Health Economics Commons^™

The Market For Medical Ethics, Maxwell Gregg Bloche

Georgetown Law Faculty Publications and Other Works

At the core of Kenneth Arrow’s classic 1963 essay on medical uncertainty is a claim that has failed to carry the day among economists. This claim—that physician adherence to an anti-competitive ethic of fidelity to patients and suppression of pecuniary influences on clinical judgment pushes medical markets toward social optimality—has won Arrow near-iconic status among medical ethicists (and many physicians). Yet conventional wisdom among health economists, including several participants in this symposium, holds that this claim is either naïve or outdated. Health economists admire Arrow’s article for its path-breaking analysis of market failures resulting from information asymmetry, uncertainty, and moral …

The Effects Of Fiscal Decentralization On Health Care In China, Emily Yee

University Avenue Undergraduate Journal of Economics

From my analysis, I conclude that decentralization has not been detrimental to health care when health care performance is measured by the number of doctors per 10,000 people, mortality rates, and local health care expenditure. However, the effects of decentralization on health care are inconclusive when health care performance is measured by the number of hospital beds per 10,000 people.

This paper is divided into five sections. The first section discusses theories of federalism. The second section presents an overview of China’s economic reforms since 1980. The third section discusses the current state of health care in China and its …

The Political Economy Of Health Care Reforms, Huizhong Zhou Editor

Upjohn Press

A leading group of health care economists propose solutions to problems related to Medicare, managed care, health insurance, coverage for the uninsured, and the role of tax policy in health care.

Hybridization Of Dna By Sequential Immobilization Of Oligonucleotides At The Air-Water Interface, Murali Sastry, Vidya Ramakrishnan, Mrunalini Pattarkine, Anand Gole, K. N. Ganesh

Faculty Works

The hybridization of DNA by sequential electrostatic and hydrogen-bonding immobilization of single-stranded complementary oligonucleotides at the air-water interface with cationic Langmuir monolayers is demonstrated. The complexation of the single-stranded DNA molecules with octadecylamine (ODA) Langmuir monolayers was followed in time by monitoring the pressure-area isotherms. A large (and slow) expansion of the ODA monolayer was observed during each stage of complexation in the following sequence: primary single-stranded DNA followed by complementary single-stranded DNA followed by the intercalator, ethidium bromide. Langmuir-Blodgett (LB) films of the ODA-DNA complex were formed on different substrates and characterized using quartz-crystal microgravimetry (QCM), Fourier transform infrared …

The Economics Of Medicare Reform, Andrew J. Rettenmaier, Thomas Robert Saving

Employment Research Newsletter

No abstract provided.

The Economics Of Medicare Reform, Andrew J. Rettenmaier, Thomas Robert Saving

Upjohn Press

The authors propose a means for preserving Medicare as we know it. After detailing the reasons for Medicare's financial troubles, they present a cohort-based financing plan for Medicare that represents a fundamental departure from the generation transfer method currently used.

The Economics Of Health Care 1999-00, Department Of Economics

Werner Sichel Lecture Series

The Economics of Health Care is the thirty-sixth annual Public Lecture-Seminar Series organized by the Department of Economics at Western Michigan University. This year the series focuses on the role of governments, enterprises, and consumers in health care insurance and provision. This year's series is directed by Huizhong Zhou, Associate Professor of Economics, with the assistance of Donald L. Alexander, Bassam Harik and Allan Hunt, and is co-sponsored by the W. E. Upjohn Institute for Employment Research. All Wednesday afternoon lectures, followed by a question and answer session and a reception, are open to the public. During his or her …

Measurement Of Hospital Performance: Environmental And Organizational Factors Associated With Cost, Debra Kay Dierksmeier Anderson

Health Services Research Dissertations

As U.S. health care expenditures top the $1 trillion mark, there is increased interest in measuring the performance of health care providers. For bottom line oriented payors such as government and business, the focus is on measuring cost. As hospitals account for over one-third of health care expenses, hospital cost per admission is a common measure of performance.

Many environmental and organizational factors come into play in determining hospital cost per admission. This research examines several of these factors, using Raymond Zammuto's model of organizational effectiveness assessment. Using Zammuto's framework, this research looks at the relationship of social, physical, and …

The Professional Decline Of Physicians In The Era Of Managed Care, Aimee E. Marlow

New England Journal of Public Policy

Physicians have long enjoyed prestige, power, and autonomy, but the rise of managed care organizations has drastically changed their status. Many doctors are in thrall to the financial well-being of the corporations that employ them, their knowledge and expertise controlled and manipulated in the interest of profit maximization. This article investigates the professional decline of physicians, citing the use of gag clauses, incentives to withhold care, and the breakdown of their authority. In an effort to regain some measure of control, physicians have taken their concerns to the public, supporting state and federal legislation that attempts to curb questionable managed …

Allied Health Professions In The Health-Sector Job Structure, Françoise J. Carré

New England Journal of Public Policy

This article reviews the characteristics of allied health professions in the U.S., Massachusetts, and Boston health sectors. These occupations are considered in the broader context of the multitiered job structure of the health sector and their gender and ethnic composition. The discussion includes surveys of vacancy rates and wage levels for selected allied health professions in Massachusetts hospitals. The article concludes with a more detailed, albeit national, picture of these occupations in the hospital sector per se, their demographic composition, and earnings level.

Labor's Response To Hospital And Workplace Transformation, Enid Eckstein

New England Journal of Public Policy

The health care industry and the nation's hospitals are in the throes of revolutionary change. The shift to managed care resulted in fundamental changes in the delivery of care and the structure of health care, For the past ten years, hospitals have actively been merging and creating large-scale integrated delivery systems. Employers, eager to expand market share and reduce costs, are engaged in radical reorganization of the hospital and the structure of work from which no group is immune. Physicians, nurses, technicians, and housekeepers are all affected by these changes. Hospitals are reducing their personnel, shifting work outside the hospital, …

Anion Induced Blue To Purple Transition In Bacteriorhodopsin, Mrunalini Pattarkine, Anil K. Singh

Faculty Works

Purple membrane (PM, λ" role="presentation">λmax" role="presentation">max 570 nm) of H. halobium on treatment with sulphuric acid changes its colour to blue (λ" role="presentation">λmax" role="presentation">max 608 nm). The purple chromophore can be regenerated from the blue chromophore by exogeneous addition of anions such as CI−" role="presentation">− and HPO42−" role="presentation">2−4. Chloride ion is found to be more effective than the dibasic phosphate ion in regenerating the purple chromophore. Nevertheless, one thing common to the anion regeneration is that both CI−" role="presentation">− and HPO42−" role="presentation">2−4 show marked pH effect. At pH 1.0 the efficiency of …

The Effects Of Family Planning On Malnutrition In Bangladesh, Ridwan Al-Rahman

Masters Theses

Some of the best historical and archeological evidence has claimed that about a million years was required for the human race to reach the 250 million mark by the beginning of the Christian era. Pestilence, famine and war had then reduced the population increase to a tiny fraction of 1% per year, requiring 16 centuries for the world population to double to 500 million. However, by 1850, 250 years later, the population doubled to the one billion mark. As of 1993, approximately one and a half centuries later, the world population stood at about 5.5 billion. According to United Nations …

Update - December 1993, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Wages Through the Ages: The Ethics of Physician Income
-- Frontiers in Medicine and Morality - Probed at Second Annual Contributors Convocation

Could Distance Be A Proxy For Severity-Of-Illness? A Comparison Of Hospital Costs In Distant And Local Patients., H G. Welch, E B. Larson, W P. Welch

Dartmouth Scholarship

We test the hypothesis that hospital costs, after adjusting for DRG mix, are higher in distant patients than in local patients. Data were obtained from the Washington State Commission Hospital Abstract Reporting System (CHARS) and included all patients discharged from 15 metropolitan hospitals in the state of Washington during fiscal year 1987 (N = 181,072).

Improving Access To Health Care: What Can The States Do?, John Henry Goddeeris Editor, Andrew J. Hogan Editor

Upjohn Press

Health care cost increases may seem under control but the issue of access remains a serious problem. This text features a dozen essays addressing that issue from the states' perspective.

Update - September 1991, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Business and Medicine: Are They Ethically Compatible?

-- [ A Standard Level of Health Care to All: A Moral Obligation? ]

-- Loma Linda University reorganizes the Center for Christian Bioethics

Trends In Hospital And Nursing Home Care Expenditures, Maine, 1982 To 1986, Maine Department Of Human Services

Maine Collection

Trends in Hospital and Nursing Home Care Expenditures, Maine, 1982 to 1986

Maine Department of Human Services - Office of Data, Research, and Vital Statistics

John R. McKernan, Jr., Governor, Rollin Ives, Commissioner, Brenda Smith, Planning and Research Associate, May, 1989.

"This report produced under Appropriation No. 1310-4010."

Contents: Introduction / Hospital Care Expenditures / Nursing Home Care Expenditures / Comparison of Hospital and Nursing Home Care Expenditure Trends / Concluding Remarks / References

Acute Care Bed Need In Maine: General Use Acute Care Facilities In Maine : Utilization, Occupancy Rates, And Bed Need Projected To 1990 And 1995, Stephen Greenberg

Maine Collection

Acute Care Bed Need in Maine: General Use Acute Care Facilities in Maine : Utilization, Occupancy Rates, and Bed Need Projected to 1990 and 1995

by Stephen Greenberg, Planning and Research Associate, Office of Data, Research, and Vital Statistics.

Prepared at the request of the Division of Planning, Bureau of Health, Maine Department of Human Services.

Produced under Appropriations 1310.4, 1305.1065 and 2210.2950 (November, 1988).

Contents: Overview and Discussion of Findings / Using the Data: An Example / List of Detailed Tables / Appendices

Aids And New England Hospitals, Jesse Green, Neil Wintfeld, Madeleine Singer, Kevin Schulman

New England Journal of Public Policy

The Centers for Disease Control projects that nine thousand persons with AIDS will be alive in New England in 1991, representing a sevenfold increase from 1986. Our analysis indicates that more than 2 percent of medical/surgical beds in New England will be used for AIDS care by 1991, representing 766 fully occupied hospital beds. The direct cost of providing hospital care to New England's AIDS patients is projected to be $195.2 million in 1991, reflecting 3 percent of all hospital inpatient costs in the region.

AIDS treatment is very unevenly distributed among hospitals in New England. Just twenty hospitals (8 …

Medical Care Of Aids In New England: Costs And Implications, Stewart J. Landers, George R. Seage Iii

New England Journal of Public Policy

This article presents an overview of cost issues related to AIDS. Data from the Massachusetts Cost of AIDS Study are combined with epidemiological projections to estimate the cost of treating people diagnosed with AIDS in New England. Aggregate inpatient, ambulatory, and home care costs are estimated to be $96.9 million and $524.8 million through 1987 and 1991, respectively. These estimates represent a relatively small percentage of total health care costs for all illnesses over the same time period.

The authors find that the cost of treating AIDS does not affect all health care providers uniformly and therefore argue that appropriate …

Central Bank Of Nigeria Annual Report And Statement Of Accounts For The Year Ended 31st December 1984, Central Bank Of Nigeria

CBN Annual Report

CBN annual report and statement of accounts for 1984 covers economic performance including key economic indicators such as inflation rate, GDP growth, exchange rate stability, banking sector performance, monetary policy, financial stability, fiscal policy, and regulatory updates for 1984. It also examines future economic outlook. In 1984, the index of industrial production fell by 10.2 per cent significantly due to the poor performance of the manufacturing sector whose index of production fell by 18.2 per cent. In respect of domestic prices, the supply-side factors were dominant in exerting upward pressures on prices. There were acute shortages in consumer goods and …

Health Care Expenditures In Maine 1978 : A Funds Flow Analysis, Bruce Armstrong

Maine Collection

Health Care Expenditures in Maine 1978 : A Funds Flow Analysis

by Bruce Armstrong, Research Consultant

Maine Department of Human Services, Bureau of Health Planning and Development, Division of Data and Research, Augusta, Maine (August 1981).

Contents: Preface / Highlights / List of Tables and Figures / Introduction / Definitions / Health Expenditures / Sources of Funds / Type of Expenditure / Comparison of Maine and U.S. Per Capita Expenditures

Trends In Health Care Expenditures, Maine 1974-1978, Bruce Armstrong

Maine Collection

Trends in Health Care Expenditures, Maine 1974-1978

by Bruce Armstrong, Research Consultant

Maine Department of Human Services, Bureau of Health Planning and Development, Division of Data and Research, Augusta, Maine (August 1981).

Contents: Preface / Highlights / List of Tables and Figures / Yearly Tables / Trend Illustrations and Tabular Descriptions

The Medi-Cal Program, William H. Tillery

Theses Digitization Project

No abstract provided.

A Social Ethical Analysis Of Economic Strategies To Alleviate World Hunger, David G.A. Pfrimmer

Theses and Dissertations (Comprehensive)

Throughout their history, human societies have been faced with many issues. In this study, the focus will be upon the issue of hunger in less developed countries that has presently reached a critical stage that threatens human existence. Church and world leaders have all voiced concern over this issue but to date no generally effective policies have been developed that would enable the almost 600 million people who are hungry at present to enjoy a basic level of nutritional food consumption.

In this study, we will provide one framework by which an accurate diagnosis can be made of the problem …

The Rate Of Return On The Investment In Registered Nurse Education As Related To The Supply Of Registered Nurses, Barbara Zuern

Dissertations and Theses

The focus of this research is the relationship between the supply of registered nurses and the rate of return on the educational investment to become a registered nurse. Is this rate of return a determining factor in the supply, past, present, and future? Since 98. 8 percent of all registered nurses are women, an integral part of this study is a survey of the data on women in the labor force.

The empirical data, statistical, was obtained from government sources and non-government associations, The American Nurses Association, The American Hospital Association, and the educational institutions. The data indicates the following: …

A Hospital Plan For The Hillsborough-Pinellas Area Florida, James A. Hamilton And Associates

City and Regional Planning -- Florida

A Study of the Area's Hospital Needs and a Proposed Program of Development October, 1950