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HAS 4320

HAS 4320. Week 1. Defining Health. Narrow Lack of disease Broad Body, mind, spirit Ultimate Happiness. Health Determinants. Genetic makeup Physical environment Sociocultural environment Economic environment Lifestyle/behavior Health services. U.S. Values. Individual autonomy

william-osborn
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HAS 4320

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  1. HAS 4320 Week 1

  2. Defining Health • Narrow • Lack of disease • Broad • Body, mind, spirit • Ultimate • Happiness

  3. Health Determinants • Genetic makeup • Physical environment • Sociocultural environment • Economic environment • Lifestyle/behavior • Health services

  4. U.S. Values • Individual autonomy • Self-determination • Personal privacy • Justice for all • Faith in technology • Desire to prolong life

  5. Public policies Authorized decisions that are made in the legislative, executive or judicial branches of government that are intended to direct or influence actions, behaviours or decisions of others.

  6. Public Health Policies Public policies that pertain to health or influence the pursuit of health and affect groups or types of organizations. They can be in the public or private sector.

  7. Forms of Health Policies • Laws • Rules/regulations • Operational decisions • Judicial decisions • Macro policies

  8. Categories of Health Policies • Allocative • Regulatory • Redistributive

  9. Health policies and health Health policies Determinants Health

  10. Heart disease Cancer Stroke Accidents Pulmonary disease Diabetes Suicide Liver disease AIDS Leading causes of death…

  11. How do these tie to the causes of death? • Money • People • Technology • Health Care System

  12. Sources and uses of funds

  13. Sources and uses of funds

  14. Sources and uses of funds • $4,226 per person • 14% + of GDP • 45% Government • 34% Employers • 17% Self pay • 4% Charity

  15. Flow of funds • Exchange theory • Two-party transaction • Derived demand between firms

  16. Freely competitive markets • Sufficient information • Large numbers of buyers and sellers • Sellers can enter the market • Products can substitute • Quantity is balanced

  17. Circular flow

  18. Role of Government

  19. Sources • Growth • Third-party payors

  20. Income/Ethnicity and Mortality

  21. Use of funds • Intensity of services • Hospitals • Long-term care • Doctors • Staff • Other

  22. Economic Evaluation • Cost Benefit Analysis (CBA) • Cost Effectiveness Analysis (CEA) • Opportunity Cost • Marginal

  23. Need vs. Demand

  24. Expected value

  25. Knee injury example (cons)

  26. Knee injury example (pros)

  27. Measuring benefits • Health • Productivity • Reductions in future medical costs

  28. Measuring cost • Medical care and administration • Follow up • Time and pain • Provider time

  29. Efficiency Questions • Technical efficiency • Cost efficiency • Allocative efficiency • Transaction cost • Dynamic efficiency

  30. Value of life • Jones-Lee Approach

  31. Value of life • Wages vs. Risk

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