Health economics in development:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Washington, DC
World Bank
2004
|
| Schriftenreihe: | Health, nutrition, and population series
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | XVIII, 433 S. graph. Darst. |
| ISBN: | 0821355708 |
Internformat
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| 245 | 1 | 0 | |a Health economics in development |c Philip Musgrove, ed. |
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| 490 | 0 | |a Health, nutrition, and population series | |
| 500 | |a Includes bibliographical references and index | ||
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Datensatz im Suchindex
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| adam_text | Contents
Foreword xiii
Acknowledgments xvii
Introduction 1
1 What Is the Minimum a Doctor Should Know about
Health Economics? 23
2 Public and Private Roles in Health 35
3 The Rationale for Government Intervention in the
Tobacco Market 77
4 Measurement of Equity in Health 105
5 What Should Consumers in Poor Countries Pay for
Publicly Provided Health Services? 121
6 Compensatory Finance in Health: Geographic Equity
in a Federal System 133
7 An Ounce of Prevention Is Worth How Much Cure? 143
8 DALYs and Cost Effectiveness Analysis 153
9 Criteria for Public Spending on Health Care 167
10 Cost Effectiveness and the Socialization of Health Care 187
11 Is the Eradication of Polio in the Western Hemisphere
Economically Justified? 203
12 Cost Benefit Analysis of a Regional
Vaccination System 223
13 Cost Effective Malaria Control in Brazil 247
14 Do the Poor in Brazil Pay More for Food? 277
15 Do Brazilian Nutrition Programs Make a Difference? 297
vi • Contents
16 Economic Aspects of Food Fortification 325
17 Malnutrition and Dietary Protein 341
18 Family Health Care Spending in Latin America 361
19 Basic Patterns in National Health Expenditure 375
20 Economic Crisis and Health Policy Response 401
Tables
1.1 Principal Differences between Health Insurance and
Insurance for Nonhuman Assets 4
1.2 Principal Differences and Similarities between
Education and Health 6
4.1 Measures Related to Equity in Health Care, Peru,
1982: Health Care Resources and Sanitation Services 109
4.2 Measures Related to Equity in Health Care in Peru,
1984: Morbidity and Medical Attention 110
4.3 Measures Related to Equity in Health Care in Peru,
1984: Consultations, Hospitalizations and
Expenditures 111
4.4 Measures Related to Equity In Health Care in Peru,
1984: Vaccination Coverage (%) of Children Under 5 113
11.1 Costs and Benefits Associated with Polio Eradication
During a Successful Five Year Campaign and an
Ensuing Ten Year Maintenance Period, Assuming
all Polio Victims are Treated 209
11.2 Costs and Benefits Associated with Polio Eradication
During a Successful Five Year Campaign and Ten Year
Maintenance Period, Assuming only a Fraction of all
Polio Victims are Treated 214
11.3 A Comparison of Ten Year Costs and Results of Two
Hypothetical Polio Eradication Campaigns, One
Immediate and One Delayed, Discounted at 12%
per Year 218
12.1 Cost of SIREVA, by Year, in Constant US $ 226
12.2 The Projected Numbers of Individuals to be
Vaccinated, by Target Disease and Year 229
12.3 Total Discounted Numbers of Disease Cases
Prevented, Deaths Prevented with Treatment of all
Cases, and Deaths Prevented without Treatment
of any Cases, over 20 Year and 30 Year Horizons 229
12.4 The Estimated Cost of Treatment (in Constant US $),
Probability of Preventing One Case, and Implied
Maximum Cost of Vaccination, by Disease,
Independent of the Number of Vaccinations 234
Contents • vii
12.5 The Average Implied Maximum Cost of Vaccination
(in Constant US $) Derived from the Number of
Individuals Vaccinated, Treatment Costs, and the
Cost of SIREVA, for 20 Year and 30 Year Horizons 238
12.6 Implied Minimum Benefit per Case Prevented and
per Death Prevented as a Function of the Cost of
Vaccination, without Considering Patient Treatment
(20 Year Horizon) 240
12.7 The Effects of Adjusting for the Delay between
Vaccination and Disease Onset upon the Implied
Maximum Cost of Vaccination and upon the Implied
Minimum Benefits of Preventing a Disease Case, in
Constant US $ 242
13.1 Population (Millions) and Number of Municipalities
by Risk of Malaria Transmission, Based on API,
1988 1995 250
13.2 Estimated Cases, Lives and DALYs Saved by
Preventing and Treating Malaria, 1989 1996.
Cases Prevented and Cases Reported and Savings
in Lives and Morbidity 258
13.3 Estimated Cases, Lives and DALYs Saved by
Preventing and Treating Malaria, 1989 1996.
Conversion of Savings in Lives and Cases to
Disability Adjusted Life Years 259
13.4 Costs of the Malaria Control Program, 1989 1996
(Thousands of 1996 US $, Discounted at 3% for
1989 1995) and Cases Treated (Thousands of
Hospital or Ambulatory Patients) 262
13.5 Cost Effectiveness of Saving Lives from Fakiparum,
1989 1992, 1993 1996 (Discounted Present Values).
Most Plausible Assumptions 265
13.6 Cost Effectiveness of Saving Lives from Fakiparum,
1989 1992, 1993 1996 and 1989 1996 (Discounted
Present Values). Sensitivity Analysis:
Cost Effectiveness of Prevention Related to
Projected Incidence (No Change in Severity or
Lethality) 266
13.7 Cost Effectiveness of Saving Lives from Fakiparum,
1989 1996 (Discounted Present Values). Sensitivity
Analysis: Untreated Fakiparum Case Fatality
Rate 25 or 5% 268
13.8 Effects of Reduced Incidence, Severity and Lethality
on Mortality Reduction 270
viii • Contents
14.1 Sample Size (Number of Retailers) by City Size, Type
of Neighborhood, and Type of Establishment 281
14.2 Mean Prices, in June 1985 Cruzeiros, of Selected
Basic Foods by Municipality for Small Retailers Not
Affiliated with Subsidy Program 283
14.3 Mean Prices, in June 1985 Cruzeiros, of Selected
Basic Foods by City Size for Small Retailers Not
Affiliated with Subsidy Program 285
14.4 Mean Prices, in June 1985 Cruzeiros, of Selected
Basic Foods by Type of Establishment: Three
Metropolitan Areas 286
14.5 Mean Prices, in June 1985 Cruzeiros, of Selected
Basic Foods by Type of Establishment: Six
Medium Size Cities 286
14.6 Prices as Functions of City, Neighborhood, and
Type of Establishment: Regression Coefficients 287
14.7 Quadratic Regression of Price versus Quantity for
Fractional Purchases of Eight Basic Foods, in all
Establishments and Small Retail Outlets only 290
15.1 Principal Characteristics of Four Nutrition
Programs, Brazil, 1974 86 299
15.2 Aggregate Estimates for Physical Distribution of
Foods, Total Cost, and Total Public Expenditure at
Constant June 1984 Prices, for the PNS, PROAB,
and PCA, from the Beginning of Each Program
through the End of 1986 301
15.3 PESTS: Number of Families Entitled to Purchase
Subsidized Food ( Participating ) and Number of
Families that Actually Bought, by Subsidy
Model, 1978 80 303
15.4 Changes Observed in Weight for Age in Children
Participating in the PNS in Two Municipalities in
Sao Paulo, March 1980 April 1982, According to
Frequency of Visits to Receive Food; Expressed as
Number of Children 305
15.5 PNS, PCA, and PINS: Cost Structure in Percentage
Terms (Data for One or More Years between
1978 and 1980) 307
15.6 Recife, Pernambuco: Subsidy Level (Percentage) and
PROAB Prices (Percentage Difference from
Supermarket Price, with and without Subsidy)
for Six Products, June 1980 July 1986 3 08
15.7 Actual Transfer of the PROAB Subsidy to the
Consumer, in Relation to Minimarket Prices, Recife,
March August 1984 309 1
Contents • ix
15.8 Changes Observed in Children Participating in the
PCA, PNS, or PINS, According to Anthropometric
Criterion, Duration of Participation, and Initial
Nutritional Status, 1976 80, Expressed as Number
of Children 312
15.9 Changes in Weight for Age in Initially Underweight
Children Participating in the PNS or PINS, by
Program, Initial Age, and Duration of Participation,
Expressed as Number of Children 314
15.10 Number of Children Initially Aged Under Six
Participating in the PINS, According to Initial and
Final Nutritional Status, by Anthropometric
Criterion and Duration of Participation, 1978 80 316
15.11 Changes in Weight for Age Observed in Children
Initially Aged Under 12 Months, Participating
in the PINS, According to Duration of
Participation, 1978 80, Expressed as Number
of Children 318
15.12 Changes Observed in Children Participating in the
PNS, Initially Aged between 6 and 12 Months Old,
According to Anthropometric Criterion and Duration
of Participation, 1976 80, Expressed as Number
of Children 319
15.13 Weights of Live Births to Mothers who were
Beneficiaries of the PNS and PCA, Compared with
Non Beneficiaries 320
17.1 Variables for Urban China in 1979 345
17.2 Determinants of the Height and Weight of Young
Adults (Age 18 25 Years) in Urban China in 1979 346
17.3 Variables for Rural Chinese Counties in 1983 348
17.4 Determinants of Adult Height and Weight in Rural
Chinese Counties in 1983 348
17.5 Variables for International Comparisons 350
17.6 Determinants of Adult Male Height (41 Populations
in 40 Countries) and Adult Female Height
(33 Populations in 32 Countries), ca. 1960 351
18.1 Elasticities with Respect to Total Expenditure 364
18.2 Estimated Total Family Expenditure per Person and
Private Health Care Expenditure, by Quartile
1 (low) to 4 (high) of Total Spending per Person, in
Ten South American Cities (1968 Dollars per Year) 365
18.3 Mean Values of Total Family Expenditure (PCE)
and Private Health Care Spending (HEA), within
Each of Nine Classes of Total Family Expenditure,
x • Contents
by Urban and Rural Areas, in Four Regions of
Brazil (Cruzeiros of August 1974 per Year). 367
18.4 Brazil, 1974: Private Family Health Care Spending
as a Function of Total Family Expenditure,
Region and Metropolitan/Other Urban/Rural
Differences 369
18.5 Mean Values of Private Family Expenditure on
Drugs and Medicines and on Hospitalization and
Surgery, within Each of Nine Classes of Total
Family Expenditure, by Urban and Rural Areas, in
Four Regions of Brazil (Cruzeiros of August 1974
per Year). 371
19.1 National Health Accounts Estimates for 191 WHO
Member States for 1997, Revised Data as of
31 May 2001 377
19.2 Countries Grouped by WHO Region, Mortality
Stratum, and GDP per Capita 384
19.3 Regression Statistics for Health Expenditure as a
Percentage of Gross Domestic Product 388
19.4 Regression Statistics for Out of Pocket Payments as
a Percentage of Total Health Expenditure 390
19.5 Regression Statistics for Public Health Expenditure
as a Percentage of Total Health Expenditure 392
19.6 Regression Statistics for Public Health Expenditure
as a Percentage of Total Public Expenditure 394
19.7 Regression Statistics for Out of Pocket Payments per
Capita as a Function of Income per Capita 395
19.8 Regression Statistics for Total Health Expenditure per
Capita as a Function of Income per Capita 396
19.9 Regression Statistics for Total Public Expenditure per
Capita as a Function of Income per Capita 396
20.1 Indices of Public Expenditures on Health (Central
Government or Total Public Sector) in Thirteen
Latin American and Caribbean Countries,
1980 86 (1982 = 100) 410
Figures
I.I Decision Flowchart, Sources of Health Financing 17
2.1 Three Domains of Health Care 40
2.2 Need, Demand and Supply for Health Care 55
2.3 A Appropriate Use of the Instruments of Public
Intervention in Health Care 66
Contents • xi
2.3 B Typically Inappropriate Use of the Instruments
of Public Intervention in Health Care 67
4.1 Schematic Stages of Illness or Accident, Treatment
and Outcome 106
4.2 Lorenz Curves of Inequality of the Distribution of
Physicians Rrelative to Population (by Department) and
of Ministry of Health Patient related Expenditure
Relative to Population with Symptoms (by Health
Region), Peru, 1982 115
5.1 Demand for Medical Care as a Function of Income
and Prices 128
7.1 Marginal Costs of a Curative and a Preventive
Intervention, when Prevention is Always Cheaper and
Everyone Receives One Intervention or the Other 144
7.2 Marginal Costs of a Curative and a Preventive
Intervention, When Only Part of the Population
Requires the Curative Intervention 146
7.3 Cost minimizing Distribution of Effort between a
Curative and a Preventive Intervention 148
9.1 Nine Criteria for Public Spending on Health Care 169
9.2 Cost effectiveness versus Horizontal Equity:
Comparison of Two Interventions Where All
Beneficiaries are Identical Except for Costs 175
9.3 Cost effectiveness versus Vertical Equity: Comparison
of Four Interventions Differing in Disease Severity,
Intervention Effectiveness and Cost 178
9.4 Decision Tree for Public Resource Allocation in
Health Care 182
11.1 Costs and Benefits of Polio Eradication, Assuming
Treatment of Only Some Victims or Reduced
Numbers of Cases 215
13.1 Cases of Malaria and of Fakiparum and Total Budget
for Malaria, 1975 1996 252
18.1 Family Health Spending versus Total Family Spending,
by Income Quartile, in 10 South American Cities 366
18.2 Brazil: Family Health Spending versus Total Family
Spending by Income and City or Region 368
18.3 Brazil: Family Spending on Drugs and Medications
versus Total Family Spending by City or Region 3 72
19.1 Total Health Expenditure as % of Gross Domestic
Product (GDP) versus GDP per Capita (191 Countries) 3 86
xii • Contents
19.2 Out of Pocket Expenditure as Proportion of Total
Health Expenditure (THE) versus Gross Domestic
Product (GDP) per Capita (191 Countries) 386
19.3 Public Expenditure as Proportion of Total Health
Expenditure (THE) versus Gross Domestic Product
(GDP), per Capita (191 Countries) 387
19.4 Tax funded and Other Expenditure as Proportion of
Public Expenditure on Health (PEH) versus Gross
Domestic Product (GDP), per Capita (191 Countries) 387
19.5 Hypothesized Needs and Actual Spending for an
Essential Package of Health Services versus Gross
Domestic Product (GDP) per Capita 398
20.1 Effects of Economic Crisis on Health 403
Boxes
12.1 Discount Factors, by Year, for a Rate (r) of 10%
per Year 227
12.2 Glossary of Symbols, Variables, and their
Relationships—in their Approximate Order of
Appearance in the Text 232
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| indexdate | 2024-07-09T19:16:19Z |
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| isbn | 0821355708 |
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| spelling | Health economics in development Philip Musgrove, ed. Washington, DC World Bank 2004 XVIII, 433 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Health, nutrition, and population series Includes bibliographical references and index Gesundheitsökonomie (DE-588)4130935-2 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Entwicklungsländer (DE-588)4014954-7 gnd rswk-swf Entwicklungsländer (DE-588)4014954-7 g Gesundheitswesen (DE-588)4020775-4 s DE-604 Gesundheitsökonomie (DE-588)4130935-2 s DE-188 Musgrove, Philip Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010427485&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Health economics in development Gesundheitsökonomie (DE-588)4130935-2 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4130935-2 (DE-588)4020775-4 (DE-588)4014954-7 |
| title | Health economics in development |
| title_auth | Health economics in development |
| title_exact_search | Health economics in development |
| title_full | Health economics in development Philip Musgrove, ed. |
| title_fullStr | Health economics in development Philip Musgrove, ed. |
| title_full_unstemmed | Health economics in development Philip Musgrove, ed. |
| title_short | Health economics in development |
| title_sort | health economics in development |
| topic | Gesundheitsökonomie (DE-588)4130935-2 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Gesundheitsökonomie Gesundheitswesen Entwicklungsländer |
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