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Heba Nassar Cairo University

Economic,SocialInstitutionaland

Demographicneeds

TheoreticalFoundation

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-II-Q1-“Arewedoingthingsright”Resourcesmaybeusedinatechnicallyinefficientway,leadingtoWASTE.Nexusofefficiencyandinefficiency

Resourcesmaybeallocatedinwaysthatdonotreflectsocietalpriorities,thusimposinga“cost”onthehouseholdsOpportunitycostexamples:Spendingontertiaryvs.primarycare

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Costescalation:oruncontrolledspendingoftenattributabletomoreinclusivehealthentitlements,inflationaryproviderpayments,newtechnologies,agingpopulations,andchangingepidemiology

Example:brandnamedrugsorgenericdrugs

LASTQUESTIONWhatarethechallengesofhealthcarefinancing?

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PartIII-ProfessionalMastersinHealthEconomicsattheFacultyofEconomicsandPoli9calScienceincollabora9onwiththeFacultyofMedicine

�  tointroduceparticipantstothelanguageofeconomicstobeabletoapplytheeconomictoolstoissuessuchas:

Ø  Theappropriateroleofgovernmentandtheprivatesectorinthehealthsector;

Ø Resourceallocationcriticaltoaddressingequityandefficiencyofpublicspending;

Ø Resourcetransfermechanismstohospitalsandhealthcareprovidersandtheincentivesystemsthatunderlieit.

'

Mission

PartIII-IntendedLearningOutcomes:

Attheendofthecourseparticipantscan:Ø  Usetheeconomicrationaleargumentstodeterminewhatgovernmentshouldorshouldnot

do;

Ø  Applyeconomicstoimproveallocativeefficiencyinthehealthsector;Ø  Analyzeeconomicargumentstohelpimprovetechnicalefficiencyinthehealth

sector;Ø  Explainhoweconomicscanhelpimproveequityinthehealthsector;

Ø  Correctlyusethetoolsonmarketfailurestojustifytheroleofthepublicsector;

Ø  Applythedifferentdimensionsofefficiencytoensurealargerreturntoinvestmentsinthehealthsector;

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PartIII-CourseStructure:

Thecourseconsistsoftenmodules,dividedintothreeclusters.

�  Cluster1askstheques7on–“WhyHealthEconomics?”Ita?emptstoanswerthisques7onbyintroducingtheconceptsofEquity(module1)andEfficiency(module2).

�  Cluster2delvesintowhatmarketsareandhowtheyaredifferentinthe

HealthSector.Modules3-7dealwiththeconceptsofmarkets,supplyanddemand,andreasonswhymarketwouldnotfunc7onwellinthehealthsector.

�  Cluster3thenasks–“Whopaysforwhat?”Modules8-10areconcerned

withhealthfinancingmechanisms(Module8),healthinsurance(Module9),andfundingandremunera7oninthehealthsector(Module10).

PartIV-OutcomeofPHE:HealthEconomicSociety-Egypt(HESEGYPT)www.hes-egypt.org

**HESEGYPTwillactasa“Knowledgebrokerforpolicyadvocacy”throughcapacitydevelopmentandexchangeofgoodpractices1-Vision:tobethelighthouseofhealtheconomistsinEgypt2-Mission:toprovideaplatformforhealtheconomiststoadvocateforequityandefficiencyinresourceallocation

10

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2_HESEGYPT-Ac9vi9es:

11

3-FOCUSAREAofHESEGYPTac9vi9es:

12

Capacitybuilding

PolicyOrientedResearch(Research)

EconomicPolicyAdvocacy(Dissemination,Conferences,Forums,Meetings,PolicyBrief,website,observatoire..)

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ThankYou!

PartIII-CourseStructure:Thedetailedstructureisasfollows:Module1:Introductorytomicroeconomics

Module2:IntroductorytomacroeconomicsModule3:HealthEconomicsOverview§  Economicdeterminantsofhealth,illnessanddeath§  Healthandeconomicgrowth§  Marketfailureinhealthandgovernments'roleModule4:Measurementofhealth§  Healthsta7s7cs:concepts,sourcesandmethods§  Burdenofdisease§  Defininghealth,diseaseanddeath§  HealthoutcomesinvariousdevelopmentalseYngs§  Pathwaystoimprovinghealthoutcomes

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PartIII-CourseStructure:Module5:Equity,Efficiency,Inequalityv  Economicdefini7onsv  Aspectsinequity,efficiencyandinequalityinhealthcarev  Roleofeconomictheoriesinhealthandhealthcaredeliveryv WhatisaMarket?v MarketsforKidneysv MeasuringCosts&Efficiencyv  PrinciplesofCost-BenefitAnalysisv  EquityintheHealthSectorModule6:Analysisofhealthcaresystemsv  Analyzingdifferenthealthcaresystemsv  Priva7za7onv  Qualityofhealthcarev  HealthSectorPerformanceinEgypt–Progress,EconomicIssues&Bo?lenecksv  AssessingEquityusingBenefit-IncidenceAnalysis

PartIII-CourseStructure:

Module7:DemandsideforhealthcarePurchasinghealthcardandconsumerchoiceNeedsassessment,9mepreferenceandmanagementchoiceInduceddemandandincreasedsupplyModule8:Supplysideforhealthcare§  NatureofSupply§  CostofHealthCare:marketsforhealthcareproviders§  Technologyfron7ers§  Training§  Differenttypesofservicedelivery§  Contrac7ng,providerpayment,pricing§  Qualitycontrol

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PartIII-CourseStructure:Module9:Healthinsuranceandpublic–privatepartnership§  Healthinsurancesystem:concept,types,characteris7csandindica7onsof

useofeachtype,principlesofgoodcontrac7ngandnego7a7onskills.§  MarketsforPrivateHealthInsurance§  Marketfailureinhealthcare:analysisofhealthcareinsurance§  Adverseselec7onandremedies§  Public-privatepartnershipinhealthcareservicedeliveryModule10:Economicevalua9on§  Methodsofeconomicevalua7on§  Monetaryassessmentofqualityoflife§  Technical&Alloca7veEfficiency