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Chapter 9
Health Economics
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Chapter 9
Health Economics
1.Does economics apply to healthand health care?
2.Does economics irrelevant tothe study of health and health
care?
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Chapter 9
Health Economics
Health Economics
- ... studies the supply and demand ofhealth care resources and impact of health
care resources on a population.
- The Mosy Medical Encyclopedia
!1992" p. #$1%
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Chapter 9Health Economics
Health economics is defined in terms ofthe determination and allocation of health
care resources. This is lo&ical" ecause
medical &oods and services cannot e'ist(ithout them.
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Chapter 9Health Economics
Health care resources consist of follo(in&)
1.Medical supplies such as pharmaceutical &oods"
late' ruer &loves" and ed linens.
2.*ersonnel such as physicians and la assistance.
#.Capital inputs" includin& nursin& homes and hospitalfacilities" dia&nostic and therapeutic e+uipment" and
other items that provide medical care service.
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Chapter 9Health Economics
The ,our asic uestions in Health Economics)
1./hat mi' nonmedical and medical &oods and
services should e produced in the
macroeconomy?
2./hat mi' of medical &oods and services shoulde produced in the health economy?
#./hat specific health care resources should e
used to produce the chosen medical &oods and
services.
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The ,our asic uestions in Health Economics)
0. /ho should receive the medical &oods and
services that are produced?
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,eatures of Economic nalysis sed in Health
1.3carcity of societal resources
2.ssumption of rational decision ma4in&
#.Concept of mar&inal analysis0.se of economic models
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Distinctive ,eatures Health and Health care in
Economic Terms)
1.*resence and E'tent of ncertainty
2.*rominence of 5nsurance
#.*rolems of 5nformation
0.6ar&e 7ole of 8onprofit ,irms
.7estrictions of Competition
$.7ole of E+uity and 8eed
:.;overnment 3usidy and *ulic *rovision
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Chapter 9Health Economics
• 6eadership and &overnance involves ensuring strategic policy
frameworks exist and are combined with effective oversight, coalition-
building, the provision of appropriate regulations and incentives,
attention to system-design, and accountability.
• A good health financin& system raises adequate funds for health, in
ways that ensure people can use needed services, and are protected
from financial catastrophe or impoverishment associated with having
to pay for them.
• A well-functioning health system ensures equitable access
to essential medical products , vaccines and technolo&ies of
assured quality, safety, efficacy and cost-effectiveness, and their
scientifically sound and cost-effective use.
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Chapter 9Health Economics
• A well-functioning health information system is one that ensures the
production, analysis, dissemination and use of reliable and timely
information on health determinants, health systems performance and
health status.
• A well-performing health (or4force is one which works in ways that
are responsive, fair and efficient to achieve the best health outcomes
possible, given available resources and circumstances. .e. !here are
sufficient numbers and mix of staff, fairly distributed" they arecompetent, responsive and productive.
• #ood health services are those which deliver effective, safe, quality
personal and non-personal health interventions to those who need
them, when and where needed, with minimum waste of resources.
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/hich of the 3i' uildin&
loc4s of Health 3ystem is
the most important for
you? /hy?
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The *hilippine Health
Care 3ystem
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Health /or4force!Human 7esources for
Health >H7H%
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5f you can=t e'plain it simply"you don=t understand it (ellenou&h.@
- lert Einstein
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