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Předmět, akademický rok 2017/2018
  
Health Economics - JSM604
Anglický název: Health Economics
Zajišťuje: Katedra veřejné a sociální politiky (23-KVSP)
Fakulta: Fakulta sociálních věd
Platnost: od 2017
Semestr: letní
Body: 8
E-Kredity: 8
Způsob provedení zkoušky: letní s.:
Rozsah, examinace: letní s.:2/1 Zk [hodiny/týden]
Počet míst: neurčen / neurčen (25)
Minimální obsazenost: neomezen
Stav předmětu: nevyučován
Jazyk výuky: angličtina
Způsob výuky: prezenční
Úroveň: specializační
Poznámka: předmět je možno zapsat mimo plán
povolen pro zápis po webu
při zápisu přednost, je-li ve stud. plánu
Garant: MUDr. Petr Háva, CSc.
Anotace -
Poslední úprava: HAVA (14.03.2007)
The purpose of this course is to introduce the student to the theoretical concepts and methods of health economics and demonstrate how these methods can be applied to analyze issues in health policy and management. This course will teach the student to use economic analysis to understand critical issues in health care and health policy. The student will be able:to identify the flow of resources in health care system, evaluate how health care resources are allocated (decision processes), describe the structure of health insurance system, explain the incentives facing different actors, understand the demand for medical care, and what role providers play in shaping this demand
Literatura
Poslední úprava: HAVA (16.02.2007)

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 2000

2. Measuring Up. Improving health system performance in OECD countries. OECD, Paris 2002

3. Oxley, H., MacFarlan, M. Health care reform controlling spending and increasing efficiency. Economic department working papers No. 149, OECD, Paris 1994

For students without economic background are recommended the following textbooks:

In English:

Mankiw, N.G. Principles of microeconomics. The Dryden Press, 1998

Bailey, S.J. Public Sector Economics. Theory, Policy and Practice. Macmillan, London 1995

In Czech:

Mankiw, N.G. Zásady ekonomie. Grada publishing, 1999

Sojka, M., Konečný, B. Malá encyklopedie moderní ekonomie. Libri, Praha 1998

Fuchs, K., Tuleja, P. Základy ekonomie. Ekopress, Praha 2003

Further 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 2001

LINKS

Health Economic Resources on the Internet http://www.york.ac.uk/res/herc/resource.html

iHEA Internationl Health Economics Association

International Health Economics Association (iHEA) - 5th World Congress: Investing in Health

Location: Barcelona, Spain

Date: July 10-13, 2005

For details please visit: http://www.healtheconomics.org

JOURNALS

BMJ = British Medical Journal (www.bmj.org), free access from 1995

JHE = 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 Medicine

JAMA = Journal of American Medical Association

NBER = National Bureau of Economic Research

Sylabus - angličtina
Poslední úprava: HAVA (21.02.2008)

Lecturer: Petr Háva, MD, PhD, petr.hava@gmail.com; syllabus, lectures, reading on: http://samba.fsv.cuni.cz/~hava

Time & Place: Summer term Thursday 15:30 - 16:50, Jinonice 3019, office hours: Th 13-15 J3009 or 3007

Session 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 reading

Witter, Ensor An Introduction to health Economics. Wiley, England 1997

Introduction, pp. 1-10

Recommended additional reading

Arrow, K.J. Uncertainty and the welfare economics of medical care.

The American Economic Review 1963, 53(5): 941-973

Fuchs, V. The future of health economics.

Journal of Health Economics 2000, 19: 141-157

Savedoff, W.D. Kenneth Arrow and the birth of health economics.

Bulletin of the World Health Organization 2004, 82(2): 139-140

Culyer,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 reading

Witter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997

Chpt. 1. Microeconomics and market failure in health

Bailey Public Economics

Mankiw, N.G. Microeconomic Principles

Mankiw, N.G. Principles of Economics. The Dryden Press-Harcout Brace College Publishers, 1998 (czech translation Zásady ekonomie, Grada Publishing 2000)

Recommended additional reading

McGuir, A., Henderson, J., Mooney, G. The Economics of health Care. An Introducing Text. Routledge, London 1994

Chpt. 7

Chpt. 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 Model

JHE 1982 1: 5-28

Wagstaff, A. Econometric studies in health economics. A Survey of the british literature.

JHE 1989, 8: 1-51

Session 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 reading

Dunning, A.J. Reconciling macro- and micro-concerns: objectives and priorities in health care. Health Policy studies No 9, OECD, Paris 1996, pp. 59-65

Oxley, H., MacFarlan, M. Health care reform controlling spending and increasing efficiency. Economic department working papers No. 149, OECD, Paris 1994

Weisbrod, B.A. The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment. Journal of Economic Literature 1991, 29: 523-552

Hurst, 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 2002

Samuelson, P.A., Nordhaus, W.D. Economics. McGraw-Hill, New York 1992

Recommended additional reading

OECD A System of Health Accounts, OECD, Paris 2000

International comparisons of SHA

OECD working papers on health accounts

Murray, 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 2006

Session 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 reading

Witter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997

Chapt.3. Economic evaluation of health care, pp. 61-80

Recommended additional reading

Drummond, O´Brien, Stoddart, Torrance Methods for the Economic Evluation of Health Care Programmes. Oxford Medical Publication. Oxford University Press 1997

Chapt. 6. Cost-utility analysis. pp. 139-198

examples

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 reading

Schweitzer, S.O. Introduction (pp. 3-18) In: Pharmaceutical Economics, and Policy. Oxford University Press, Oxford 1997

nějaký článek z Health Affairs

Recommended additional reading

příklady

meziárodní srovnání OECD

příklad z ČR

Session 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 reading

Witter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997

Chapt. 2. Options for health sector funding

Recommended additional reading

Session 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 reading

Witter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997

Chapt. 4. Purchasing health care, pp. 81-94

Recommended additional reading

Figueras Robinson, Jakubowski Purchasing to improve health systems performance. European Observatory on Health Systems and Policies. Open University Press, England 2005

Chapter 1, Introduction. Pp. 3-10

Chapter 4. Theories of purchasing. Pp. 83-101

Session 8. (10.4.2008)

Contracting. Global budgets, health insurance plans

Background reading

Witter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997

Chapt. 7. Contracting. Pp. 127-142

Recommended additional reading

Session 9. (17.4.2008)

Methods of payment to medical care providers. Outpatient services: FFS, per capita. Inpatient services: Budgeting, FFS, DRG, mixed approaches

Prospective and retrospective approaches, costing of services, regulated prices.

Background reading

Witter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997.

Chapt. 5. Methods of payment to medical care providers. Pp. 97-114

Recommended additional reading

Session 10. (24.4.2008)

Provider planning and costing. Organization of Health Care Services, Health care systems (national services, social insurance, private insurance, mix).

Background reading

Witter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997.

Chapt. 6. Provider planning and costing. Pp. 115-126

Recommended additional reading

Session 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, competition

Background reading

Witter, S., Ensor, T. An Introduction to health Economics. Wiley, England 1997.

Chapt. 8. Option appraisal in health care. pp. 143-154

Recommended additional reading

Session 12. (8.5.2008)

Not-For-Profit Ownership and Hospital Behavior. Production function, models, external and internal factors, productivity

Background reading

Recommended additional reading

Session 13. (15.5.2008)

Health care reforms. International comparisons, OECD and WHO databases, expenditures.

Background reading

Recommended additional reading

 
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