Matilde P. Machado (coordinadora) Félix Lobo Aleu

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1 HEALTH ECONOMICS Mild P. Mchd (crdindr) Félix Lb Alu SYLLABUS: 1. Inrducin: Why is Hlh Ecnmics Imprn? [Sigliz, chp 12.] 2. Grwh nd Hlh 3. Th Hlh Prducin Funcin [Phlps chp. 3] 4. Evluin Mhds [Zwifl chp2.] 5. Hlh Sysms: 1. Gnrl Furs - [J. Hurs] 2. Gnrl Chrcrisics f h Hlh Cr Mrks [Arrw (1963) ] 3. Ehics, Efficcy, Effcivnss nd Efficincy [FGS chp. 1, 4; Zwifl chp 1, 4, Orún chp1; 3.1, 3.2, 3.3] 4. Equiy [Rdríguz, Clng nd Rñ (1988), Rdríguz nd Clng (1998)] 5. Rgulin f Phrmcis: [Grcí Fns nd Mssim M] 6. Grssmn s Mdl [FGS chp. 5, McGuir chp. 7) 1

2 SYLLABUS: 7. Hlh Insurnc 1. Dmnd fr Hlh Insurnc [Phlps, chp 1; FGS pp ] 2. Mrl Hzrd nd Cpymns [FGS pp ; McGuir pp ; Murill 1992] 3. Advrs Slcin: h Rhschild nd Sigliz Mdl [FGS nd ; Sigliz (1993) - Aril Ecnmí pp ; Rhschild nd Sigliz (1976)- n mndry rding] 8. Supply Inducd Dmnd [FGS pp ; McGuir ] 9. Rimbursmn Mhds [Zwifl chp. 9] REFERENCES IN SPANISH: LÓPEZ CASASNOVAS, Guillm y ORTÚN RUBIO, Vicn (1998): Ecnmí y slud: fundmns y plíics", Encunr, Mdrid. ORTÚN, Vicn (199): L Ecnmí n snidd y mdicin: insrumns y limicins, Escl Univrsiri d Trbll Scil y L LLr dl LLibr, Brcln. STIGLITZ, Jsph. L Ecnmí dl Scr Públic. 2ª Edición IN ENGLISH [FGS] FOLLAND, Shrmn; GOODMAN, Alln C. y STANO, Mirn (1993): Th Ecnmics f Hlh nd Hlh Cr, Mcmilln, Nuv Yrk, Oxfrd. ZWEIFEL, Pr y BREYER, Fridrich (1997): Hlh Ecnmics, Oxfrd Univrsiy Prss, Oxfrd. MCGUIRE, A; HENDERSON, J. y MOONEY, G.(1.988): Th Ecnmics f Hlh Cr, Ruldg, Lndrs y Nuv Yrk. PHELPS, Chrls E. (1992): Hlh Ecnmics, Hrpr Cllins, Nuv Yrk. STIGLITZ, (): Th Ecnmics f h Public Scr. 2

3 1.1. INTRODUCTION Th Ecnmics f Hlh nd Hlh Cr Sm smnics: Individuls wn hlh, n hlh cr pr s. Th dmnd fr hlh cr is drivd dmnd such s dmnd fr n inpu in prducin funcin. Hlh Prvidrs d n supply hlh bu hlh cr Hlh Insurnc is n insurnc n ur hlh bu n h mnry xpndiurs ndd in hlh cr rcvr i. Hlh Ecnmics mrgd in h 6s fr h publicin f Knnh Arrw ppr. Th imprnc f Hlh Ecnmics hs grwn vr h ls 4 yrs du h rpid grwh f h xpndiurs wih hlh, priculrly in h US. This curs is msly n h Ecnmics f hlh cr, i.. w r ging lk bu Dmnd nd Supply f hlh cr srvics. 2. Hlh Expndiurs s % f Grss Dmsic Prduc p r c n g f G D P Scil Scuriy Ac Mdicr, Mdicid Fun: Yr Spin Unid Ss OECD simpl vrg (n pp wighd) 3

4 9 Tl Hlh Expndiurs pr cpi in US$ PPP 8 7 D l P l P P s r Yr Spin Unid Ss OECD Simpl Avrg (n wighd by pp) 25 Phrmcuicl Expndiurs s % f Tl P r c n g f l 5 Yr Spin Unid Ss OECD Simpl Avrg (n wighd by pp) 4

5 9. Public Hlh Expndiurs s Prcng f Tl Hlh Expndiurs P r c n g f l Yr Spin Unid Ss OECD simpl vrg (n wighd by pp) POSSIBLE EXPLAINATIONS : Du svrl rsns, individuls dmnd mr hlh cr srvics nd mdicins : Incm ffc. Th incrsd prvlnc f insurnc In USA: Th public insurnc prgrms brn wih h Scil Scuriy Ac in 1965: Mdicid (fr h pr) nd Mdicr (fr h ldrly) In Eurp, Th Ninl Hlh Sysms (NHS) Bynd h incrs in pric nd quniis, h incrs in xpndiurs ls rflcs drmic chng in h bsk f gds nd srvics in hlh hs chngd. Tchnlgicl innvin is prsn in h bsic pckg f hlh cr ssisnc (ypiclly incrsing h css. Inflin in h scr is highr hn h vrg 5

6 Why will Hlh Ecnmics cninu b n imprn pic f sudy? Hlh Cr xpndiur is high nd incrsing prcng f h GDP High Prcng f h Public Spnding Scr f gr chnlgicl innvin nd invsmn (.g. Phrmcuicls hr is dmnd fr hs innvins, ppl r willing py fr hir hlh) High numbr f jbs Why will Hlh Ecnmics cninu b n imprn pic f sudy? Alchl Tbcc Obsiy Grwing lif Expcncy nd h grwing numbr f ldrly ppl (ldr hn 65) wh nd mr hlh cr 6

7 ALCOHOL LITRES PER CAPITA (POPULATION OLDER THAN 15 YEARS OLD) 25 Alchl Cnsumpin (lirs pr cpi 15+) Yr Spin Unid Ss Unid Kingdm OECD vrg (n wighd by pp) TOBACCO % DAILY CONSUMERS (POPULATION OLDER THAN 15 YEARS OLD) 6 % ppulin 15+ wh r dily smkrs Yr Spin Unid Ss Unid Kingdm OECD Avrg (n wighd by pp) 7

8 OBESITY 2 % f Obs Ppulin in Spin (slf-rprd) Yr Spin - ll Spin - Fmls Spin - Mls 25 Lif Expcncy Yr Spin - mls Unid Ss - Mls OECD vrg - Mls (n wighd by pp) Spin - Fmls Unid Ss - Fml OECD vrg - Fmls (n wighd by pp) 8

tis, cis cunc - cunc - tis, cis tis, cis cunc - tis, func - def - def - tis, U func - def - func - tis, pa - tri pa - tri pa - tri tu - per - tu -

tis, cis cunc - cunc - tis, cis tis, cis cunc - tis, func - def - def - tis, U func - def - func - tis, pa - tri pa - tri pa - tri tu - per - tu - 1 B Ihsu dulcs cuncts [Supr 1] [Supr 2] Tnr B B B B - B - B - Ih - Ih - Ih - su su su cs cs cs cunc - cunc - cunc - Amns, Bblthèqu Cntl L Agn, ms 162 D, ff 2v-10 ts, ts, ts, E-tr - E-tr - E-tr - n p n

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