Lecture 1 - 2017.pdf - Applied Health Economics Lecture 1...

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Applied Health Economics Lecture 1: Introducing Health Economics Christopher J Gerry Centre for Health Economics, Management and Policy November 11 th 2017 [email protected]
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Contents Introduction Health economics and healthcare economics Why health is a special product Complexity of healthcare systems The questions of health economics
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Fundamentals What is Health? How can we measure it? How much does it cost? How can we measure the value of improving it?
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Introduction The healthcare industry has become one of the largest global industries. Life expectancies are increasing, health technologies are improving and the demands for better health and more healthcare are increasing. Decisions about how to allocate the time of doctors and nurses, whether to build a new polyclinic, what drugs to provide to the population for free, how to decide on the price of medicines, what kind of health insurance system to adopt or what kind of restrictions to place on the sale of alcohol, tobacco and fizzy drinks are fundamental to the well-being of all populations. These decisions are arrived at differently in Russia compared to most countries.
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Female life expectancy at birth in developed countries (e.g., Japan) increased by 40 years in 160 years before beginning of 21 st century Gain in life expectancy at birth up 7.9 years between 1960 and 2005 in U.S and up 35.5 years in China during same period. Increased Health and Longevity Life Expectancy (LE) at Birth in China and the United States, 1960-2005
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Most countries experienced gain of 5-10 years during 1960-2005. Inverted U-shape relationship, highest in middle income countries; lowest in poor and rich. What happened to Russia? Countries differ in gains in longevity The Global Distribution of Longevity Gains
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Positive relationship between population health in country and its per capita GDP Factors underlying this relationship: role of provision of personal health care services versus other factors Per Capita GDP and Population Health Relationship between Life Expectancy at Birth and GDP per Capita
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