scholarly journals The future of health economics: The potential of behavioral and experimental economics

2015 ◽  
Vol 3 (1) ◽  
pp. 68-86 ◽  
Author(s):  
Fredrik Hansen ◽  
Anders Anell ◽  
Ulf-G Gerdtham ◽  
Carl Hampus Lyttkens
Keyword(s):  
Health Care ◽  
Health Economics ◽  
Experimental Economics ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Income Levels ◽  
Care Systems ◽  
Changing Demographics ◽  
Demand For Health ◽  
Economics Research

Health care systems around the globe are facing great challenges. The demand for health care is increasing due to the continuous development of new medical technologies, changing demographics, increasing income levels, and greater expectations from patients. The possibilities and willingness to expand health care resources, however, are limited. Consequently, health care organizations are increasingly required to take economic restrictions into account, and there is an urgent need for improved efficiency. It is reasonable to ask whether the health economics field of today is prepared and equipped to help us meet these challenges. Our aim with this article is twofold: to introduce the fields of behavioral and experimental economics and to then identify and characterize health economics areas where these two fields have a promising potential. We also discuss the advantages of a pluralistic view in health economics research, and we anticipate a dynamic future for health economics.Published: Online May 2015. In print December 2015.

scholarly journals Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

2018 ◽  
Vol 10 (12) ◽  
pp. 4439 ◽  
Author(s):  
Elio Borgonovi ◽  
Paola Adinolfi ◽  
Rocco Palumbo ◽  
Gabriella Piscopo
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Financial Economic ◽  
Point Of View ◽  
Health Care Environment ◽  
Health Gains ◽  
Care Systems ◽  
The One ◽  
The Individual

Sustainability is momentous for the appropriate functioning of health care systems. In fact, health and sustainability are two strictly related values, which could not be separately sought. While studies discussing the contextualization of this issue with respect to the distinguishing attributes of health care systems are rapidly blooming, there is still little agreement about what is ultimately meant by sustainability in the health care arena. On the one hand, attention is primarily focused on the proper use of available financial resources; on the other hand, people engagement and empowerment are gradually arising as a crucial step to enhance the viability of the health care system. This paper tries to identify, from a conceptual point of view inspired by the European integrative movement, the different shades of sustainability in health care and proposes a recipe to strengthen the long-term viability of health care organizations. The balanced mix of financial, economic, political, and social sustainability is compelling to increase the ability of health care organizations to create meaningful value for the population served. However, the focus on a single dimension of sustainability is thought to engender several side effects, which compromise the capability of health care organizations to guarantee health gains at the individual and collective levels. From this standpoint, further conceptual and practical developments are envisioned, paving the way for a full-fledged understanding of sustainability in the health care environment.

The Corporatization of Health Care: An Evaluation and An Alternative

1996 ◽  
Vol 9 (2) ◽  
pp. 107-114 ◽  
Author(s):  
K. Jacobs ◽  
V. Nilakant
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Work Organization ◽  
Corporate Form ◽  
Care Systems ◽  
The Usa ◽  
The Impact ◽  
Medical Task

The corporatization of health care organizations has become a significant international trend. This paper examines that trend, comparing the development of corporate health care in the USA with the impact of the New Zealand health reforms. The paper traces the evolution of the organizations of health care systems and explains the emergence of the corporate form. We argue that the corporate model of work organization is unsuited to the complex and ambiguous nature of the medical task as it ignores inherent interdependencies. An alternative is needed which addresses work practices rather than just participation in decision making and is based on a concept of mutual interdependence and support in the execution of work.

scholarly journals Comprehensive Treatment of Women with Postpartum Psychosis across Health Care Systems from Swedish Psychiatrists' Perspectives

2014 ◽  
Author(s):  
Inger Engqvist ◽  
Arne Åhlin ◽  
Ginette Ferszt ◽  
Kerstin Nilsson
Keyword(s):  
Health Care ◽  
High Risk ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Psychiatric Hospitals ◽  
Postpartum Psychosis ◽  
Comprehensive Treatment ◽  
Structured Interviews ◽  
Peer Supervision ◽  
Care Systems

Studies concerning the psychiatrist's experiences of treating women with postpartum psychosis (PPP) or how they react to these women are limited in the literature. In this study a qualitative design is used. Data collection includes semi-structured interviews with nine Swedish psychiatrists working in psychiatric hospitals. The audio-taped interviews are transcribed verbatim and analyzed using content analysis. The findings consist of the categories: Protection, Treatment, Care, and Reactions. The psychiatrists describe emotions such as compassion, empathy and distress. A conclusion is that the psychiatrists focus on protecting the women from suicide and/or infanticide. Given the degree of stress the psychiatrists can experience caring for high risk challenging patients, health care organizations need to provide support and/or opportunities for peer supervision.

Examining the Influence of Information Technology on Modern Health Care

2016 ◽  
pp. 110-136 ◽  
Author(s):  
Edward T. Chen
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Medical Personnel ◽  
Bundled Payments ◽  
Modern Health Care ◽  
Designed Environment ◽  
Care Systems ◽  
Care Costs

Health care costs continue to rise at a level that far exceeds the rate of inflation. IT will be necessary in the computation and organization of complex algorithms presented in bundled payments and other initiatives. Currently in health care, a patient's medical history is not easily accessible by physicians and other medical personnel. IT can play the pivotal role in rectifying this problem in tracking the record in a universally designed environment. Advanced databases are needed to integrate facilities within health care systems. This chapter is to explore the current framework of Information Technology in the U.S. health care industry and to examine the topic covering the following areas: (a) IT's influence on the Affordable Care Act, (b) the emergence of the Electronic Health Record (EHR), also known as the Electronic Medical Record (EMR), and (c) the integration of databases across health care organizations through advanced systems like Epic.

scholarly journals Demand-based models and market failure in health care: projecting shortages and surpluses in doctors and nurses

2018 ◽  
Vol 14 (2) ◽  
pp. 291-294 ◽  
Author(s):  
Stephen Birch
Keyword(s):  
Health Care ◽  
Market Failure ◽  
Health Care Systems ◽  
Public Intervention ◽  
Care Workers ◽  
Workforce Policy ◽  
Care Systems ◽  
The One ◽  
System Sustainability ◽  
Demand For Health

AbstractModels for projecting the demand for and supply of health care workers are generally based on objectives of meeting demands for health care and assumptions of status quo in all but the demographic characteristics of populations. These models fail to recognise that public intervention in health care systems arises from market failure in health care and the absence of an independent demand for health care. Hence projections of demand perpetuate inefficiencies in the form of overutilisation of services on the one hand and unmet needs for care on the other. In this paper the problems with basing workforce policy on projected demand are identified and the consequences for health care system sustainability explored. Integrated needs-based models are offered as alternative approaches that relate directly to the goals of publicly funded health care systems and represent an important element of promoting sustainability in those systems.

scholarly journals Health Care Organizations: Soft Target during COVID-19 Pandemic

2021 ◽  
Vol 36 (3) ◽  
pp. 344-347
Author(s):  
Harald G. De Cauwer ◽  
Francis Somville
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Behavioral Science ◽  
Health Care Systems ◽  
Health Care Facilities ◽  
The Other ◽  
Contact Tracing ◽  
Cyber Terrorism ◽  
Care Systems ◽  
Soft Target

AbstractHealth care organizations have been challenged by the coronavirus disease 2019 (COVID-19) pandemic for some time, while in January 2020, it was not immediately suspected that it would take such a global expansion. In the past, other studies have already pointed out that health care systems, and more specifically hospitals, can be a so-called “soft target” for terrorist attacks. This report has now examined whether this is also the case in the context of the COVID-19 pandemic.During the lockdown, hospitals turned out to be the only remaining soft targets for attacks, given that the other classic targets were closed during the lockdown. On the other hand, other important factors have limited the risk of such attacks in hospitals. The main delaying and relative risk-reducing factors were the access control on temperature and wearing a mask, no visits allowed, limited consultations, and investigations.But even then, health care systems and hospitals were prone to (cyber)terrorism, as shown by other COVID-19-related institutions, such as pharmaceuticals involved in developing vaccines and health care facilities involved in swab testing and contact tracing. Counter-terrorism medicine (CTM) and social behavioral science can reduce the likelihood and impact of terrorism, but cannot prevent (state-driven) cyberterrorism and actions of lone wolves and extremist factions.

scholarly journals A New Paradigm for Health Economics? We Have Three Already!

2012 ◽  
Vol 1 (1) ◽  
Author(s):  
Robert G. Evans
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Status ◽  
Health Economics ◽  
Service Delivery ◽  
Health Care Systems ◽  
New Paradigm ◽  
Financial Flows ◽  
Anatomical Changes ◽  
Care Systems

Figure I depicts a set of inter-sectoral financial flows that represent central features of the organization and financing of health care systems. But It is primarily a set of accounting relationships, a gross anatomical description that provides no “physiology” explaining how the various components interact, or how those interactions might change in response to anatomical changes.  What difference does it make, in terms of patterns of service delivery and cost, of distribution of burdens and benefits among the population, or of population health status, if the mixes of financing and funding flows in Figure 1 are re-arranged?  These questions, sometimes overt, often covert, are everywhere at the heart of debates over health policy.

scholarly journals Rethinking developed nations’ health systems through a social sustainability perspective in the light of the COVID-19 pandemic. A viewpoint

2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Gloria Macassa ◽  
Gianpaolo Tomaselli
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Spillover Effects ◽  
Sustainable Development Goal ◽  
Systemic Factors ◽  
Care Systems ◽  
Sustainable Societies ◽  
Equitable Utilization ◽  
Developed Nations ◽  
Demand For Health

This viewpoint paper argues for the need for more socially sustainable care systems that can better contribute to equitable utilization of health care in a post-pandemic era. Health care systems in developed nations need to rethink their role, particularly with regard to the achievement of Sustainable Development Goal 3 (SDG 3) as well as becoming more sustainable societies. Socially sustainable care systems will recognize that systemic factors and processes (social, economic, environmental, cultural) need to be addressed simultaneously in order to achieve health equity. Moreover, these systems are likely to be of paramount importance for post-COVID-19, because of the potential increase in demand for health care due to forgone health care and the increased burden of chronic diseases as spillover effects related to COVID-19 mitigation interventions.

Examining the Influence of Information Technology on Modern Health Care

2020 ◽  
pp. 1943-1962
Author(s):  
Edward T. Chen
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Medical Personnel ◽  
Bundled Payments ◽  
Modern Health Care ◽  
Designed Environment ◽  
Care Systems ◽  
Care Costs

Health care costs continue to rise at a level that far exceeds the rate of inflation. IT will be necessary in the computation and organization of complex algorithms presented in bundled payments and other initiatives. Currently in health care, a patient's medical history is not easily accessible by physicians and other medical personnel. IT can play the pivotal role in rectifying this problem in tracking the record in a universally designed environment. Advanced databases are needed to integrate facilities within health care systems. This chapter is to explore the current framework of Information Technology in the U.S. health care industry and to examine the topic covering the following areas: (a) IT's influence on the Affordable Care Act, (b) the emergence of the Electronic Health Record (EHR), also known as the Electronic Medical Record (EMR), and (c) the integration of databases across health care organizations through advanced systems like Epic.

scholarly journals Towards a Maturity Model for Clinical Decision Support Operations

2019 ◽  
Vol 10 (05) ◽  
pp. 810-819
Author(s):  
Evan W. Orenstein ◽  
Naveen Muthu ◽  
Asli O. Weitkamp ◽  
Daria F. Ferro ◽  
Mike D. Zeidlhack ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Support ◽  
Clinical Decision Support ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Model Development ◽  
Clinical Decision ◽  
Maturity Model ◽  
Iterative Model ◽  
Care Systems

AbstractClinical decision support (CDS) systems delivered through the electronic health record are an important element of quality and safety initiatives within a health care system. However, managing a large CDS knowledge base can be an overwhelming task for informatics teams. Additionally, it can be difficult for these informatics teams to communicate their goals with external operational stakeholders and define concrete steps for improvement. We aimed to develop a maturity model that describes a roadmap toward organizational functions and processes that help health care systems use CDS more effectively to drive better outcomes. We developed a maturity model for CDS operations through discussions with health care leaders at 80 organizations, iterative model development by four clinical informaticists, and subsequent review with 19 health care organizations. We ceased iterations when feedback from three organizations did not result in any changes to the model. The proposed CDS maturity model includes three main “pillars”: “Content Creation,” “Analytics and Reporting,” and “Governance and Management.” Each pillar contains five levels—advancing along each pillar provides CDS teams a deeper understanding of the processes CDS systems are intended to improve. A “roof” represents the CDS functions that become attainable after advancing along each of the pillars. Organizations are not required to advance in order and can develop in one pillar separately from another. However, we hypothesize that optimal deployment of preceding levels and advancing in tandem along the pillars increase the value of organizational investment in higher levels of CDS maturity. In addition to describing the maturity model and its development, we also provide three case studies of health care organizations using the model for self-assessment and determine next steps in CDS development.

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