Amazon no longer offers textbook rentals. We do!

Health Economics and Policy with Economic Applications

by: Henderson, James W.

Health Economics and Policy with Economic Applications

by: Henderson, James W.

ISBN 13:
9780324260007
ISBN 10:
0324260008
Edition: 3rd
Format: Hardcover
Copyright: 03/08/2004
Publisher: South-Western College Pub
Newer Edition

New From $342.54

Sorry, this item is currently unavailable.

List Price $345.99 Save $3.45

New $342.54

Usually Ships in 24-48 Hours

We Buy This Book Back!

Included with your book

Free Shipping On Every Order

Add to Cart

Note: Supplemental materials are not guaranteed with Rental or Used book purchases.

Extend or Purchase Your Rental at Any Time

Need to keep your rental past your due date? At any time before your due date you can extend or purchase your rental through your account.

Summary

Health Economics and Policy is a basic introduction to the microeconomics of health, health care, and health policy. This edition demonstrates how economic principles apply to health-related issues. It explains the social, political, and economic contexts of health care delivery and explores the changing nature of health care. Students learn to analyze public policy from an economic perspective. While the text was written for non-economics majors, it includes enough economic content to challenge majors.

PART 1 THE RELEVANCE OF ECONOMICS IN HEALTH AND MEDICAL CARE

U.S. Medical Care: Crisis or Conundrum

(21)

Historical Developments in the Delivery of Medical Care

(7)

Post-War Experience

(1)

The Question of High and Rising Spending

(2)

Changes in Medical Care Delivery

(3)

The Nature of Medical Care as a Commodity

(2)

Health Economics Defined

(1)

Ten Key Economic Concepts

(2)

Summary and Conclusions

(1)

Questions and Problems

(1)

References

(1)

Appendix 1A: The Medical Care Price Index

(5)

Measuring Price Changes with Index Numbers

(1)

Medical Care Price Index

(2)

Problems with Using a Fixed-Weight Index as a Measure of Inflation

(1)

Alternative Methods to Measure Medical Care Inflation

(2)

Using Economics to Study Health Issues

(36)

The Relevance of Economics in Health Care

(3)

Critical Assumptions in Economics

(1)

The Scientific Method

(1)

Model Building

(1)

Problem Solving

(1)

Economic Optimization

(3)

Supply and Demand

(11)

The Law of Demand

(2)

Price Elasticity of Demand

(3)

The Law of Supply

(5)

Equilibrium

(1)

The Competitive Model

(6)

The Theory of Firm Behavior

(1)

Welfare Implications

(1)

Imperfect Competition

(4)

Summary and Conclusions

(1)

Questions and Problems

(2)

References

(1)

Appendix 2A: Graphing Data

(4)

Some Basics of Graphing

(1)

Functional Relationships

(1)

Time-Series Graphs

(1)

Cross-Section Graphs

(1)

Appendix 2B: Statistical Tools

(6)

Descriptive Statistics

(1)

Correlation

(1)

Regression

(4)

Analyzing Medical Care Markets

(43)

The Medical Care Marketplace

(7)

Cost of Care

(2)

Access to Care

(1)

Medial Outcomes

(3)

The Competitive Market Model

(1)

Market Failure

(7)

Market Power

(2)

Externalities

(3)

Public Goods

(2)

Market Failure in Medical Markets

(8)

Traditional Sources of Market Failure

(5)

Imperfections in Medical Markets

(3)

Government Intervention in Medical Markets

(6)

Regulation

(2)

Tax Policy

(1)

Government Failure

(4)

Summary and Conclusions

(1)

Questions and Problems

(1)

References

(1)

Appendix A3: The Economics of Consumer Choice

(4)

Consumer Preferences: Indifference Curves

(1)

Consumer Constraints: The Budget Line

(1)

Consumer Choice: The Concept of Equilibrium

(2)

Implications of the Model

(1)

Appendix 3B: Production and Cost in the For-Profit Sector

(8)

Production with Two Variable Inputs

(3)

Optimal Input Use

(1)

Extensions of the Model

(1)

Estimating Production Functions

(1)

Production to Cost

(1)

Long-Run Costs

(2)

Economic Evaluation in Health Care

101

(26)

Importance of Economic Evaluation

101

(2)

Meaning of Economic Evaluation

103

(1)

Types of Economic Evaluation

103

(10)

Cost-of-Illness Studies

103

(1)

Cost-Benefit Analysis

104

(3)

Cost-Effectiveness Analysis

107

(6)

Approaches to Modeling in Economic Evaluation

113

(5)

Decision Trees

113

(2)

Markov Models

115

(1)

Markov Decision Models

116

(1)

Sensitivity Analysis

117

(1)

Standardization of Economic Evaluation Techniques

118

(1)

Case Studies

118

(4)

Lung Cancer Screening

118

(2)

Cervical Cancer Screening

120

(1)

Drug Treatment for Alzheimer's Disease

120

(2)

Summary and Conclusions

122

(1)

Questions and Problems

122

(3)

References

125

(2)

PART 2 DEMAND-SIDE CONSIDERATIONS

Demand for Health and Medical Care

127

(27)

The Demand for Health

127

(10)

The Production of Health

128

(2)

Measures of Health Status

130

(2)

Determinants of Health Status

132

(4)

The Role of Public Health and Nutrition

136

(1)

The Demand for Medical Care

137

(12)

Medical Care as an Investment

137

(1)

Factors Influencing Demand

137

(9)

Measure Demand

146

(3)

Summary and Conclusions

149

(2)

Questions and Problems

151

(1)

References

151

(3)

The Market for Health Insurance

154

(27)

Historical Setting

154

(4)

Types of Insurance

156

(2)

Health Insurance Providers

158

(1)

Private Insurance Demand

158

(9)

The Theory of Risk and Insurance

159

(3)

Health Insurance and Market Failure

162

(1)

Information Problems

163

(4)

The Provision of Health Insurance in the United States

167

(2)

The Practice of Self-Insurance

168

(1)

Medical Care for the Uninsured

169

(6)

How Many Americans Are Uninsured?

170

(1)

Who Are the Uninsured?

171

(2)

Why Are They Uninsured?

173

(1)

Does Lack of Insurance Mean Poor Health?

174

(1)

The Safety Net for the Uninsured

174

(1)

Summary and Conclusions

175

(3)

Questions and Problems

178

(1)

References

179

(2)

PART 3 SUPPLY-SIDE CONSIDERATIONS

Managed Care

181

(18)

History of Managed Care

181

(2)

Types of Managed Care Plans

183

(4)

Health Maintenance Organizations (HMOs)

184

(1)

Preferred Provider Organizations (PPOs)

184

(2)

Point-of-Service Plan (POS)

186

(1)

Hybrid Varieties

186

(1)

The Theory of Managed Care Cost Saving

187

(3)

Selection of Providers

187

(1)

Cost-Sharing Arrangements

187

(2)

Practice Guidelines and Utilization Review

189

(1)

Evidence of Managed Care Cost Savings

190

(2)

Evidence of Quality Differences Between Managed Care and Fee-for-Service Care

192

(1)

Managed Care and Its Public Image

193

(1)

The Future of Managed Care

194

(1)

Summary and Conclusions

195

(2)

Questions and Problems

197

(1)

References

197

(2)

The Market for Health Care Professionals

199

(29)

The Theory of Labor Markets

199

(3)

Input Pricing

199

(1)

Demand for Inputs

200

(1)

Human Capital Investments

201

(1)

The Market for Physicians' Services

202

(12)

Specialty Distribution

205

(1)

Geographic Distribution

206

(2)

Physician Compensation

208

(2)

Pricing of Physicians' Services

210

(1)

Organization of Physicians' Practices

211

(1)

Variations in Practice Patterns

212

(2)

Models of Physician Behavior

214

(1)

The Physician as Monopolistic Competitor

214

(1)

The Physician as Imperfect Agent

215

(1)

Controlling Physician Behavior

215

(4)

Do Physicians Respond to Incentives?

217

(1)

Empirical Evidence on the Impact of Financial Incentives

218

(1)

The Market for Nursing Services

219

(1)

The Market for Dental Services

220

(3)

Summary and Conclusions

223

(2)

Questions and Problems

225

(1)

References

226

(2)

The Market for Hospital Services

228

(23)

A Brief History of American Hospitals

228

(3)

The U.S. Institutional Setting

231

(10)

Hospital Classification

231

(3)

Hospital Spending

234

(1)

Structure of the Hospital Market

235

(4)

Hospital Pricing

239

(2)

The Role of the Not-for-Profit Organization in the Hospital Industry

241

(2)

The Not-for-Profit Organizational Form

241

(1)

Nature of Competition in the Not-for-Profit Sector

241

(2)

Alternative Models of Hospital Behavior

243

(2)

Utility Maximizing Models

243

(2)

Physician-Control Models

245

(1)

The Trend toward Multihospital Systems

245

(3)

The Theory of Consolidation

246

(1)

The Empirical Evidence on Consolidation

246

(2)

Summary and Conclusions

248

(1)

Questions and Problems

249

(1)

References

249

(2)

PART 4 CONFOUNDING FACTORS--SALT

Sociocultural Considerations

251

(26)

The Nature of Social Problems

251

(1)

AIDS in America

252

(5)

The Extent of AIDS in the United States

252

(1)

Risk to the Population

253

(1)

Medical Care Issues

254

(1)

The Worldwide Impact

255

(2)

Consequence of Drug Abuse

257

(3)

The Nature and Extent of Drug Abuse

258

(1)

The Costs to Society

259

(1)

Intervention Strategies

260

(1)

The Economic Impact of Tobacco and Alcohol Use

260

(6)

Tobacco Use

260

(4)

Alcohol Use

264

(2)

Social Pathology

266

(7)

Violence in America

266

(1)

Teen Pregnancy

267

(3)

Sexually Transmitted Disease

270

(1)

Obesity

271

(2)

Summary and Conclusions

273

(1)

Questions and Problems

273

(2)

References

275

(2)

The Aging of the Population

277

(15)

The Aging Population

277

(3)

Life Expectancies

278

(2)

Medical Care Costs for the Elderly

280

(7)

Quality of Services

281

(1)

Increased Intensity of Services

281

(1)

The Challenge of Treating Chronic Diseases

282

(3)

The Cost of Long-Term Care

285

(1)

The High Cost of Dying

285

(2)

Summary and Conclusions

287

(3)

Questions and Problems

290

(1)

References

290

(2)

The Legal System and Medical Malpractice

292

(25)

Tort Law in the United States

293

(1)

The Function of Medical Malpractice Law

293

(2)

Compensation

294

(1)

Deterrence

294

(1)

Retribution

294

(1)

The Growth in Medical Malpractice Claims

295

(6)

Claims Frequency

295

(1)

Claims Security

296

(3)

International Differences

299

(2)

Tort Reform

301

(10)

Cost of Malpractice

301

(2)

Causes of Increased Litigation

303

(1)

Suggestions for Reform

303

(8)

Summary and Conclusion

311

(1)

Questions and Problems

311

(1)

References

312

(2)

Appendix 12A: Valuing Life in the Case of Wrongful Death

314

(3)

Methodological Considerations

314

(1)

Value in Litigation

315

(2)

Technology in Medicine

317

(28)

The Diffusion of New Technology

317

(4)

The Economics of Technological Change

318

(1)

The Levels of Technology

319

(2)

The Role of Insurance in the Diffusion of Technology

321

(1)

The Case of Organ Transplantation

321

(8)

History of the Organ Transplantation

321

(2)

Current Organ Transplant Policy

323

(3)

Why Is There a Shortage of Donable Organs?

326

(3)

The Pharmaceutical Industry

329

(10)

The Structure of the Industry

329

(1)

The Role of Research in the Age of Technology

330

(5)

Advertising and Promotion

335

(1)

The Role of Government

336

(2)

Future Directions for the Industry

338

(1)

Summary and Conclusion

339

(4)

Questions and Problems

343

(1)

References

343

(2)

PART 5 PUBLIC POLICY IN MEDICAL CARE DELIVERY

Policies that Enhance Access

345

(22)

Medicare: Medical Care for the Elderly

345

(6)

Institutional Features

346

(1)

Who Pays?

347

(2)

Who Benefits?

349

(1)

Economic Consequences

350

(1)

Medicaid: Medical Care for the Poor

351

(8)

Institutional Features

351

(3)

State Children's Health Insurance Program

354

(1)

Economic Consequences

355

(2)

Other Economic Issues

357

(2)

Other Government Programs

359

(3)

Department of Defense

359

(1)

Veterans' Administration Medical Care Program

359

(3)

Summary and Conclusions

362

(1)

Questions and Problems

363

(1)

References

363

(2)

Appendix 14A: A Note on ``Projections''

365

(2)

Policies to Contain Costs

367

(17)

Policy Options

367

(5)

Mandated Fee Schedules

367

(2)

Global Budgeting

369

(2)

Resource Rationing

371

(1)

Cost-Containment Strategies in the United States

372

(8)

Diagnosis Related Groups

372

(5)

Setting Physicians' Fees: Resource-Based Relative Value Scale (RBRVS)

377

(3)

Managed Care Strategies

380

(1)

Market Alternatives

380

(2)

Summary and Conclusions

382

(1)

Questions and Problems

383

(1)

References

383

(1)

Medical Care Systems Worldwide

384

(36)

International Comparisons

384

(6)

Expenditures Across OECD Countries

386

(1)

International Comparison of Medical Outcomes

387

(3)

Canadian National Health Insurance: Medicare

390

(5)

France: Equality, Liberty, Fraternity

395

(3)

Germany: Sickness Funds

398

(4)

Japan: The Company Is People

402

(5)

United Kingdom: National Health Service

407

(5)

Summary and Conclusions

412

(5)

Questions and Problems

417

(1)

References

417

(3)

Medical Care Reform in the United States

420

(32)

The Push for Reform

420

(1)

The Moral Issues---Is Medical Care a ``Right''?

421

(1)

The Goals of Reform

422

(4)

Who's Covered?

423

(1)

What's Covered?

424

(1)

Who Pays and How Much?

424

(2)

Individual State Initiatives

426

(4)

Universal Coverage in Hawaii

426

(1)

Oregon Health Plan

427

(2)

Other State Reforms

429

(1)

Health Insurance Mandates

430

(4)

The Economics of Mandates

430

(2)

The States' Approach to Mandates

432

(2)

U.S. Policy Alternatives

434

(10)

Single-Payer National Health Insurance

434

(2)

Employer-Based Health Insurance

436

(1)

Market-Based Alternatives

437

(5)

Managed Competition

442

(2)

Market Response to Uncertainty

444

(1)

Summary and Conclusions

445

(5)

Questions and Problems

450

(1)

References

450

(2)

Lessons for Public Policy

452

(7)

Scarcity and Choice

452

(1)

Opportunity Cost

452

(1)

Marginal Analysis

452

(1)

Self-Interest

453

(1)

Markets and Pricing

454

(1)

Supply and Demand

454

(1)

Competition

455

(1)

Efficiency

455

(1)

Market Failure

456

(1)

Comparative Advantage

456

(1)

Final Reflections

456

(3)

Glossary

459

(8)

Index

467

Amazon no longer offers textbook rentals. We do!

Health Economics and Policy with Economic Applications

Health Economics and Policy with Economic Applications

9780324260007

0324260008

Summary

Table of Contents

Supplemental Materials

Write a Review

Amazon no longer offers textbook rentals. We do!

Health Economics and Policy with Economic Applications

Health Economics and Policy with Economic Applications

9780324260007

0324260008

Summary

Table of Contents

Supplemental Materials

Write a Review

Related Products