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Economics of Health Care Financing : The Visible Hand - Cam Donaldson

Economics of Health Care Financing

The Visible Hand

Paperback

Published: 1st October 2004
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This new edition examines the economics of health care systems in a non-technical manner, highly accessible for economists and non-economists alike. It is very timely and includes the latest evidence of health care reforms and their implications from a number of countries with different systems.

List of figures and tablesp. vi
Notes on authorsp. viii
Acknowledgementsp. x
Markets and Market Failure in Health Carep. 1
Health Care Financing Reforms: Moving into the New Milleniump. 3
Introductionp. 3
The changing world of health care financingp. 4
Outline of the bookp. 12
Markets and Health Care: Introducing the Invisible Handp. 15
Introductionp. 15
What is a market and how does it work?p. 16
Markets: the panacea for health care ills?p. 23
The crucial assumptionsp. 24
Consumer is sovereign?p. 27
Conclusionsp. 28
Market Failure In Health Care: Justifying the Visible Handp. 29
Introductionp. 29
Market failure and the UK NHS: Williams' tale of the duck-billed platypusp. 31
Risk, uncertainty and the failure of voluntary health care insurancep. 32
Externalitiesp. 41
Licensure and asymmetry of informationp. 43
Relevance of economics to government interventionp. 47
Conclusionsp. 50
Health Care Systems and Their Objectivesp. 53
Methods of Funding Health Carep. 55
Introductionp. 55
Public/private mix in finance and provisionp. 57
Rewarding the providersp. 58
Private health care insurancep. 60
Direct tax systemp. 64
Public health care insurancep. 67
Other financing mechanismsp. 69
Conclusionsp. 70
Economic Objectives of Health Carep. 73
Introductionp. 73
Efficiencyp. 73
Equityp. 76
Confronting the confusion: what do we mean by equity?p. 77
The economics and philosophy interface - theories of equityp. 85
Towards some operational equity goalsp. 86
Interaction between equity and efficiencyp. 87
Conclusionsp. 88
A Review of Empirical Findingsp. 89
Countering Consumer Moral Hazardp. 91
Introductionp. 91
Policy responses to consumer moral hazardp. 92
Evidence on countering consumer moral hazardp. 93
Conclusionsp. 114
Countering Doctor Moral Hazardp. 116
Introductionp. 116
Methods of paying doctorsp. 117
Fee for service: does supplier inducement really exist?p. 118
Alternatives to fee for servicep. 125
Conclusionsp. 141
Countering Moral Hazard in the Hospital Sectorp. 143
Introductionp. 143
Theoretical perspectivesp. 144
Methods of reimbursing hospitals: a case of minding our Ps and Qs?p. 147
Empirical evidence on reimbursing hospitalsp. 152
Does ownership make a difference?p. 165
Towards a solution: back to budgeting?p. 167
Conclusionsp. 169
Achieving Equityp. 171
Introductionp. 171
The role of government in health care financingp. 172
Evidence on vertical equityp. 173
Evidence on equity as accessp. 180
Conclusionsp. 195
Future Challengesp. 199
Future Considerations: Setting the Health Care Budgetp. 201
Introductionp. 201
What are the determinants of total health care spending?p. 202
What is the appropriate level of spending?p. 208
Moving forward: from QALY league tables to programme budgeting and marginal analysisp. 211
Social determinants of healthp. 214
Conclusionsp. 218
Health Care Financing Reforms: Where Now for the Visible Hand?p. 219
Introductionp. 219
The contribution of economic theoryp. 220
Empirical findings - how health services should be financedp. 221
Determining the size of the budgetp. 226
Conclusionsp. 226
Notesp. 228
Referencesp. 232
Indexp. 272
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780333984314
ISBN-10: 0333984315
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 286
Published: 1st October 2004
Publisher: SPRINGER VERLAG GMBH
Country of Publication: GB
Dimensions (cm): 23.2 x 16.0  x 1.6
Weight (kg): 0.48
Edition Number: 2
Edition Type: Revised