Předmět Health Economics (JSM604)

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Materiál	Typ	Datum	Počet stažení

Sylabus

Lecturer: Petr Háva, MD, PhD, petr.hava@gmail.com; syllabus, lectures, reading on: http://samba.fsv.cuni.cz/~havaTime & Place: Summer term Thursday 15:30 - 16:50, Jinonice 3019, office hours: Th 13-15 J3009 or 3007Session 1. (22.2.2008)Introduction. The State and Scope of Health Economics. Determinants of health. Utility scaling of health. Demand, supply and utilization. Microeconomic evaluation. Market equilibrium. Planning, budgeting. Evaluation of whole system level.Background readingWitter, Ensor An Introduction to health Economics. Wiley, England 1997Introduction, pp. 1-10Recommended additional readingArrow, K.J. Uncertainty and the welfare economics of medical care.The American Economic Review 1963, 53(5): 941-973Fuchs, V. The future of health economics.Journal of Health Economics 2000, 19: 141-157Savedoff, W.D. Kenneth Arrow and the birth of health economics.Bulletin of the World Health Organization 2004, 82(2): 139-140Culyer,A.J., Newhouse, J.P. Handbook of health economics. Elsevier, Amsterdam 2000.Introduction.: The state and scope of health economics. (pp.1-8)Session 2. (28.2.2008)An overview of the economic concepts of the health sector. Microeconomics and market failure in health. The market economy. A simple economy. Determinants of demand and supply. Equilibrium. Why a free market for health care may not function properly. Incomplete market. Imperfect and asymmetric information. Agency relationship. Supply induced demand.Background readingWitter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997Chpt. 1. Microeconomics and market failure in healthBailey Public EconomicsMankiw, N.G. Microeconomic PrinciplesMankiw, N.G. Principles of Economics. The Dryden Press-Harcout Brace College Publishers, 1998 (czech translation Zásady ekonomie, Grada Publishing 2000)Recommended additional readingMcGuir, A., Henderson, J., Mooney, G. The Economics of health Care. An Introducing Text. Routledge, London 1994Chpt. 7Chpt. 8 Is there a demand for health care?Chpt. 9 The utilization of health care.Chpt. 10 The supply of health care.Muurinen, J.M. Demand for Health. A Generalized Grossman ModelJHE 1982 1: 5-28Wagstaff, A. Econometric studies in health economics. A Survey of the british literature.JHE 1989, 8: 1-51Session 3. (6.3.2008)Macroeconomic approaches. Why macroeconomic approach in health economics? What is the subject of health macroeconomics? Reasons for economic evaluation at the whole health care system level (excessive utilization, incosistent medical practice, inefficient delivery and duplication of services, conflicting pressures ? medical advances and growing expectations, macroeconomic limitations on spending with demand for greater and better care through cost containment policies. Performance measurement and improving health system performance.Theoretical concepts: Parallels with macroeconomics and national accounts,. performance assessment, quality of care, value of health, economic evaluation of health care, effectiveness, efficiency, responsiveness, equity, variations, action.Health policies: Government regulations, const containment, priority settings.Analytical tools: System of health accounts (SHA), performance measurement. Macroeconomics and Health: Investing in health for economic development, sustainable development.Background readingDunning, A.J. Reconciling macro- and micro-concerns: objectives and priorities in health care. Health Policy studies No 9, OECD, Paris 1996, pp. 59-65Oxley, H., MacFarlan, M. Health care reform controlling spending and increasing efficiency. Economic department working papers No. 149, OECD, Paris 1994Weisbrod, B.A. The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment. Journal of Economic Literature 1991, 29: 523-552Hurst, J. Performance measurement and improvement in OECD health systems: overview of issues and challenges. In: Measuring Up. Improving health system performance in OECD countries. OECD, Paris 2002Samuelson, P.A., Nordhaus, W.D. Economics. McGraw-Hill, New York 1992Recommended additional readingOECD A System of Health Accounts, OECD, Paris 2000 International comparisons of SHA OECD working papers on health accountsMurray, C.J.L., Frenk, J. A framework for assessing the performance of health systems. Bulletin of the World Health Organisation 2000, 78(6): OECD 2006 Projecting OECD health and long-term care expenditures: What are the main drivers? Economic department working papers No. 477, OECD, Paris 2006Session 4. (13.3.2008)Economic evaluation of health care. Framework for evaluating medical care, efficacy/effectivness, technical efficiency. Outcomes measurement. Costs analysis. Allocative efficiency (CEA, CBA, CUA). Quality of health care (Donabedian, Maxwell).Background readingWitter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997Chapt.3. Economic evaluation of health care, pp. 61-80Recommended additional readingDrummond, O´Brien, Stoddart, Torrance Methods for the Economic Evluation of Health Care Programmes. Oxford Medical Publication. Oxford University Press 1997Chapt. 6. Cost-utility analysis. pp. 139-198examples Session 5. (20.3.2008)Pharmacoeconomics. The supply and demand of pharmaceuticals, prices, multinational pharmaceutical industry, international comparisons. Governemtn Interventions in the Pahramecutical sector.Background readingSchweitzer, S.O. Introduction (pp. 3-18) In: Pharmaceutical Economics, and Policy. Oxford University Press, Oxford 1997 nějaký článek z Health AffairsRecommended additional reading příklady meziárodní srovnání OECD příklad z ČRSession 6. (27.2.2008)Options for health sector funding. National health system, social insurance, private insurance, co-payment, direct payment. Anatomy of health insurance ? problems (moral hazard, agent and principal, ).Background readingWitter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997Chapt. 2. Options for health sector fundingRecommended additional readingSession 7. (3.4.2008)Purchasing health care. Stages in purchasing: assessing needs, cost-effective strategies to meet needs, social values and priorities, health care objectives and priorities, contract specifications, performance monitoring.Background readingWitter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997Chapt. 4. Purchasing health care, pp. 81-94Recommended additional readingFigueras Robinson, Jakubowski Purchasing to improve health systems performance. European Observatory on Health Systems and Policies. Open University Press, England 2005Chapter 1, Introduction. Pp. 3-10Chapter 4. Theories of purchasing. Pp. 83-101Session 8. (10.4.2008)Contracting. Global budgets, health insurance plansBackground readingWitter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997Chapt. 7. Contracting. Pp. 127-142Recommended additional readingSession 9. (17.4.2008)Methods of payment to medical care providers. Outpatient services: FFS, per capita. Inpatient services: Budgeting, FFS, DRG, mixed approachesProspective and retrospective approaches, costing of services, regulated prices.Background readingWitter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997.Chapt. 5. Methods of payment to medical care providers. Pp. 97-114Recommended additional readingSession 10. (24.4.2008) Provider planning and costing. Organization of Health Care Services, Health care systems (national services, social insurance, private insurance, mix).Background readingWitter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997.Chapt. 6. Provider planning and costing. Pp. 115-126Recommended additional readingSession 11. (1.5.2008)Option appraisal in health care. How to obtain better value for money. Technology assessment. Capital investment decisions, Public private partnership. (De)centralization, regulation, competitionBackground readingWitter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997.Chapt. 8. Option appraisal in health care. pp. 143-154Recommended additional readingSession 12. (8.5.2008)Not-For-Profit Ownership and Hospital Behavior. Production function, models, external and internal factors, productivityBackground readingRecommended additional readingSession 13. (15.5.2008)Health care reforms. International comparisons, OECD and WHO databases, expenditures.Background readingRecommended additional reading

Literatura

Required Books:1. Witter, S., Ensor, T. An Introduction to health economics. For Eastern Europe and the Former Soviet Union. Wiley, England 1997 2. Figueras, J., Robinson, R., Jakubowski, E. Purchasing to improve health systems performance. European Observatory on Health Systems and Policies Series. Open University Press, England 2005. (full text on www.observatory.dk)3. Mossialos, E., Dixon, A., Figueras, J., Kurtin, J. Funding health care: options for Europe. European Observatory on Health Care Systems Series. Open University Press, Buckingham 2002. (full text on www.observatory.dk)1. A System of Health Accounts. OECD, Paris 20002. Measuring Up. Improving health system performance in OECD countries. OECD, Paris 20023. Oxley, H., MacFarlan, M. Health care reform controlling spending and increasing efficiency. Economic department working papers No. 149, OECD, Paris 1994For students without economic background are recommended the following textbooks:In English:Mankiw, N.G. Principles of microeconomics. The Dryden Press, 1998Bailey, S.J. Public Sector Economics. Theory, Policy and Practice. Macmillan, London 1995In Czech:Mankiw, N.G. Zásady ekonomie. Grada publishing, 1999Sojka, M., Konečný, B. Malá encyklopedie moderní ekonomie. Libri, Praha 1998Fuchs, K., Tuleja, P. Základy ekonomie. Ekopress, Praha 2003Further recomended sources:Readings (selected articles published in journals)Books used for this course Culyer, A.J., Newhouse, J.P. Handbook of Health Economics. Elsevier, Amsterdam 2001LINKSHealth Economic Resources on the Internet http://www.york.ac.uk/res/herc/resource.htmliHEA Internationl Health Economics AssociationInternational Health Economics Association (iHEA) - 5th World Congress: Investing in HealthLocation: Barcelona, SpainDate: July 10-13, 2005 For details please visit: http://www.healtheconomics.org JOURNALSBMJ = British Medical Journal (www.bmj.org), free access from 1995JHE = Journal of Health Economics (direct electronical access in Faculty of Social Sciences through: Science Direct, Elsevier CERGE library, Politických věznů 7, Prague) HE = Health Economics (Budějovická 15, Prague - Library of the Institute for further education of physicians)AER = American Economic Review (JSTOR: www.jstor. org; electronical access in Faculty of Social Sciences; printed version in CERGE library ) HA = Health Affairs (Proquest, www.healthaffairs.org)NEJM = New England Journal of MedicineJAMA = Journal of American Medical AssociationNBER = National Bureau of Economic Research

Garant

MUDr. Petr Háva, CSc.