tag 标签: Health经管大学堂:名校名师名课

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哈佛公卫学院Econometrics for health policy讲义 attachment 卫生经济学 jasmine_yl 2013-2-27 3 3322 zhvkvn 2014-12-8 17:51:37
悬赏 Handbook of Statistics 28 Bioinformatics in Human Health and Heredity - [悬赏 1000 个论坛币] attachment 悬赏大厅 leonkd 2013-1-16 5 2648 zhumengjin 2014-4-1 10:57:52
悬赏 文献求助,热心人帮忙啦 万分感谢!能有前四篇的任何一篇都很好啊,当然 后面的也需要 - [!reward_solved!] attachment 求助成功区 kuangda2010 2013-4-25 10 1265 fred394 2014-2-21 16:51:56
悬赏 求助Increased cardiopulmonary disease risk in a - [!reward_solved!] attachment 求助成功区 刀剑林 2013-9-4 1 1080 wfldragon 2013-9-4 19:06:09
悬赏 求助Air pollution and hospital admissions for myocardial infarction - [!reward_solved!] attachment 求助成功区 刀剑林 2013-8-25 1 1431 HFUT_LW 2013-8-25 18:21:38
The effect of long working hours and night work for mental health among employee 文献求助专区 pcjoshua 2013-8-22 1 1700 twinkle_2012 2013-8-22 16:53:56
Medicare and the Utilization of Health Care Services by the Elderly attachment 论文版 vanhongbin 2013-7-23 0 1343 vanhongbin 2013-7-23 23:54:20
An Overview of the Results on Consumption, Health, and Social Behavior attachment 论文版 vanhongbin 2013-7-20 0 765 vanhongbin 2013-7-20 16:30:37
Welfare Reform and Health attachment 论文版 vanhongbin 2013-7-16 0 638 vanhongbin 2013-7-16 11:51:10
Income Inequality and Health Statusin the United States attachment 论文版 vanhongbin 2013-7-14 0 1321 vanhongbin 2013-7-14 21:38:50
悬赏 求助Findings from the aspirin component of the - [!reward_solved!] attachment 求助成功区 刀剑林 2013-6-18 2 694 liuningzheng 2013-6-18 21:30:25
悬赏 求:Multilevel Modelling of Health Statistics - [悬赏 100 个论坛币] 悬赏大厅 帅到被追杀 2013-5-31 1 719 ※Dove~ 2013-6-1 08:59:25
悬赏 求助文献! - [!reward_solved!] attachment 求助成功区 nalan22 2013-4-22 3 1282 Toyotomi 2013-4-22 20:51:02
悬赏 求助Association of fetuin-a with incident diabetes mellitus - [!reward_solved!] attachment 求助成功区 刀剑林 2013-4-20 1 1226 Toyotomi 2013-4-20 21:23:50
悬赏 求助Effect of lower sodium intake on health - [!reward_solved!] attachment 求助成功区 刀剑林 2013-4-7 1 1553 Toyotomi 2013-4-7 11:01:38
悬赏 Is income inequality a determinant of population health? Part 1 - [!reward_solved!] attachment 求助成功区 tfkl 2013-4-7 1 843 Toyotomi 2013-4-7 01:24:18
悬赏 求助Gender-specific relationships between alcohol drinking patterns and metabo - [!reward_solved!] attachment 求助成功区 刀剑林 2013-3-3 1 821 jianhensz 2013-3-3 21:50:08
悬赏 求助Coffee consumption and risk of colorectal cancer: a meta-analysis - [!reward_solved!] attachment 求助成功区 刀剑林 2013-3-3 1 925 jianhensz 2013-3-3 21:49:41
Pensions and retiree health benefits in household wealth attachment 人力资源管理 vanhongbin 2013-2-17 1 1017 jianxibin 2013-2-22 10:16:45
悬赏 求文献 - [悬赏 10 个论坛币] attachment 悬赏大厅 abczf841013 2013-1-26 2 1015 abczf841013 2013-1-26 17:22:54

相关日志

分享 Dr. Drew Asked To Retract Hillary Health Comments - Received "Scary, Creepy
insight 2016-9-6 11:37
http://www.zerohedge.com/news/2016-09-04/dr-drew-asked-retract-hillary-health-comments-received-scary-creepy-phone-calls Submitted by Joseph Jankowski via PlanetFreeWill.com, Eight days afterBoard-certified medicine specialist and TV personality Dr. Drew Pinsky expressed his grave concern over Hillary Clinton’s health and the healthcare she was receiving, his popular show onHLN, the sister channel of CNN, was cancelled. Appearing on KABC’s McIntyre in the Morning, Pinskysaid he and his colleague Dr. Robert Huizenga became “gravely concerned……not just about her health but her health care” after analyzingwhat medical records on Hillary had been released. Pinsky pointed out that after Clinton fainted and fell in late 2012, shesuffered from a “transverse sinus thrombosis,” an “exceedingly rare clot” that “virtually guarantees somebody has something wrong with their coagulation system.” According to sources close to Pinsky, the medicine specialist had been asked to retract his statements on the democratic nominee’s health and also received a series of nasty phone calls and e-mails over the his comments. “CNN is so supportive of Clinton, network honchos acted like the Mafia when confronting Drew,” a source told Richard Johnson of Page Six . “First, they demanded he retract his comments, but he wouldn’t.” What followed, according to a source close to Pinsky, was aseries of nasty phone calls and e-mails which were described as “downright scary and creepy.” The fact that Dr. Pinsky was asked to retract his comments, and even received “scary” calls and emails over what he said, can lead one to believe that it was indeed his concern for Clinton’s health that lead to his show being cancelled. But according toa spokeswoman for Pinsky, the show’s cancellation had been decided weeks before Pinsky’s comments, as part of a HLN revamp that includes the end of Nancy Grace’s show. “I know the timing is suspicious, and I know it’s hard to believe, but the two things had nothing to do with each other,” Pinsky’s rep Valerie Allen told Page Six ‘s Richard Jones. What makes Dr. Pinksy’s cancellation even more suspiciousis that he is not the only one who has received repercussions for questioning Clinton’s health. Just last week the Huffington Post banned journalistDavid Seaman from posting on their website forpenning a commentary piece discussing questions surrounding Hillary’s health problems. “Both of my articles have been pulled without notice of any kind, just completely deleted from the Internet, and both of those articles mentioned Hillary’s health,” Seaman said in a video posted to his YouTube channel. “I’ve filed hundreds of stories over the years as a journalist and I’ve never had anything like this happen….I’ve never experienced this,” remarked Seaman, adding that he was now seeking legal counsel. “This is spooky, to me this is extremely spooky – I don’t like it,” he added.
个人分类: politics|6 次阅读|0 个评论
分享 health
insight 2015-6-28 17:38
health
http://jbpress.ismedia.jp/ts/40893/datahealth/ データヘルス計画」とは 健康保険組合などの保険者と事業主が協働して、健保加入者の電子化された医療データを活用し、業態や組織ごとの健康状況を分析して課題を見つけ、個々人に応じたきめ細かい保健指導を行い、保健事業の実効性を高めていく取組み。「日本再興戦略」にも、全ての健康保険組合に対して「データヘルス計画」の作成・公表、事業実施、評価等の取組みを求める方針が盛り込まれており、いわゆる「健康経営」の実現や、予防医学を社会に活用していくための切り札として期待されている。 厚生労働省「医療保険者によるデータヘルスについて」のページはこちらから アイ・エム・エス・ジャパン株式会社 取締役バイスプレジデント 湯田 祐一 氏 ――「データヘルス計画」は、今どのような進展状況にありますか。 湯田  今年(平成27年)3月末までに、全国約1400のすべての健康保険組合が「データヘルス計画」を国に提出しており、平成29 年度までの3年間を第1期として、各々の「データヘルス計画」を実行していく段階に入っています。IMSは、今回これらの保険者をお客様として、「Collabo-Health25(以下CH25)」というデータ分析のツールとコンサルティングによるソリューションを提供し、「データヘルス計画」の効果的な実行を支援しています。弊社がソリューションをご提供させていただいていたお客様の中の4健保が「データヘルス計画のモデル事業」に選定され、具体的な事例構築に関する支援をさせていただき、その評価と実績を踏まえて現在、30以上の健保に我々のソリューションをご利用いただいています。 ――保健事業の現場では、どんな課題を抱えていますか。 湯田  今後「データヘルス計画」を推進していくうえで、計画を具体的に実行して、評価を行い、改善していくPDCAのサイクルを継続的に回していく必要があります。規模の大きな保険者や、既に先進的な取組みをしている保険者は、そこにリソースを割いて試行錯誤しながら取組みを進めています。一方で、リソースが限られている中小規模の保険者では、「対応する時間が十分にない」「ノウハウがなく具体的にどうしたら良いかわからない」といった課題を抱えているところが少なくありません。 ――そうした課題に向けて、どのようなサービスを提供していますか。 湯田  IMSが提供する「CH25」は、規模の大きな保険者はもとより、十分なリソースやノウハウをもたない中小規模の保険者でも負荷なく簡単に導入でき、かつ保険者が自律的にデータ分析・評価ができることを主眼に置いて開発しました。実際に「CH25」の構築にあたっては、データ活用に対して非常に高い意識を持った保険者と一緒にゼロからつくりあげてきた経緯があり、保険者の現場の声を採り入れて随時アップデートしていることが特徴です。導入も簡単で、最初のセットアップは早くて3日で完了し、導入後はすぐに利用開始することができます。このように、徹底して利用する保険者の視点に立ち、利用している保険者と一緒に成長していることがソリューションの優位性であり、その点に関してお客様から高い評価をいただいています。また、「CH25」は個人情報保護の観点でも、保険者の外部にデータを出さずに保険者の利用環境の中でデータ管理が徹底できることを評価していただいています。 ――具体的なデータ分析などの手法についてご説明ください。 湯田  例えば、「CH25」を活用いただき、データヘルスのモデル事業にも選定されたオートバックス健康保険組合様のケースでは、健康診断データなどをもとに健保加入者をグリーンゾーン(正常値)、イエローゾーン(境界値)、レッドゾーン(要医療値)、ブラックゾーン(緊急値)の4色のゾーンに階層化し、全加入者の健康リスクと対策結果を「見える化」して、優先度に応じたアプローチを行いました。 図1 IMSのデータヘルスに対する取組み  初年度は、緊急に受診を要するブラックゾーンの対象者のリスク撲滅を優先し、二次健診案内や緊急面談、通院モニタリング等を実施した結果、ブラックゾーンでの未受診者をゼロにすることができました。  一方で、イエローゾーンの対象者には特定保健指導や3日間の健康研修を実施して生活習慣の意識改革を促し、健康相談の件数の増加につながりました。  IMSではこのように、「どのような基準で健康リスクのセグメント分けを行うか」「どのゾーンへの対策を優先させるか」「どのような施策を実施していくか」など、保険者のニーズや抱える健康課題に関してお話をしながら、加入者の健康状況に沿ったアプローチを効果的に実施できるようコンサルティングサポートを行っています。  さらに今後は「実行」のフェーズになってきますので、施策を実施した後の効果測定や、改善に向けたアドバイスなど、まさにPDCAサイクル全体のサポートをしていくことになります。 ――このようなソリューションを提供できるIMSの強みとは? 湯田  IMSは日本で50年にわたって医療データ分析のノウハウを蓄積しており、近年ではITを活用したソリューションサービスを幅広く展開しています。そうした医療関連の専門性やヘルスケアITに関する知識とともに「いかにお客様視点に立ち医療関連データからエビデンスベースのインサイトを引き出すか」を追求してきた長年の経験が、保険者へのソリューション開発・提供に活かせているのではないかと思います。  また、保険者が「データヘルス」のPDCAのデータ分析から、実行、評価、改善までの一連のサイクルを協業パートナーと効果的に連携しながら、コンサルティングを含めてワンストップでサービス提供できるところもIMSの強みといえます。 ――今後の取組みなど、展望がありましたらお聞かせください。 湯田  「データヘルス」の推進支援とあわせて、より幅広い範囲で予防医療・健康管理を支援できるプラットフォームを構築していけたらと考えています。  今後膨れ上がる医療費を最適化していくためには、最終的には健保加入者およびその家族のヘルスケアに関するリテラシーがより向上し、自らの健康データを管理していくことが必要になってくると考えています。更に今後IT技術が発展し、より精度の高いモバイルの健康管理アプリケーションやウエアラブルデバイスが普及していくと、これまで以上に医療・健康管理に関するビッグデータが蓄積される環境になることが想定されます。このような環境変化の中で保険者が核となり、事業主、医療従事者およびサービス提供企業と効果的にコラボレーションをすることで健保加入者およびその家族にデータに基づいた効果的な働きかけをすることで疾病予防・重症化予防等をし、健康長寿社会を実現していくことを支援できるようなプラットフォームを提供できたらと考えています。 図2 IMSが実現を目指す医療貢献  これまでと同様に、IMSは医療・ヘルスケア分野に対してデータ分析、コンサルティング、ITを活用することで医療の発展および医療の最適化に寄与することが事業のベースとなっており、今回の「データヘルス」に関するサービス提供もその一環となります。今後、保険者に限らず、保険薬局、病院等、幅広いヘルスケアのステークホルダーに対して、医療ビッグデータ時代のソリューションを幅広く提供していけると自負しています。 IMSジャパンの採用情報についてはこちら 湯田 祐一 氏 1996年早稲田大学商学部卒。同年アンダーセンコンサルティング (現アクセンチュア株式会社)に入社し、主に営業・マーケティング戦略立案、組織改革、チェンジマネジメントのプロジェクト活動に従事。 2004年株式会社ベネッセコーポレーション入社。グループ全体のマーケティング戦略の立案、新規サービス開発に携わる。 2007年アイ・エム・エス・ジャパン株式会社入社、2015年取締役バイスプレジデント 就任。 アイ・エム・エス・ジャパン株式会社 広報部 URL: www.imshealth.com/japan Mail: ims-jcoms@jp.imshealth.com IMSジャパンの採用情報 についてはこちら ≫ ©2008-2015 Japan Business Press Co.,Ltd. All Rights Reserved. このページに掲載されている全てのコンテンツ(記事、図表、写真など)の無断転載を禁じます。著作権は日本ビジネスプレス,またはその情報提供者に帰属しています。 掲載されているコンテンツは,記事執筆時点のものです。
个人分类: healthcare|0 个评论
分享 The Sick Man Of Asia - China's Looming Health Disaster(
insight 2015-6-10 10:06
The Sick Man Of Asia - China's Looming Health Disaster (待审核) 2015-6-10 10:05 | 个人分类: health The Sick Man Of Asia - China's Looming Health Disaster Submitted by Tyler Durden on 06/09/2015 20:20 -0400 8.5% China ETC Global Economy India Yuan in Share Submitted by Charles Hugh-Smith of OfTwoMinds blog , That the China Story is going to implode is already baked into the public health catastrophe that will unfold with a vengeance in the coming decade. The financial pundits gushing over "The China Story" - that the Middle Kingdom's industrialization is a permanent boon to the global economy and China's poor - never calculate the human cost of that runaway industrialization and the vast inequalities it has unleashed. The human cost is staggering: at least half the population is suffering from chronic lifestyle/environmental-related illnesses and 225 million suffer from mental disorders. For context, the population of China is estimated to be 1.39 billion, roughly 4.4 times the U.S. population of 317 million, and about 20% of the total global population. Here are some estimates of China's public health problems: (source links below) -- Half the population is estimated to be prediabetic (suffering from metabolic syndrome/diabesity). -- 12% of the populace now has diabetes, roughly 115 million people. -- An estimated 70% of China's diabetics are undiagnosed; only 25% are receiving any treatment and of the 25%, the disease is only being controlled in 40% of those getting treatment. -- Noncommunicable diseases--cardiovascular disease, chronic respiratory diseases and cancer, account for 85% of total deaths in China today -- much higher than the global average of 60%. -- Mental disorders rose by more than 50 percent between 2003 and 2008. An estimated 17.5% of the population (225 million) suffers from some form of mental problem, one of the highest rates in the world. -- More than 300 million people in China -- roughly equivalent to the entire U.S. population of 317 million -- smoke tobacco. -- 200 million workers are directly exposed to occupational hazards. -- Informal estimates suggest a large percentage of the urban population suffers from lung/pulmonary diseases. Over the last 30 years, deaths ascribed to lung cancer have risen by a factor of five in China. -- 160 million Chinese adults have hypertension (high blood pressure). -- In 2006, 80 percent of China’s health budget was spent on just 8.5 million government officials. -- Tthe rate of health-care coverage is high, but the level of benefits is still very low. 836 million rural residents who were officially covered by the government's plan still had to pay the lion’s share of their medical bills. The government coverage paid a mere 8.6% of rural residents' total healthcare expenditures. Sources: China’s Worrying Diabetes Epidemic The Sick Man of Asia: China's Health Crisis Toxic smog threatens millions of Chinese lives Reliable statistics are hard to come by for a number of reasons. Authorities in China avoid quantifying China's public health realities because it detracts from the glowing "China Story" they promote. The rural population (still 55% of the total populace) often has little access to health care and statistics are sketchy. Preconditions that lead to disease (for example, prediabetes and early-stage COPD (chronic obstructive pulmonary disease) are not accurately monitored. The standard Western proponent of the China Story spends a few days in a fancy Shanghai hotel and then repeats glowing (and dodgy) economic statistics, as if that's the whole story. Western pundits don't visit rural village stripped of working-age adults, where grandparents are struggling to raise the children who resent their factory-worker parents' absence. Proponents don't spend time with those on the bottom of the urban "growth story," the millions living in makeshift hovels who receive no state aid due to their status as "illegal residents" in urban zones. The mental health issues arising from dislocated families, uprooted workers and grinding poverty in the midst of a society dominated by an Elite that drives super-sports cars and owns lavish homes in the West are ignored by the mainstream Western media. The rapid ageing of the Chinese populace is exacerbating an already immense public health crisis. It's estimated that by 2040 there will be more people with Alzheimer’s disease in China than in all the developed countries combined. Ill health and chronic disease are undercutting the economic growth everyone is focusing on. Whatever the metric used--hours of labor lost to illness, years of labor lost to early retirement due to ill-health, etc.--the costs of China's environmental damage, disrupted social order and low investment in public health are weighing heavily on output. The rise in health-related costs going forward will not be linear but geometric. Linear increases in pollution, diabesity, etc. can yield a ten-fold increase in diseases that require costly treatments. Every nation, developed and developing alike, has public health challenges. What's different about China (and India) is the scale is just so enormous: 740 million Chinese are regularly exposed to second-hand smoke, for example, and ten of millions of urban dwellers are exposed to air pollution that is said to rival smoking three packs of cigarettes a day in its negative impact on pulmonary health. It's all well and good to toss around grandiose plans for new Silk Roads, aircraft carriers and islands constructed in disputed seas, but where is the money and labor going to come from when the health problems of hundreds of millions of workers and retirees come due and payable? How many more trillions of yuan can local governments borrow once the credit bubble in China deflates, as all financial bubbles eventually do? Apologists and cheerleaders will naturally claim these estimates are exaggerated, and that China is aggressively tackling its immense environmental and public-health problems. The Chinese excel at the Soviet model of showcase trials and projects staged for propaganda, and officials regularly present Potemkin-Village pollution clean-ups. But if you try to come back a year later and check on the progress, you will find it isn't possible--and insisting might get you arrested. What's being exaggerated is China's response to the unfolding environmental and public health catastrophe. The Chinese government's priorities are tightening control of its domestic society and extending hegemony in the South China Sea. Public health receives lip service and a marginal slice of state funding and focus. The money flows to care for the elites, and the peasantry gets next to nothing. That the China Story is going to implode is already baked into the public health catastrophe that will unfold with a vengeance in the coming decade.
个人分类: healthcare|6 次阅读|0 个评论
分享 Economic Growth—Human Capital:Health and Education
accumulation 2015-4-19 12:22
1.Growth:Quantity vs Quality of Labor 2.Growth:The Role of Human Capital-quality dimensions 3.Human Capital:Education and Health 4.Health Human Capital:Theory 5.Health Capital:Productivity Effect 6.Health Capital:Incentive Effect 7.Health Effect on Income:USA 8.Health Effect on Income:China 9.Health Effect on Income:Rural 10.Health Effect on Income:Gender 11.Nutrition-Led Health and Growth:UK 12.APEC Study on Health and Economy 13.Health and Income:Two-way Traffic——Health and Income are endogenous 14.Preston Curve——Population Studies,1975 15.Health and Income:Two View 16.Health and Income:What Matters? The Health-Poverty Trap 17.Human Capital: Form of Education 18.Education and Wage Premium 19.Education Distribution by Population 20.Class Struggle: Workers vs Capitalists? 21.Modeling Human Capital: Production 22.Education Effect on Income Difference 23.Human Capital Effect to Slowdown
个人分类: 宏观经济学|0 个评论
分享 How Much Does Basic Health Insurance Cost Around The World
insight 2014-5-22 16:47
How Much Does Basic Health Insurance Cost Around The World Submitted by Tyler Durden on 05/14/2014 11:11 -0400 Deutsche Bank ETC in Share How does one definemost basic health insurance? If one is Deutsche Bank, as follows: "Health insurance annual premium is for a basic policy for a local resident between 25-35 years. Since the definition of a standard package varies between countries, we have tried to stick to an insurance policy which covers inpatient events and no extra covers like dental, etc.... The data has been sourced mainly from local providers of heath insurances, reports of organizations engaged in research of health care and news clippings." And how much does "most basic health insurance" cost around the world? According to Deutsche Bank the answer, when presented in dollar terms, is as follows: Clearly what the US, with its highest in the world costs, needs is for the government to step in and really fix the problem. Average: 4.72222 Your rating:None Average:4.7 (18votes)
个人分类: healthcare|9 次阅读|0 个评论
分享 Bitter Pill: The Exorbitant Prices Of Health Care
insight 2013-2-23 14:57
Bitter Pill: The Exorbitant Prices Of Health Care Submitted by Tyler Durden on 02/22/2013 17:18 -0500 General Electric McKinsey Medicare Obamacare Student Loans Instead of asking the endless question of "who should pay for healthcare?" Time magazine's cover story this week by Steve Brill asks a much more sensible - and disturbing question - "why does healthcare cost so much?" While it will not come as a surprise to any ZeroHedge reader - as we most recently noted here - this brief clip on the outrageous pricing and egregious profits that are destroying our health care quickly summarizes just how disastrous the situation really is. A simplified perspective here is simple, as with higher education costs and student loans: since all the expenses incurred are covered by debt/entitlements, there is no price discrimination which allows vendors to hike prices to whatever levels they want. From the $21,000 heartburn to "giving our CT scans like candy," Brill concludes "put simply, with Obamacare we’ve changed the rules related to who pays for what, but we haven’t done much to change the prices we pay ." Via Time, The $21,000 Heartburn Bill One night last summer at her home near Stamford, Conn., a 64-year-old former sales clerk whom I’ll call Janice S. felt chest pains. She was taken four miles by ambulance to the emergency room at Stamford Hospital, officially a nonprofit institution. After about three hours of tests and some brief encounters with a doctor, she was told she had indigestion and sent home. That was the good news. The bad news was the bill: $995 for the ambulance ride, $3,000 for the doctors and $17,000 for the hospital — in sum, $21,000 for a false alarm. "Giving out CT Scans like candy..." The costs associated with high-tech tests are likely to accelerate. McKinsey found that the more CT and MRI scanners are out there, the more doctors use them. In 1997 there were fewer than 3,000 machines available, and they completed an average of 3,800 scans per year. By 2006 there were more than 10,000 in use, and they completed an average of 6,100 per year. According to a study in the Annals of Emergency Medicine, the use of CT scans in America’s emergency rooms “has more than quadrupled in recent decades.” As one former emergency-room doctor puts it, “Giving out CT scans like candy in the ER is the equivalent of putting a 90-year-old grandmother through a pat-down at the airport: Hey, you never know.” Selling this equipment to hospitals — which has become a key profit center for industrial conglomerates like General Electric and Siemens — is one of the U.S. economy’s bright spots. I recently subscribed to an online headhunter’s listings for medical-equipment salesmen and quickly found an opening in Connecticut that would pay a salary of $85,000 and sales commissions of up to $95,000 more, plus a car allowance . The only requirement was that applicants have “at least one year of experience selling some form of capital equipment.” When you follow the money, you see the choices we’ve made, knowingly or unknowingly. Over the past few decades, we’ve enriched the labs, drug companies, medical device makers, hospital administrators and purveyors of CT scans, MRIs, canes and wheelchairs . Meanwhile, we’ve squeezed the doctors who don’t own their own clinics, don’t work as drug or device consultants or don’t otherwise game a system that is so gameable. And of course, we’ve squeezed everyone outside the system who gets stuck with the bills. We’ve created a secure, prosperous island in an economy that is suffering under the weight of the riches those on the island extract. And we’ve allowed those on the island and their lobbyists and allies to control the debate, diverting us from what Gerard Anderson, a health care economist at the Johns Hopkins Bloomberg School of Public Health, says is the obvious and only issue: “All the prices are too damn high.” The health care market is not a market at all. It’s a crapshoot. Everyone fares differently based on circumstances they can neither control nor predict. They may have no insurance. They may have insurance, but their employer chooses their insurance plan and it may have a payout limit or not cover a drug or treatment they need. They may or may not be old enough to be on Medicare or, given the different standards of the 50 states, be poor enough to be on Medicaid. If they’re not protected by Medicare or protected only partially by private insurance with high co-pays, they have little visibility into pricing, let alone control of it. They have little choice of hospitals or the services they are billed for , even if they somehow knew the prices before they got billed for the services. They have no idea what their bills mean, and those who maintain the chargemasters couldn’t explain them if they wanted to. How much of the bills they end up paying may depend on the generosity of the hospital or on whether they happen to get the help of a billing advocate. They have no choice of the drugs that they have to buy or the lab tests or CT scans that they have to get , and they would not know what to do if they did have a choice. They are powerless buyers in a sellers’ market where the only consistent fact is the profit of the sellers. Average: 5 Your rating: None Average: 5 ( 16 votes)
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分享 Methods for the Economic Evaluation of Health Care Programmes
令狐冲1990 2012-6-23 23:20
Review   From reviews of the previous edition:   `The book has some important characteristics that differentiate it from others in the field. Another unique feature is the presentation of tutorials that are highlighted in boxes.' Journal of Mental Health Policy and Economics   `This book is a new second edition of what became the standard text for Health Economists and can be heartily recommended to anyone who is interested in this vitally important area of research.' Amazon.com   `An important contribution to studies on the economic evaluation of medical care.' British Medical Journal   `This is essential reading. Only if all managers are aware of the powers of economic techniques will they be used sensibly.' Health Service Journal   `This book suited my needs to perfection and is an ideal accompaniment to a course that combines methodology with critical appraisal and hands-on practical training in using these techniques. The methodological chapters on cost analysis and cost utility are gems... should become the standard text on the subject at the intermediate level at which it is aimed.' Medical Decision Making   `This book is a must for every student in health services sciences.' Acta Hospitalia   `The book is well designed and clearly written.' Canadian Public Policy   `It leaves nothing important in economic evaluation analysis untouched.' Health Policy and Planning   Book Description   This highly successful textbook is now available in its third edition. Over the years it has become the standard textbook in the field world-wide. It mirrors the huge expansion of the field of economic evaluation in health care, since the last edition was published in 1997. This new edition builds on the strengths of previous editions, being clearly written in a style accessible to a wide readership. Key methodological principles are outlined using a critical appraisal checklist that can be applied to any published study. The methodological features of the basic forms of analysis are then explained in more detail with special emphasis of the latest views on productivity costs, the characterisation of uncertainty and the concept of net benefit. The book has been greatly revised and expanded especially concerning analysing patient-level data and decision-analytic modelling. There is discussion of new methodological approaches, including cost effectiveness acceptability curves, net benefit regression, probalistic sensitivity analysis and value of information analysis. There is an expanded chapter on the use of economic evaluation, including discussion of the use of cost-effectiveness thresholds, equity considerations and the transferability of economic data. This new edition is required reading for anyone commissioning, undertaking or using economic evaluations in health care, and will be popular with health service professionals, health economists, pharmacand health care decision makers. It is especially relevant for those taking pharmacoeconomics courses.   
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