Economics, medicine, and health care

Abstract

List of contents Preface to the first edition Preface to the second edition Preface to the third edition 1 Introduction 2 Economics and health economics 2.1 Resource allocation problems 2.2 Supply and demand: the market 2.3 Economic evaluation 2.4 Conclusions 3 The nature of the commodity health care 3.1 Introduction 3.2 Defining health 3.3 Health and health care 3.4 Health care 3.5 Conclusion 4 Health status and other outcome measurement 4.1 Introduction 4.2 Some issues in measuring health 4.3 Quality adjusted life years ('QALYs') 4.4 Other outcomes 4.5 Conclusions 5 Values in health care 5.1 Whose values? 5.2 Valuing outputs 5.3 Que faire? 6 Need, demand and the agency relationship 6.1 Introduction 6.2 Demand and need for health care 6.3 Describing the agency relationship 6.4 Analysing the agency relatcionship 7 The inefficiency of medical ethics 7.1 Introduction 7.2 Ethics and medical ethics 7.3 The relevance of utilitarianism 7.4 Conclusion 8 Just health care: only medicine? 8.1 Introduction 8.2 What is equity? 8.3 Practical difficulties 8.4 An alternative approach based on 'capacity to benefit' 8.5 How should equity be defined? 8.6 Equity and ethics 8.7 What's best? 9 Priority setting in health care 9.1 Introduction 9.2 Priority setting using an explicit economics approach 9.3 QALY league tables 9.4 Priority setting: some other approaches 9.5 Conclusion 10 Health care financing and organisation 10.1 Introduction 10.2 Key features of public systems 10.3 Fair shares for all? 10.4 Fair-sharing and health care 10.5 Other insights from Margolis 10.6 Which system? 11 Some future roads to travel? 11.1 Introduction 11.2 Education 11.3 Information 11.4 Evaluation and monitoring 11.5 Does economic evaluation work? 11.6 Financing, budgeting and remuneration 11.7 Listening to the community 11.8 A final thought Index

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