Health Economics 2010
INSTRUCTOR
Christy Pu, Ph.D.
pacypu@doh.gov.tw
Tel: 02-85906914
Office Hours: By appointment
Yiing-Jenq Chou, M.D. Ph.D.
yjchou@ym.edu.tw
Tel: 28267017
Office Hours: By appointment
COURSE OBJECTIVES
The primary objectives of this course: (1) To introduce application of basic
microeconomic concepts and tools to resource allocation and policy problems facing
health-sector decision makers internationally. (2) To cover the application of demand
concepts to health care-seeking behavior and their implications for marketing and for
the design of insurance programs, (3) To uses basic concepts of cost and production
theory to examine problems in efficiency measurement and issues of market structure.
COURSEWORK
The work consists of: (1) mid-term exam; (2) final exam; and (3) student
participation.
GRADING SYSTEM
Each exam accounts for 40% of your final grade (total 80%), and the student
participation for 20% of the overall course grade.
REQUIRED TEXT
Sherman Folland et al. “The Economic of Health and Health Care” Prentice Hall, Inc.
2007 (5th edition).
Time: Wednesday 3:30 PM – 5:20 PM
Location: Room, 201, Medical Building
日
期
講
題
教師姓名(中文)
2/24
Introduction
蒲正筠
3/03
The Production of Health
周穎政
3/10
World Health
蒲正筠
3/17
Socioeconomic Status and Health
周穎政
3/24
Economic Efficiency and Cost Benefit Analysis
蒲正筠
3/31
The Demand for Health Capital
周穎政
4/07
The Health Economics of Bads
蒲正筠
4/14
Epidemiology and economics
周穎政
4/21
Health care system and Health Insurance Ⅰ
蒲正筠
4/28
Health care system and Health Insurance Ⅱ
周穎政
5/05
Health care system and Health Insurance Ⅲ
蒲正筠
5/12
Health care system and Health Insurance Ⅳ
周穎政
5/19
Health care system and Health Insurance Ⅴ
蒲正筠
5/26
Health care system and Health Insurance Ⅵ
周穎政
6/02
Asymmetric Information and Agency
蒲正筠
6/09
Pharmaceutical Industry
周穎政
6/16
School Holiday
蒲正筠
6/23
Final Exam
蒲正筠
Health Economics
Course Outline/Syllabus
1. Introduction (2/24)
Folland et al, chapter 1.
Arrow, Kenneth J. Uncertainty and the Welfare Economics of Medical Care.
Uncertain times: Kenneth Arrow and the changing economics of health care
2003, pp. 1-33
Fuchs VR. The future of health economics. J Health Econ 2000 Mar;
19(2):141-57. Review.
2. The Production of Health (3/3)
Folland et al, chapter 5.
David C, Angus D, Adriana LM. The Determinants of Mortality. The Journal of
Economic Perspectives 2006 Summer ; 20(3):97-120.
3. World Health (3/10)
Folland et al, chapter 24.
Ainsworth M, Teokul W. Breaking the silence: setting realistic priorities for AIDS
control in less-developed countries. Lancet 2000 Jul 1; 356(9223):55-60.
Sachs J, Malaney P. The economic and social burden of malaria. Nature 2002 Feb
7; 415(6872):680-5. Review.
Brainerd E, Cutler D. Autopsy on an Empire: Understanding Mortality in Russia
and the Former Soviet Union . Journal of Economic Perspectives 2005 Winter ;
19(1):107-30.
David C. The Economics of HIV/AIDS in Low-Income Countries: The Case for
Prevention. The Journal of Economic Perspectives 2006 Summer ; 20(3):121-142.
4. Socioeconomic Status and Health (3/17)
Smith JP. Healthy Bodies and Thick Wallets The Dual Relation between Health
and Economic Status. Journal of Economic Perspectives 1999 Spr;13(2):145-166.
5. Economic Efficiency and Cost Benefit Analysis (3/24)
Folland et al, chapter 4.
6. The Demand for Health Capital (3/31)
Folland et al, chapter 7.
Grossman M. On the Concept of Health Capital and the Demand for Health. The
Journal of Political Economy 1972 Mar-Apr; 80(2): 223-255.
Becker GS, Grossman M, Murphy KM. Rational Addiction and the Effect of Price
on Consumption .The American Economic Review, Vol. 81, No. 2, Papers and
Proceedings of the Hundred and Third Annual Meeting of the American Economic
Association 1991 May, pp. 237-241.
7. The Health Economics of Bads (4/7)
Folland et al, chapter 23.
Preston SH. Deadweight?--The influence of obesity on longevity. N Engl J Med
2005 Mar 17; 352(11):1135-7.
Olshansky SJ, Passaro DJ, Hershow RC, Layden J, Carnes BA, Brody J, Hayflick
L, Butler RN, Allison DB, Ludwig DS. A potential decline in life expectancy in
the United States in the 21st century.
352(11):1138-45.
N Engl J Med 2005 Mar 17;
8. Epidemiology and economics (4/14)
Folland et al, chapter 24.
9. -14. Health care system and Health Insurance (4/21, 4/28, 5/5, 5/12,
5/19, 5/26)
Folland et al, chapter 8,9,11.
Book:
Barr N. The Economics of the Welfare State. Stanford University Press. California,
1998.
Rosen HS. Public Finance. 4th ed. Department of Economics, Princeton
University, 1995.
Journal article:
Basic concept:
Weisbrod BA. The health care quadrilemma: an essay on technological change,
insurance, quality of care, and cost containment. J Econ Lit 1991; 29(2):523-552.
Newhouse JP. Medical Care Costs: How Much Welfare Loss? J Econ Perspect
1992; 6(3):3-21.
Newhouse JP. An iconoclastic view of health cost containment: Health Aff
(Millwood) 1993; 12 Suppl:152-71
Newhouse JP. Why is there a quality chasm? Health Aff (Millwood) 2002 Jul-Aug;
21(4):13-25.
Financing of National Health Insurance:
Summers LH. What Can Economics Contribute to Social Policy? Some Simple
Economics of Mandated Benefits. The American Economic Review, 79(2). Papers
and Proceedings of the Hundred and First Annual Meeting of the American
Economic Association 1989 May; pp. 177-183.
Jonathan G. The Incidence of Mandated Maternity Benefits. Am Econ Rev 1994;
84(3):622-4.
van Doorslaer E, Wagstaff A, van der Burg H, Christiansen T, De Graeve D,
Duchesne I, Gerdtham UG, Gerfin M, Geurts J, Gross L, Hakkinen U, John J,
Klavus J, Leu RE, Nolan B, O'Donnell O, Propper C, Puffer F, Schellhorn M,
Sundberg G, Winkelhake O. Equity in the delivery of health care in Europe and
the US. J Health Econ 2000 Sep; 19(5):553-83.
Wagstaff A, van Doorslaer E, van der Burg H, Calonge S, Christiansen T, Citoni
G, Gerdtham UG, Gerfin M, Gross L, Hakinnen U, Johnson P, John J, Klavus J,
Lachaud C, Lauritsen J, Leu R, Nolan B, Peran E, Pereira J, Propper C, Puffer F,
Rochaix L, Rodriguez M, Schellhorn M, Winkelhake O, et al. Equity in the
finance of health care: some further international comparisons. J Health Econ
1999 Jun; 18(3):263-90.
Newhouse JP. Financing Medicare in the next administration. N Engl J Med 2004
Oct 21; 351(17):1714-6.
Demand-side and supply-side cost sharing:
Manning WG, Newhouse JP, Duan N, Keeler EB, Leibowitz A, Marquis MS.
Health insurance and the demand for medical care: evidence from a randomized
experiment. Am Econ Rev 1987; 77(3):251-77.
Newhouse JP. Reimbursing Health Plans and Health Providers: Efficiency in
Production versus Selection. Journal of Economic Literature 1996 Sep;
34(3):1236-1263.
Newhouse JP. Consumer-directed health plans and the RAND Health Insurance
Experiment. Health Aff (Millwood) 2004 Nov-Dec; 23(6):107-13.
Payment system:
Waters HR, Hussey P. Pricing health services for purchasers--a review of methods
and experiences. Health Policy 2004 Nov; 70(2):175-84.
Jegers M, Kesteloot K, De Graeve D, Gilles W. A typology for provider payment
systems in health care. Health Policy 2002 Jun; 60(3):255-73.
Scanlon WJ. The future of medicare hospital payment. Health Aff (Millwood)
2006 Jan-Feb; 25(1):70-80.
Managed care:
Enthoven AC. The history and principles of managed competition. Health Aff
(Millwood) 1993; 12 Suppl:24-48.
Newhouse JP. Risk adjustment: where are we now? Inquiry 1998 Summer;
35(2):122-31.
International comparison:
Hsiao WC. Comparing health care systems: what nations can learn from one
another. J Health Polit Policy Law 1992; 17(4):613-36.
Cutler DM. Equality, efficiency, and market fundamentals: the dynamics of
international medical-care reform. J Econ Lit 2002; 40(3):881-906.
Iglehart JK. Revisiting the Canadian health care system. N Engl J Med 2000 Jun
29; 342(26):2007-12.
15. Asymmetric Information and Agency (6/2)
Folland et al, chapter 10
16. Pharmaceutical Industry (6/9)
Folland et al, chapter 17.
17. Holiday (6/16)
18. Final Exam (6/23)