Distributing health care : economic and ethical issues / Paul Dolan and Jan Abel Olsen.

Format:

Book

Author/Creator:

Dolan, Paul, author.

Olsen, Jan Abel, author.

Series:

Oxford scholarship online.

Oxford scholarship online

Language:

English

Subjects (All):

Medical economics.

Distribution theory (Economics).

Medical ethics.

Physical Description:

1 online resource (166 p.)

Place of Publication:

Oxford : Oxford University Press, 2023.

Language Note:

English

Summary:

Emphasizing the economic and ethical issues in distributing health care, this book provides an understanding of why health care is publicly financed in so many European (and other OECD) countries. A critique of some of the methodologies that are being used to aid priority setting in health care are given.

Contents:

Cover; Contents; 1 Health care and health; 1.1 What is health care?; 1.2 What is health?; 1.3 What does health care-and health-do for people?; 1.4 The determinants of (ill) health; 1.5 The health of nations; 1.6 Conclusion; Suggested reading; 2 Economics and efficiency; 2.1 Microeconomics-studying markets and their actors; 2.1.1 More in means more out-but at a diminishing rate; 2.1.2 Substitution-'there is more than one way to skin a cat'; 2.1.3 Scarcity: a dismal reality for the dismal science; 2.1.4 Supply and demand-and the magic equilibrium; 2.2 Conclusion; Suggested reading

3 Justice and fairness3.1 What is to be distributed?; 3.1.1 Utility; 3.1.2 Primary goods; 3.1.3 Basic capabilities; 3.2 How is it to be distributed?; 3.2.1 Sum-ranking; 3.2.2 Maximin; 3.2.3 Egalitarianism; 3.3 Choosing a preferred distribution; 3.3.1 Choosing a point on the utility possibility frontier; 3.3.2 The social welfare function; 3.4 Alternatives to distributive justice; 3.4.1 Rights; 3.4.2 Procedural justice; 3.4.3 Medical ethics: different principles at the bedside?; 3.5 Conclusion; Suggested reading; 4 Efficiency-motivated responses to market failures

4.1 The perfect market model and the imperfect market for health care4.2 Uncertainty and insurance; 4.2.1 The welfare gain from insurance; 4.2.2 The probability and the loss; 4.2.3 Actuarially fair insurance; 4.3 Adverse selection; 4.4 Moral hazard; 4.5 Asymmetric information and the agency relationship; 4.5.1 The doctor-patient relationship; 4.5.2 Supplier-induced demand; 4.5.3 The agency relationship and social welfare; 4.6 Externalities-selfishly motivated; 4.6.1 Contagion; 4.6.2 Productivity; 4.7 Conclusion; Suggested reading; 5 Equity-motivated responses to market failures

5.1 Reasons for caring-defining altruism5.2 Transfers in cash or in kind; 5.3 Concerns for more than one individual; 5.4 Concerns for the community; 5.5 Conclusion; Suggested reading; 6 Providing health care: finance and regulation; 6.1 Flows of money: the 'revenue- expenditure-income' identity; 6.1.1 Limited revenue; 6.1.2 Keeping expenditures in line with revenues; 6.1.3 Earning incomes from the expenditures; 6.2 Disaggregation: a closer look at gainers and losers; 6.2.1 Shifting the financial burdens; 6.2.2 Making a living from expenditure; 6.3 The split between purchasers and providers

6.4 Labour supply6.5 Conclusion; Suggested reading; 7 Economic evaluation techniques; 7.1 Different techniques with some basic similarities; 7.2 Valuing benefits in monetary terms; 7.2.1 Non-preference-based measures of monetary benefits; 7.2.2 Preference-based measures of monetary benefits; 7.3 Valuing benefits in health terms; 7.3.1 Non-preference-based health benefits; 7.3.2 Quality-adjusted life-years; 7.3.3 Measuring health-related quality of life; 7.4 Estimating costs-some key principles; 7.4.1 Marginal costs; 7.4.2 Social costs; 7.5 Discounting-a preference for the present

7.5.1 The reasons for discounting

Notes:

Previously issued in print: 2002.

Includes bibliographical references and index.

Derived record based on print version record and publisher information.

ISBN:

1-383-00212-6

0-19-158728-1

1-4237-0560-2

OCLC:

1406781219