginal Utility of Income 153
6.4 The Demand for Health Insurance 154
6.4.1 Total Premium 154
6.4.2 Fair Premium 154
6.4.3 Risk Premium 155
6.5 Risk Pooling 155
6.6 The Supply of Health Insurance 157
6.7 The Market for Health Insurance 157
6.8 Health Insurance Market Failures 158
6.8.1 Adverse Selection 158
6.8.2 Moral Hazard 160
6.8.3 Non price Competition 163
6.8.4 Incomplete Coverage 165
6.9 A Health Care Financing Framework 166
6.10 Third Party Payers 167
6.11 Reimbursement 167
6.11.1 Retrospective Reimbursement 167
6.11.2 Prospective Reimbursement 169
6.12 Integration between Third Party Payers and Health Care
Providers 172
6.12.1 Preferred Provider Organisations 173
6.12.2 Health Maintenance Organisations 173
6.12.3 Point of Service Plans 173
6.13 Options for Health Care Financing 175
6.13.1 Private Health Insurance 175
6.13.2 Social Health Insurance 175
x CONTENTS
6.13.3 Taxation 176
6.13.4 The Key Features of Health Care Systems 176
Summary 179
Chapter 7 Equity in Health Care 183
7.1 Introduction 183
7.2 Equity in the Finance of Health Care 185
7.2.1 Vertical Equity 186
7.2.2 Kakwani s Progressivity Index 187
7.2.3 The Relationship between Progressivity and Health Care
Financing Systems 189
7.2.4 Horizontal Equity 190
7.3 Equity in Distribution 192
7.3.1 Equity in the Distribution of Health Care, of Health or of
Utility? 192
7.3.2 Some Concepts of Equity 193
7.3.3 Measuring Equity in Distribution 196
7.3.4 Horizontal Inequity 197
7.3.5 Vertical Equity 200
7.3.6 Inequalities in Health 202
Summary 205
Part II Economic Evaluation in Health Care
Chapter 8 Welfarist and Non Welfarist Foundations of Economic Evaluation 209
8.1 The Normative Economics Foundations of Economic Evaluation 209
8.2 Welfare Economics 210
8.3 The Pareto Principle 211
8.4 Potential Pareto Improvements 216
8.5 Social Welfare Functions 220
8.6 Measurability and Comparability of Utility 225
8.7 The Application of Welfare Economics 226
8.8 Non Welfarism 231
8.9 Is There a Link Between Welfarism and Non Welfarism? 236
8.10 Conclusion 237
Summary 238
Chapter 9 Principles of Economic Evaluation in Health Care 241
9.1 What is Economic Evaluation? 241
9.2 The Economic Foundations of Economic Evaluation 243
9.2.1 Cost Benefit Analysis 243
9.2.2 Cost Effectiveness Analysis 246
9.3 Economic Evaluation Applied to Health Care Programmes 248
CONTENTS
9.4 Decision Rules for Cost Benefit Analysis 250
9.5 Decision Rules for Cost Effectiveness and Cost Utility Analysis 252
9.5.1 Ratio Measures 253
9.5.2 The Cost Effectiveness Plane 253
9.5.3 The Ceiling Ratio and Acceptability 255
9.5.4 The Incremental Cost Effectiveness Ratio 255
9.5.5 Net Benefits 258
9.5.6 Probabilistic Approaches 260
9.5.7 Decision Analysis 261
9.6 Equity in Economic Evaluation 262
Summary 263
Chapter 10 Measuring and Valuing Health Care Output 265
10.1 Introduction 265
10.2 Monetary Valuations of Health Care Benefits 266
10.2.1 Revealed Preference 266
10.2.2 Stated Preference 267
10.3 The Measurement of Health Outcomes 274
10.4 Making Health Status Indicators Fit for Purpose 275
10.4.1 Generic and Specific Measures 277
10.4.2 Profiles and Indices 279
10.4.3 Measuring Health Related Quality of Life: an Indifference
Curve Approach 282
10.5 The Measurement of Health Gain 285
10.6 Non Monetary Valuation of Health States 288
10.6.1 Rating Scales, Category Scales and Visual Analogue Scales 289
10.6.2 The Standard Gamble 290
10.6.3 Time Trade Off 292
10.6.4 How Do We Choose Between These Methods? 294
10.7 Multi Attribute Utility Measures 295
10.8 The Valuation of Health States: Willingness to Pay for Health Changes 296
10.9 The Value of Life 301
Summary 302
Chapter 11 Economic Evaluation Methods 305
11.1 Introduction 305
11.2 Selecting the Viewpoint 306
11.3 Estimating Costs 310
11.3.1 Methods and Data Used in Estimating Costs 312
11.3.2 Issues in Costing: Where Do We Draw the Line? 313
11.3.3 Issues in Costing: Should Future Costs and Cost Savings Be
Factored into Analyses? 314
11.3.4 Issues in Costing: What If Cost Data Are Sourced from Different
Time Periods? 315
xii CONTENTS
11.4 The Measurement of Health Gain 315
11.4.1 Measuring Quality Adjusted Life Year (QALY) Gains 315
11.4.2 Measuring Healthy Year Equivalents (HYEs) 317
11.4.3 Measuring Disability Adjusted Life Years (DALYs) 318
11.5 Discounting 319
11.5.1 The Rationale for Discounting Monetary Costs and Benefits 319
11.5.2 The Discounting Formula 320
11.5.3 The Choice of Discount Rate 323
11.5.4 Discounting Health Effects 324
11.6 Modelling Based Economic Evaluation 326
11.6.1 Using Multiple Sources of Data 327
11.6.2 Decision Analysis 328
11.6.3 Markov Models 332
11.7 Trial Based Economic Evaluation 334
11.8 Dealing with Uncertainty: Sensitivity Analysis 335
11.8.1 One Way Sensitivity Analysis 336
11.8.2 Multi Way Sensitivity Analysis 337
11.8.3 Statistically Based Sensitivity Analysis 338
Summary 340
Chapter 12 The Use of Economic Evaluation in Decision Making 343
12.1 The Decision Making Context: Why is Economic Evaluation Used? 343
12.2 Who Buys Economic Evaluations? Does It Matter? 352
12.3 Is Economic Efficiency All That Matters? 353
12.3.1 Need 353
12.3.2 Equity 354
12.3.3 Process of Care Considerations 357
12.3.4 Ethical Imperatives 358
12.4 How is Economic Evaluation Used to Make Decisions in Practice? 359
12.5 Cost Effectiveness League Tables 359
12.6 Programme Budgeting and Marginal Analysis 362
12.6.1 Programme Budgeting 363
12.6.2 Marginal Analysis 364
12.7 Cost Effectiveness Thresholds 364
12.8 Evaluating Economic Evaluation 369
Summary 371
References 373
Author Index 387
Subject Index 391
|
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| indexdate | 2024-12-20T12:55:59Z |
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| owner | DE-1049 DE-703 DE-91 DE-BY-TUM DE-11 DE-188 |
| owner_facet | DE-1049 DE-703 DE-91 DE-BY-TUM DE-11 DE-188 |
| physical | XIV, 400 S. Ill., graph. Darst. |
| publishDate | 2007 |
| publishDateSearch | 2007 |
| publishDateSort | 2007 |
| publisher | Wiley |
| record_format | marc |
| spellingShingle | Morris, Stephen Devlin, Nancy Parkin, David Economic analysis in health care Financiering gtt Gezondheidszorg gtt Kostenanalyse gtt Kwaliteitszorg gtt Soins médicaux - Coût Soins médicaux - Finances Économie de la santé Gesundheitswesen Medical care Case studies Medical care Finance Case studies Medical care Finance Cross-cultural studies Delivery of Health Care economics Costs and Cost Analysis Effizienz (DE-588)4013585-8 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd Finanzierung (DE-588)4017182-6 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4013585-8 (DE-588)4130935-2 (DE-588)4017182-6 (DE-588)4020775-4 (DE-588)4522595-3 |
| title | Economic analysis in health care |
| title_auth | Economic analysis in health care |
| title_exact_search | Economic analysis in health care |
| title_full | Economic analysis in health care Stephen Morris ; Nancy Devlin ; David Parkin |
| title_fullStr | Economic analysis in health care Stephen Morris ; Nancy Devlin ; David Parkin |
| title_full_unstemmed | Economic analysis in health care Stephen Morris ; Nancy Devlin ; David Parkin |
| title_short | Economic analysis in health care |
| title_sort | economic analysis in health care |
| topic | Financiering gtt Gezondheidszorg gtt Kostenanalyse gtt Kwaliteitszorg gtt Soins médicaux - Coût Soins médicaux - Finances Économie de la santé Gesundheitswesen Medical care Case studies Medical care Finance Case studies Medical care Finance Cross-cultural studies Delivery of Health Care economics Costs and Cost Analysis Effizienz (DE-588)4013585-8 gnd Gesundheitsökonomie (DE-588)4130935-2 gnd Finanzierung (DE-588)4017182-6 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Financiering Gezondheidszorg Kostenanalyse Kwaliteitszorg Soins médicaux - Coût Soins médicaux - Finances Économie de la santé Gesundheitswesen Medical care Case studies Medical care Finance Case studies Medical care Finance Cross-cultural studies Delivery of Health Care economics Costs and Cost Analysis Effizienz Gesundheitsökonomie Finanzierung Fallstudiensammlung |
| url | http://www.loc.gov/catdir/toc/ecip077/2006100396.html http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015672350&sequence=000008&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT morrisstephen economicanalysisinhealthcare AT devlinnancy economicanalysisinhealthcare AT parkindavid economicanalysisinhealthcare |
Inhaltsverzeichnis
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Teilbibliothek Stammgelände
| Signatur: |
0002 WIR 497 2009 A 10037 Lageplan |
|---|---|
| Exemplar 1 | Ausleihbar Am Standort |