Health Economics
Health Economics
ECONOMICS
BY: CHIELO THERESE E DUNGO, PTRP, NASM - CPT
ECONOMICS
• A social science that studies individual and group decisions on how to use scarce resources to satisfy
their wants and needs
HISTORY
• The specialized branch of economics devoted to the study of costs, benefits, resource allocation, use,
inputs , outputs and outcomes of all forms of health care
CORE CONCEPTS IN HEALTH ECONOMICS
• Resource Allocation
• Costs
• Benefits/Outcomes
• Inputs
• Outputs
• Outcomes
• Macroeconomics
• Microeconomics
Health
Determinants
Sector
Services
Medical Care
• Medical Care – resources and processes dedicated to the delivery of preventive and curative medical
services
• Health Services – activities that are intended to improve health
• Health Sector – part of economy, institutions and society that deals with the demand for health
• Determinants – Population, Environment, Economy, Education, Food, Water, Habitat
• Health – actual state of being; ideal value for one’s survival
MEDICAL CARE SECTOR
State of complete physical. Mental and social well-being and not merely the absence of disease or
infirmity (WHO)
Aspects:
- Physical Health
- Mental Health
- Social Health
Physical Health
- Pertains to the condition of the body and is considered critical to an individual’s overall well being.
- Factors that affect?
MICROECONOMICS
• 3 basic measures
• Cost Benefit Analysis (CBA) – ratio of costs to events
• Cost Utility Analysis (CUA) – ratio of cost to some measure of utility
• Cost Effectiveness Analysis (CEA) – difference between monetary costs and monetary benefits
HEALTH TECHNOLOGY ASSESSMENT
• Should the government bear the cost and provide access to health care?
• Scarce resources must be allocated: health policy decisions have consequences
• 3 related ways:
• 1. The size of the contribution of the health sector to the overall economy
• 2. The national policy concerns resulting from the importance many people attach to the economic problems
they face in pursuing and maintaining their health
• 3. The many health issues that have a substantial economic element
ECONOMIC METHODS AND EXAMPLES OF ANALYSIS
FEATURES OF ECONOMIC ANALYSIS
• Economic analysis is based on the premise that individuals must give up some of one resource in order
to get some of another
• Economists view time as the ultimate scarce resource
RATIONAL DECISION MAKING
• Rationality - defined as “making choices that best further one’s own ends given one’s resource
constraints.”
MARGINAL ANALYSIS
• decision makers must understand the cost as well as the benefit of the next, or marginal, unit
USE OF MODELS
• Physicians, clinics, and hospitals use labor and machines just like other segments of the economy.
• Providers charge prices for the services
• Health sector is complicated
2 FEATURES OF HEALTH ECONOMICS IN RELATION TO
ECONOMIC ANALYSIS
1. Decision/Choice
2. Scarcity of Resources
3. Opportunity Cost
4. Benefit/Cost
5. Specialization/Trade/Division of Labor
6. Market
PRINCIPLES OF ECONOMY WIDE
(MACROECONOMICS)
1. Fiscal Policy
1. Govt Expenses
2. Tax
2. Monetary Policy
Lets Continue Next Meeting!