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2023/9/20 15 healthcare financing policy and healthcare economics - Coggle…
2023/9/20 15 healthcare financing policy and healthcare economics
universal health coverage (WHO)
healthcare financing
purchasing of health services and interventions
strategic purchasing
PPP public-private partnership
electronic medical records (application inconvenient? carry a key?)
hemodialysis
GOPC
passive purchasing
pooling of resources (distribution: needs)
financial protection
equity in resource distribution
revenue raising (admin costs too high)
pirviate health insurance (risk-based, loading adjusted) (higher premium, higher moral hazard, e.g. mainly elderly; how about can claim without inpatient? BUT this affect medical decision?)
social health insurance (compulsory, Bismarck model)
taxation (compulsory)
agent
principal-agent theory & supplier-induced demand
public
may do less (too tired, may have quota)
private
agent is the doctor
economic evaluation *exam!
fundamental principle
dominance for action (cost vs effectiveness)
types
CBA cost-benefit analysis
including can return to work force and contribution to the society
CUA cost-utility analysis
utility: money for each year
QALYs quality-adjusted life years
DALYs disability-adjusted life years
CEA cost-effectiveness analysis
Sixth Stool Guaiac test for colon cancer
sensitivity: 90%: do 6 times (?)
gov: address market failures
public goods
non-excludable
non-rivalrous
countries
Sweden: lowest expenditure
US: highest expenditure (health insurance)