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Handbook of Health Economics

1st Edition - December 5, 2011

Editors: Mark V. Pauly, Thomas G. McGuire, Pedro Pita Barros

Hardback ISBN:

9 7 8 - 0 - 4 4 4 - 5 3 5 9 2 - 4

eBook ISBN:

9 7 8 - 0 - 4 4 4 - 5 3 5 9 3 - 1

What new theories, evidence, and policies have shaped health economics in the 21st century? Editors Mark Pauly, Thomas McGuire, and Pedro Pita Barros assemble the expertise of… Read more

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What new theories, evidence, and policies have shaped health economics in the 21st century?

Editors Mark Pauly, Thomas McGuire, and Pedro Pita Barros assemble the expertise of leading authorities in this survey of substantive issues. In 16 chapters they cover recent developments in health economics, from medical spending growth to the demand for health care, the markets for pharmaceutical products, the medical workforce, and equity in health and health care. Its global perspective, including an emphasis on low and middle-income countries, will result in the same high citations that made Volume 1 (2000) a foundational text.

Preface
Introduction

What were we Looking for?
What's New?
Differences in Approaches
How to Use Volume 2
Acknowledgements

Chapter One: Health Care Spending Growth

1 Introduction
2 Spending Growth vs. Spending Level
3 Technology and Spending Growth
4 Models of Spending Growth
5 Empirical Evidence
6 Value of Spending Growth
7 Conclusion
References

Chapter Two: Causes and Consequences of Regional Variations in Health Care 1

1 Introduction
2 An Economic Model of Regional Variations in Health Care
3 Empirical Evidence on Geographic Variations in Expenditures and Utilization
4 Estimating the Consequences of Regional Variation: Geography As An Instrument
5 Inefficiency and the Policy Implications of Regional Variations
6 Regional Variations in Health Outcomes
7 Discussion and Conclusion
References

Chapter Three: The Economics of Risky Health Behaviors 1

1 Introduction
2 The Traditional Economic Approach to Studying Health Behaviors
3 Alternative Approaches to Studying Health Behaviors
4 Economic Consequences of Health Behaviors
5 Strategies for Modifying Health Behaviors
6 Future Directions
References

Chapter Four: Improving Health in Developing Countries

1 Introduction
2 Conceptual Framework for Household Decision Making
3 Externalities and Public Goods
4 The Impact of Price and Convenience on Prevention Behavior Against Infectious Disease
5 Incentives
6 Consumer Behavior, Acute Treatment, and Insurance
7 Liquidity Constraints and Consumer Behavior
8 Behavioral Models and Health
9 Information and Health Education
10 Social Influences on Health Behavior
11 Health Care Supply in the Developing World: Background
12 Health Care Delivery and System Reform
13 Interactions between Health and Broader Socio-Economic Variables
14 Conclusion
References

Chapter Five: Demand for Health Insurance 1

1 Introduction and Overview: Health Systems With Choice of Health Insurance
2 Optimal Demand-Side Cost Sharing
3 Supply-Side Policies and Demand-Side Coverage
4 Structuring Choice of Health Insurance
5 Final Comments
References

Chapter Six: Who Ordered That? The Economics of Treatment Choices in Medical Care

1 Introduction
2 Heterogeneity In Demand
3 Supply-Side Drivers of Clinical Decisions
4 Situational Factors
5 Conclusion
References

Chapter Seven: Theoretical Issues Relevant to the Economic Evaluation of Health Technologies 1

1 Introduction
2 Standard Approaches to Methodological Issues in Cost-effectiveness Analysis
3 Theoretical Foundations of CEA
4 Continuing Debates in CEA
5 Concluding Comments
References

Chapter Eight: Cost Effectiveness and Payment Policy

1 Introduction
2 Measuring the Value of Health Interventions and Health System Performance
3 Use of Cost-effectiveness Analysis for Decision Making
4 Application to Payment and Coverage Policy
References

Chapter Nine: Competition in Health Care Markets 1

1 Introduction
2 Entry, Exit, and Technology Investments by Providers
3 Hospital Market Structure, Competition, and Prices
4 Hospital Competition and Quality
5 Studies of Health Insurance Markets
6 Studies of Physician Services Markets
7 Vertical Restraints and Monopsony
8 Summary and Conclusions
References

Chapter Ten: Health Care Markets, Regulators, and Certifiers

1 Introduction
2 Health Care Market Failure
3 Market Structure and Provider Performance
4 Regulating Prices
5 Third Party Information Disclosure
6 Concluding Remarks
References

Chapter Eleven: Health Care Spending Risk, Health Insurance, and Payment to Health Plans

1 Variation in Health Care Spending Between Persons and Over Time
2 Insurance Market Equilibrium with Risk Variation and Rating Variation: Market Equilibrium Benchmarks
3 Group Insurance
4 Public Policy Toward Risk Variation
5 Empirical Evidence on Insurance Market Performance
6 Interactions Between Risk Variation and Other Topics in Health Economics
7 Conclusion
References

Chapter Twelve: Markets for Pharmaceutical Products 1

1 Introduction
2 Overview of Regulation
3 Basic Facts on Pharmaceutical Expenditures and Prices
4 Market Structure
5 Competition
6 Pricing and Marketing
7 Marketing of Pharmaceuticals in the United States
8 Conclusion
References

Chapter Thirteen: Intellectual Property, Information Technology, Biomedical Research, and Marketing of Patented Products

1 Introduction
2 Forms of Intellectual Property Protection
3 Market Exclusivity and the Incentives to Innovate
4 The Normative Theory of Market Exclusivity
5 The Role of IP in Solving Production Externalities
6 Alternative Approaches to Stimulating Discovery
References

Chapter Fourteen: Medical Workforce

1 Introduction
2 Perfectly Functioning Medical Labor Markets
3 Labor Supply Topics
4 Labor Demand Topics
5 Areas for Future Research
References

Chapter Fifteen: Public and Private Sector Interface

1 Introduction
2 Theory
3 Empirical Evidence
4 Conclusions
References

Chapter Sixteen: Equity in Health and Health Care 1

1 Introduction
2 An Example
3 Socioeconomic Inequity and Racial Disparities in Health and Health Care
4 A More General Approach? Equality of Opportunity in Health and Health Care
5 Why Care About Equity in Health? Health and Well-being
6 Conclusion
References

Index