Professional Documents
Culture Documents
To be able to:
Discuss the definition and basic concepts
of economics including the assumptions
that lie behind economics
Describe the scope of health economics
Analyze the economic characteristic of
the health industry, and
Describe various ways of financing the
health system
Definition of Economics ( Samuelson)
the study of how people and society
end up choosing, with or without the use of
money, to employ scarce productive
resources that could have alternative uses
to produce various commodities and
distribute them for consumption, now and in
the future, among persons and groups in
society.
The key words and phrases in this
definition are:
with or without the use of money
scarce productive resources
alternative uses:opportunity costs
Scarcity
resources( land, labor, capital) are
limited
Choices must be made as to what
health care should be provided, how it
should be provided, in what quantities
and how it might be distributed
Concept of opportunity costs
The value of foregone benefit which
could have been obtained from a resource in
its next-best alternative use
Opportunity costs
By choosing to use resources in one
particular way, other opportunities for
using those resources are foregone
From a limited budget, the most
efficient mix of services to fund will be
that which generates the greatest
aggregate benefit
Assumptions:
man is rational he wants to
maximize his benefits in making
choices or decisions
mans wants are insatiable but
resources are limited to satisfy all
these wants
I.
Influence
of
economics
on
the
PRODUCTION subsystem
- Production subsystem providers
or producers of health services, i.e.,
physicians, hospitals, clinics, laboratories,
etc.
II.
Influence
of
economics
on
the
MAINTENANCE subsystem
Maintenance
subsystem
(health
organizations, health finance organizations,
professional education) concern with
mechanisms to maintain the health services
delivery such as rules and regulations to
maintain standards.
1. The health sector is a very labor-intensive
industry.
e.g. when the price of labor or wages and
salaries go up, many hospitals are affected
adversely because they are not able to
This
subsystem
is
concerned
with
organization and financing of health care
delivery, which in turn is influenced by the
economic development of the country and
the political outlook of the government
Various Ways of Financing the Health
System:
1. out-of-pocket expenditures
2. health insurance both government and
private
3. employer-provided benefits
4. community financing
5.
government taxation and foreign
financing
Out-of-pocket expenditures
households/consumers pay for health care
services out of their own money, either on a
fee-for-service or on a per case basis
Philippines: of all health care expenditures
are paid out-of-pocket
Health Insurance
a method of payment wherein consumers or
prospective patients pay to a third party in
the form of a premium which in the event of
illness are used to pay the health care
providers for some or all of the expenses
incurred in diagnosis and treatment of the
patients
Employer-Provided Benefits
the firms either employ a physician and/or a
nurse or maintains a health provider on the
retainer basis; or they enroll their employees
with an HMO or provide health insurance
benefits for them.
Community Financing
a term used for risk sharing in health care
financing including such activities as people
donating labor or materials to construct a
health center and contributions to a common
pool in exchange for discounted medical
services or drugs
usually, funds are provided for a community
health
worker,
and
depending
on
membership and amount of contribution,
funds could be made available for sickness
loans
Taxation
and
Foreign
a. Taxation
- through taxes collected, the
government could provide health care
services through the following:
(1) by putting up hospitals and
clinics and employing health personnel on a
salary basis and providing free drugs
(2) by employing the services of a
private health care provider on a capita or
per head basis
b. Foreign financing
- usually done for preventive health
care services by international organizations,
i.e., WHO, UNICEF (United Nations Childrens
Fund)
- it is the government which seeks the
assistance of these agencies through the
submission of proposals which the latter
consider
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