Tabla de Contenidos:
  • Machine generated contents note: Foreword
  • by Uwe E. Reinhardt
  • Acknowledgments
  • Preface to the Second Edition
  • 1 Introduction
  • 1.1 Why Should the Economics of Health Be Reconsidered?
  • 1.2 Purpose of the Book
  • 1.3 Outline of the Book
  • 2 Market Competition
  • 2.1 The Traditional Economic Model
  • 2.1.1 Consumers
  • 2.1.2 Producers
  • 2.1.3 The Economy as a Whole
  • 2.1.4 Pareto Optimality and Social Welfare
  • 2.2 Problems with the Traditional Model
  • 2.2.1 Negative Externality: Concern About Status
  • 2.2.2 Positive Externality: Concern About Others
  • 2.2.3 Consumer Tastes Are Predetermined
  • 2.3 Implications for Health Policy
  • 2.3.1 Does the Distribution of Income Affect the Health of the Population?
  • 2.3.2 Equalizing Access to Health Services
  • 2.3.3 What Comes First: Allocation or Distribution?
  • 2.3.4 Competition and Prevention
  • 2.3.5 Government-Sponsored Health Education
  • 2.3.6 Should Cost Control Be a Public Policy?
  • 3 Demand Theory
  • 3.1 The Traditional Economic Model
  • 3.1.I Utility and Social Welfare
  • 3.I.2 Revealed Preference
  • 3.1.3 Demand Curves and Functions
  • 3.1.4 The Meaning of Demand and Consumer Surplus
  • 3.2 Problems with the Traditional Model
  • 3.2.1 Social Welfare and Consumer Choice: A Syllogism
  • 3.2.2 Are Individual Utilities Maximized When People Are Allowed to Choose?
  • 3.2.3 Is Social Welfare Maximized When Individual Utilities Are Maximized?
  • 3.3 Implications for Health Policy
  • 3.3.1 Is Comprehensive National Health Insurance Necessarily Inefficient?
  • 3.3.2 Should Patient Cost-Sharing Be Encouraged, or Should We Use Other Policies?
  • 3.3.3 Should People Pay More for Price-Elastic Services?
  • 3.3.4 Defined Contribution, Premium Support, and MSAS
  • 4 Supply Theory 129
  • 4.1 The Traditional Economic Model
  • 4.2 Problems with the Traditional Model
  • 4.2.I Are Supply and Demand Independently Determined?
  • 4.2.2 Do Firms Have Monopoly Power?
  • 4.2.3 Do Firms Maximize Profits?
  • 4.2.4 Do Increasing Returns to Scale Exist?
  • 4.2.5 Is Production Independent of the Distribution of Wealth?
  • 4.3 Implications for Health Policy
  • 4.3.1 Capitation and Incentive Reimbursement
  • 4.3.2 Issues Surrounding Patient Cost-Sharing
  • 4.3.3 Allowing Only Selected Hospitals to Provide Particular Services
  • 4.3.4 Improving Productivity by Providing Insurance
  • 5 Equity and Redistribution 171
  • 5.1 The Traditional Economic Model
  • 5.2 Problems with the Traditional Model
  • 5.2.1 Overview of Utilitarianism
  • 5.2.2 Problems with Ordinal Utilitarianism
  • 5.3 Implications for Health Policy
  • 5.3.I Providing Health Services Rather than Cash
  • 5.3.2 Focusing on People's Health, Not Utility
  • 5.3.3 National Health Insurance
  • 6 The Role of Government 201
  • 6.1 Alternative Views on the Role of Government
  • 6.1.1 Market Failure
  • 6.1.2 Government Failure
  • 6.2 Different Approaches to the Role of Government in the
  • Health Services Sector
  • 6.2.1 Structure of the System
  • 6.2.2 Nature of Coverage and Delivery
  • 6.2.3 Regulation of Prices and Expenditures
  • 6.2.4 Regulation of Volume
  • 6.2.5 Control of Input Supply
  • 6.3 Cross-National Data on Health System Performance
  • 6.3.1 Access
  • 6.3.2 Utilization
  • 6.3.3 Expenditures
  • 6.3.4 Quality and Satisfaction
  • 6.3.5 Equity of Financing System
  • 6.3.6 Summary of Evidence
  • 6.4 Ten "Lessons" on the Role of Government in Health Systems
  • 7 Conclusion 271
  • Appendix: Overview of the Health Services Systems
  • in Ten Developed Countries
  • by Miriam J. Laugesen and Thomas Rice 275
  • References 306
  • Index 335
  • About the Author 342.