Heba - Egypt · Module9: Health insurance and public – private partnership § Health insurance...
Transcript of Heba - Egypt · Module9: Health insurance and public – private partnership § Health insurance...
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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.
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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
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2_HESEGYPT-Ac9vi9es:
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3-FOCUSAREAofHESEGYPTac9vi9es:
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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