Health Economics and Financing

Höfundur Thomas E. Getzen; Michael S. Kobernick

Útgefandi Wiley Global Education US

Snið ePub

Print ISBN 9781119815686

Útgáfa 6

Útgáfuár 2022

5.290 kr.

Description

Efnisyfirlit

  • Cover
  • Title Page
  • Copyright
  • Dedication
  • Preface
  • Acknowledgments
  • About the Authors
  • Foreword
  • 1 Choices: Money, Medicine, and Health
  • 1.1 What Is Economics?
  • 1.2 The Flow of Funds
  • 1.3 Economic Principles as Conceptual Tools
  • 1.4 Health Disparities
  • 1.5 Whose Choices: Personal, Group, or Public?
  • 1.6 Social Science and Rational Choice Theory
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 2 Demand and Supply
  • 2.1 The Demand Curve
  • 2.2 The Supply Curve
  • 2.3 Price Sensitivity
  • 2.4 Is Money the Only Price?
  • 2.5 Inputs and Production Functions
  • 2.6 Markets: The Intersection of Demand and Supply
  • 2.7 Need versus Demand
  • 2.8 Social Determinants of Health (SDoH)
  • 2.9 Efficiency
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 3 Cost‐Benefit and Cost‐Effectiveness Analysis
  • 3.1 Cost‐Benefit Analysis Is about Making Choices
  • 3.2 Maximization: Finding the Optimum
  • 3.3 The Value of Life
  • 3.4 Quality‐Adjusted Life Years (QALYs)
  • 3.5 CBA and Public Policy Decision Making
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 4 Financing Medical Care: Health Insurance Contracts: Managed Care
  • 4.1 Methods for Covering Risks
  • 4.2 Insurance Definitions
  • 4.3 Insurance: Third‐Party Payment
  • 4.4 Sources of Insurance
  • 4.5 Contracting and Payments
  • 4.6 Managed Care
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 5 Physicians
  • 5.1 Financing Physician Services: Revenues
  • 5.2 Physician Incomes
  • 5.3 Physician Financing: Expenses
  • 5.4 The Medical Transaction
  • 5.5 Uncertainty
  • 5.6 Licensure: Quality or Profits?
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 6 Medical Education, Organization, and Business Practices
  • 6.1 Medical Education
  • 6.2 Licensure and Healthcare Provider Supply
  • 6.3 Group Practice: How Organization and Technology Affect Transactions
  • 6.4 Kickbacks, Self‐Dealing, and Side Payments
  • 6.5 Price Discrimination
  • 6.6 Practice Variations
  • 6.7 Choices by and for Physicians
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 7 Hospitals
  • 7.1 From Charitable Institutions to Corporate Chains: Development of the Modern Hospital
  • 7.2 Hospital Financing: Revenues
  • 7.3 Hospital Financing: Expenses
  • 7.4 Financial Management and Cost Shifting
  • 7.5 How Do Hospitals Compete?
  • 7.6 Organization: Who Controls the Hospital and for What Ends?
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 8 Management and Regulation of Hospital Costs
  • 8.1 Why Do Some Hospitals Cost More than Others?
  • 8.2 How Management Controls Costs
  • 8.3 Conflict between Economic Theory and Accounting Measures of per Unit Cost
  • 8.4 Economies of Scale
  • 8.5 Hospital Charges, Costs, and Prices: Confusion and Chaos
  • 8.6 Controlling Hospital Costs through Regulation
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 9 Long‐Term Care
  • 9.1 Development of the Long‐Term Care Market
  • 9.2 Age and Health Care Spending
  • 9.3 Defining LTC: Types of Care
  • 9.4 Medicaid: Nursing Homes as a Two‐Part Market
  • 9.5 Cost Control by Substitution
  • 9.6 Case‐Mix Reimbursement
  • 9.7 LTC Insurance
  • 9.8 Retirement, Assisted Living, and the Wealth Elderly
  • 9.9 Financial Reimbursement Cycles
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 10 Pharmaceuticals
  • 10.1 Pharmaceutical Revenues: Sources of Financing
  • 10.2 Uses of Funds
  • 10.3 Research and Development
  • 10.4 Pharmacoeconomics and Technology Assessment
  • 10.5 Value, Cost, and Marketing
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 11 Financing and Ownership of Health Care Providers
  • 11.1 What Is Financing?
  • 11.2 Value and Rate of Return
  • 11.3 Ownership and Agency
  • 11.4 Capital Financing: Hospitals
  • 11.5 HMO Ownership and Capital Markets: Success and Failure
  • 11.6 Entrepreneurship and Profits
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 12 History, Demography, and the Growth of Modern Medicine
  • 12.1 Economic Growth Has Determined the Shape of Health Care
  • 12.2 Birth Rates, Death Rates, and Population Growth
  • 12.3 The Stone Age
  • 12.4 The Agricultural Age
  • 12.5 The Industrial Age
  • 12.6 The Information Age
  • 12.7 The Rise of Modern Medicine
  • 12.8 The Growth of Medical Expenditures and National Health Systems
  • 12.9 Income and Health
  • 12.10 Reducing Uncertainty: The Value of Life and Economic Security
  • 12.11 Did Better Medical Care Increase Life Expectancy?
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 13 Macroeconomics of Medical Care
  • 13.1 What Is Macro?
  • 13.2 The Consumption Function
  • 13.3 Adjusting to Change: Dynamics
  • 13.4 Forecasting Future Health Expenditures
  • 13.5 Cost Controls: Spending Gaps and the Push to Regulate
  • 13.6 Workforce Dynamics: “Spending” Is Mostly Labor
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 14 The Role of Government and Public Goods
  • 14.1 The Roles of Government
  • 14.2 Government Health Financing
  • 14.3 Law and Order
  • 14.4 Public Goods and Externalities
  • 14.5 Monopoly and Market Failure
  • 14.6 Information
  • 14.7 Drugs, Sex, and War: Public Health in Action
  • 14.8 Politics, Regulation and Competition
  • 14.9 Trust, Care, and Distribution
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 15 International Comparisons of Health and Health Expenditures
  • 15.1 Wide Differences among Nations
  • 15.2 Micro versus Macro Allocation: Health as a National Luxury Good
  • 15.3 Causality: Does More Spending Improve Health?
  • 15.4 Low‐Income Countries
  • 15.5 Middle‐Income Countries
  • 15.6 High‐Income Countries
  • 15.7 The Expensive Exception: The United States
  • 15.8 International Trade in Health Care
  • Suggestions for Further Reading
  • Summary
  • Problems
  • Endnotes
  • 16 Value for Money in the Future of Health Care
  • 16.1 Who Gets Healthy and Who Gets Paid?
  • 16.2 What Needs to Be Fixed?
  • 16.3 Distribution, Distribution, Distribution
  • 16.4 Spending Money or Producing Health?
  • 16.5 The Path Toward Full Coverage
  • 16.6 The Future: Population Health and the Reorganization of Medicine
  • 16.7 The Long Run: 2050 and Beyond
  • Suggestions for Further Reading
  • Problems
  • Endnotes
  • Glossary
  • Index
  • End User License Agreement

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