32429 - Economics of Healthcare and Welfare

Course contents

FIRST PART: Health Economics (Cristina Ugolini)

1. Health, efficiency and health care markets. Introduction. Health economics. Economics of health and economics of health care. Epidemiology and economics. Equity and efficiency: chararacteristics of health care markets. Government intervention and regulation.

2. Demand for health and provision of health care. The production of health. The Grossman's model. The demand for health. Consumer's choice and demand. Asymmetric information and agency. Imperfect information. Supplier-Induced Demand. Production and cost of health care. Technology Adoption in Health Care. Data Envelopment Analysis.

3. The insurance market. Organization of health insurance markets. United States and Managed care. The recent development of Consumer Driven Health Plans.

4. The health systems. Comparative health systems. Managed competition and health system reforms. The British experience: from quasi-markets to co-operation. Italian Health reforms.

 5. Health and social care integration. The recent Italian reforms. Zone Plans and program agreements. The difficult equilibrium between integration and competition. Managed competition in social and health care services. The Italian reform of Ipab. The regional models of Lombardia and Emilia Romagna at comparison. Non profit organisations. The Role of Nonprofits in health and social care.

 

SECOND PART: The Italian National Health Service (NHS) (Emilia Gazzoni)

1. The Italian National Health Service (NHS). The evolution of the health care system.

2. Health Service reforms. The Italian National Health Service reforms and their implementation. The National and Regional and Health Plans.

3. The integration between social and health care policy. The evolution of integration policy and stakeholders envolved. The planning levels and the main tools of health planning between Region, Local Health Units and Local Government.

4. Local Health Units and their features. The public health organization: internal and external relationships. The evolution of organization model of Local Health Units: the network between Local Health Units.

5. The strategic management: clinical and economic governance of Local Health Units. Clinical and economic governance. Budgeting Process and the placement of  responsibilities. Performance Measurement for Health Care System. The evolution of Performance Measurement for Health Care System. Cost Analysis of health outcomes.

6. Stakeholdes and the Social Accountability Report for Local Health Units.

Readings/Bibliography

First part: Health economics

N. Dirindin, P. Vineis, Elementi di economia sanitaria, Bologna, Il Mulino, 2004.

R. Levaggi, S. Capri, Economia sanitaria, Milano, Franco Angeli, 1999.

C. Ugolini, Libertà di scelta in sanità, Bologna, Il Mulino, 1999.

Second part: The Italian National Health Service

Giovanni Olla- Aldo Pavan "Il management nell'azienda sanitaria" Giuffrè Editore, 2000, (pag.1 - pag.55).

Gazzoni E. "Aziendalizzazione e analisi dei costi delle prestazioni sanitarie", in Management Infermieristico, n.1/1999.

L.Anselmi, M.Saita (a cura di) "La gestione manageriale e strategica nelle aziende sanitarie" Il sole 24 Ore, 2002 (pp.351-380).

Giorgio Casati "Programmazione e controllo di gestione nelle aziende sanitarie", McGraw- Hill, 2000 (cap. 4, 5 e 6).

Slide and lecture notes on http://www.ecofo.unibo.it/Economia+Forli/Studenti/Materiale+didattico/e_learning.htm

Teaching methods

Class lessons.

Assessment methods

Written examination, two hours, four questions (two for each course part).

Teaching tools

Slides. Further information will be available on http://www.moodle.unibo.it/

Links to further information

http://www.moodle.unibo.it/

Office hours

See the website of Cristina Ugolini

See the website of Emilia Gazzoni