Health Economics
• Health system, its functions, goals
• Economic system, its functions, goals
• Economics – science of the scarcity
• Economic models
• Mixed economy (private and public)
• Positive a normative approaches
• Health economics – structure of the discipline
• Selected other topics: macro (total health care expenditure, health accounts), purchasing, financing (health insurance)?
Payment systems
Health care market, Overview of the payment systems The role of prices
Payment as a tool
Payment of outpatient services
– FFS, Capitation, Salary, performance payment
Payment of inpatient services
– Per diem, DRG, Global budget
Non-financial methods
How do the payment systems affect the behaviour of the providers and which incentives do they give
How to attain different goals (efficiency, quality, equity) by the help of the payment systems
Purchasing health services
types, tools andtheoretical background of purchasing health services as an option for improving performance of health systems, roles of purchasers ( what schould they do), how countries are facing major challenges in recent years - cost containment, quest for greater efficiency in the use of scarce resources, emphasis on health outcomes and population health gains