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Health economics : ウィキペディア英語版
Health economics

Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and health care. In broad terms, health economists study the functioning of health care systems and health-affecting behaviors such as smoking.
A seminal 1963 article by Kenneth Arrow, often credited with giving rise to health economics as a discipline, drew conceptual distinctions between health and other goods.
Factors that distinguish health economics from other areas include extensive government intervention, intractable uncertainty in several dimensions, asymmetric information, barriers to entry, externalities and the presence of a third-party agent.〔 (Description ) and 2nd ed. (preview ).〕 In healthcare, the third-party agent is the physician, who makes purchasing decisions (e.g., whether to order a lab test, prescribe a medication, perform a surgery, etc.) while being insulated from the price of the product or service.
Health economists evaluate multiple types of financial information: costs, charges and expenditures.
Uncertainty is intrinsic to health, both in patient outcomes and financial concerns. The knowledge gap that exists between a physician and a patient creates a situation of distinct advantage for the physician, which is called ''asymmetric information''.
Externalities arise frequently when considering health and health care, notably in the context of infectious disease. For example, making an effort to avoid catching the common cold affects people other than the decision maker.〔Fuchs, Victor R. (1987). "health economics" ''The New Palgrave: A Dictionary of Economics'', v. 2, pp. 614–19.〕〔Fuchs, Victor R. (1996). "Economics, Values, and Health Care Reform," ''American Economic Review'', 86(1), pp. (1–24 ) (press +).〕〔Fuchs, Victor R. (() 1998). ''Who Shall Live? Health, Economics, and Social Choice'', Expanded edition. Chapter-preview (links ), pp. vii–xi.〕〔Wolfe, Barbara (2008). "health economics." ''The New Palgrave Dictionary of Economics', 2nd Edition. (Abstract & TOC. )〕
==Scope==
The scope of health economics is neatly encapsulated by Alan Williams' "plumbing diagram" dividing the discipline into eight distinct topics:
* What influences health? (other than health care)
* What is health and what is its value?
* The demand for health care
* The supply of health care
* Micro-economic evaluation at treatment level
* Market equilibrium
* Evaluation at whole system level
* Planning, budgeting and monitoring mechanisms.
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抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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