introduction to advanced health economics

Introduction to Advanced Health Economics

TA: Hongqiao Fu

2014/09/15

Some questions on health economics

• Why does the percent of GDP spent on healthcare keep rising around the world?

• Why does the non-for-profit institution play dominant roles in health sector?

• Why does competition between health institutions yield mixed results?• Why does public financing play an leading role in the financing of

healthcare ？• Why does regulation exist pervasively in the healthcare market ？• Why does the government provide some health service in-house?• Why does the health system differ substantially around the world?• Why does health care reform become “a worldwide problem”?

hospitals

patients

insurance

governmentphysician

pharmacy

Players in health sector

hospitals

patients

insurance

governmentphysician

Players in health sector

hospitals

patients

insurance

government

Players in health sector

national health system

hospitals

patients

insurance

government

Players in health sector

national health insurance

hospitals

patients

insurance

government

Players in health sector

Commercial health insurance

Opportunities in health economics (1/ )

• The classic article of Arrow (1963) commonly was regarded as the real beginning of health economics

• HE is commonly regarded as an applied field of economics, drawing its theoretical inspiration from four traditional areas of economics: finance and insurance, industrial organization, labor and public finance

• HE has contributed more than merely the application of standard economic language and the impact of health economics outside the economics profession has been immense.

contribution to mainstream discipline from HE

Opportunities in health economics (1/ )

Amy FinkelsteinAlvin RothKenneth Arrow

Opportunities in health economics (1/ )

David Culter William Hsiao Adam Wagstaff

Opportunities in health economics(2/ )

中国式健康投资

• 2014年 7月 23日，北京市政府联合百度发布健康云 8月建成首个体验中心• 据《华尔街日报》中文网报道，中信 21世纪有限公司 (简称：中信 21世纪 )上周

五公布，计划更名为“阿里健康信息技术有限公司”。• 腾讯昨日斥资 7000万美元大手笔入股医疗健康网站丁香园，并计划将该业务与微

信和手机 QQ打通。

• 恒大集团与哈佛大学达成合作协议 ,将在中国共同成立哈佛医院。万科董事会主席王石此前也透露公司有 3家儿童医院正在筹建当中 ,分别位于广州、上海和深圳。

• 阳光城 2014年 7月 9日公告称 ,公司拟出资 2000万元设立上海威至博医疗投资管理有限公司 ,以进一步实施拓展医疗健康产业业务。

• 2009年 4月 8日， IBM大中华区软件集团与 IBM中国开发中心（ CDL）共同宣布成立“ IBM医疗行业解决方案实验室”，并公布了 IBM智慧医疗系列解决方案，为“智慧医疗”在中国落地、惠及大众提供了切实可行的方案和实践。

• 中国电信推出了基于手机终端的健康服务业务“健康心翼”。健康心翼”业务是利用全功能健康管理终端进行健康指标随时检测，通过 3G无线网络即时发送检测结果，由专业服务平台 24小时实时反馈监测结果，真正成为客户的“ 24小时健康管理私人医生”。

• 2014年 9月，泰康人寿董事长陈东升全面介绍了泰康“医养结合”的战略发展思路，并表示在未来 5-8年，将投资 1000亿元在医疗和养老基础设施上，建设大型的养老社区和医疗设施。

• 2014年 8月 25日，中信医疗总经理张继胜、汕尾市市长吴紫骊代表合作双方签署了《汕尾市直公立医院改革合作协议》。

中国式健康投资

区域医疗信息平台

健康管理与教育平台

医保资金管理与支付平台

审核系统 清算系统决策数据库

健康管理APP

移动医疗器械数据采集

全科医生服务与管理

医疗机构管理与决策支持平台LIS PACS 合理用药 质量审核

HIS系统 药品招标与质量监控平

台

药品竞价与采购平台

药品质量信息公示平台

药品价格信息公示平台

公共卫生信息平台

医疗机构管理与决策支持

健康管理增值服务与健康数

据开发平台

远程医疗信息系统临床决策指导 慢病管理指导 技能培训

健康管理与健康教育平台

基层医疗机构（全科医生团队）临床信息系统 慢病管理系统

HIS系统

健康咨询系统

电子病历（ EMR)

健康自我管理平台健康自我管理 APP 呼叫中心

可穿戴移动医疗器械数据采集

健康教育与咨询

Collecting health

data

Data analysis&

health consultin

g

Data transmiss

ion

Mobile health application

Advanced Health Economics (Fall 2014)

• Theme: topics on health economics

• Description: We will start with the introduction to health economics and then discuss the issues in the health sector systematically. Health care financing, delivery and pharmaceutical market are all included. We intend to help students to understand the functioning and operation of health system comprehensively. This course also covers some emerging issues like information and market design in health care.

• Instructor: Professor Ling Li

• Office: Room 201, China Center for Economic Research

• Email: Lingli@ccer.edu.cn;

• TA: Hongqiao fuhongqiao900824@126.com

Syllabus of Advanced Health Economics(Fall 2014)

课外阅读推荐

Week 1: introductionwhat is health economics

Week 5Physician Behavior

Week 7Hospital Competition

Week 6Hospital ownership and its

effects

Week 4Production of health

More +

Week 3Demand for health

More + Week 2: introductionHealth economics: past and

futureAn introduction to health

system

Week 8Financing of health

care

Week 10Payment system

More +

Week 9Moral hazard of

insurance More +

Week 11Integration

Week 12Pharmaceutical industry

Week 13Health care spending

Week 14Health and social development

Week 15Health information technology

Week 16Market Design

Requirement

• There will be no PPT presentation. Students are required to read 3-4 academic papers intensively or extensively every week. In the class, papers will be shared face to face. During the interpreting, TA will randomly ask one of students to explain a certain part of the paper being discussed. It’s strongly required to read the chosen papers beforehand

• Grades will be based on class participation (30%), a take-home assignment (20%) and a research paper (50%). The research paper will be an empirical and/or theoretical research on a topic related to this course. Proposed topics for the research paper are due on Nov 15; the final presentation is due on Jan 5 and the final draft of the paper is due on Jan 19. You will lose one grade per day for late handing.

Resource

Top 20 journals in health economics

1. Journal of Health Economics

2. Health Economics3. Health Services

Research4. PhamacoEconomics5. Journal of Human

Resources6. American Economic

Review7. Demography8. Inquiry9. Review of Economic and

Statistics10. Population and

Development Review

11. Journal of Health politics, policy and law

12. Journal of Political Economy

13. World Development14. Journal of Public

Economics15. Quarterly Journal of

Economics16. Journal of American

Statistical Association17. Population Studies18. Applied Economics19. RAND Journal of

Economics20. Journal of Econometrics

•Q&A