Health Economics Worldwide

1. Front Matter

   Pages i-ix

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2. Issues in health insurance

   1. Front Matter

      Pages 1-1

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   2. Pricing and imperfections in the medical care marketplace

      • Joseph P. Newhouse

      Pages 3-22

   3. How can we prevent cream skimming in a competitive health insurance market?

      • Wynand P. M. M. van de Ven, René C. J. A. van Vliet

      Pages 23-46

   4. The impact of utilization review on costs and utilization

      • Rezaul K. Khandker, Willard G. Manning

      Pages 47-62

   5. The normative and positive economics of minimum health benefits

      • Mark V. Pauly

      Pages 63-78

3. Criteria for allocating health care resources

   1. Front Matter

      Pages 79-79

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   2. Cost-effectiveness analysis of strategies for screening prostatic cancer

      • R. Launois

      Pages 81-108

   3. The validity of the MIMIC health index — some empirical evidence

      • Robert E. Leu, Michael Gerfin, Stefan Spycher

      Pages 109-142

   4. Welfare economics and cost-utility analysis

      • J. R. G. Butler

      Pages 143-157

4. Administrative and market allocation in health care

   1. Front Matter

      Pages 159-159

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   2. Excess demand and patient selection for heart and liver transplantation*

      • Bernard Friedman, Ronald J. Ozminkowski, Zachary Taylor

      Pages 161-186

   3. Non-price allocative procedures: Scottish solutions to a National Health Service problem

      • Robin G. Milne, Ben Torsney

      Pages 187-202

   4. Priorities among waiting list patients

      • Tor Iversen, Erik Nord

      Pages 203-216

   5. Consumer information, price, and nonprice competition among hospitals

      • H. E. Frech III, J. Michael Woolley

      Pages 217-241

5. Health care in the political arena

   1. Front Matter

      Pages 241-241

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   2. Cost containment in health care: Justification and consequences

      • Klaus-Dirk Henke

      Pages 245-265

   3. Political Economy of Hospital Financing

      • Friedrich Breyer, Friedrich Schneider

      Pages 267-285

   4. A pooled cross-section analysis of the health care expenditures of the OECD countries

      • Ulf-G. Gerdtham, Jes Søgaard, Bengt Jönsson, Fredrik Andersson

      Pages 287-310

   5. Is there a Sisyphus Syndrome in Health Care?

      • Peter Zweifel, Matteo Ferrari

      Pages 311-330

This volume reflects both the main issues confronting health economics and the state of the art in health economics a decade before the end of the twentieth century. It contains a selection from almost 150 papers presented at the Second World Congress on Health Economics, held at the University of ZUrich, Switzerland, 10-14 September 1990. This is ten years after the last Congress (held in Leiden, The Netherlands) and more than 17 years after the Tokyo meeting organized by the International Economic Associ­ ation (which might be called the First World Congress were it not for its small size and symposium-like character). Out of the 16 papers appearing in this book, only four were invited, and they were refereed like all the others. The remaining contributions are survivors of stiff competition. However, in spite of the large sample of papers we were able to draw from, certain gaps of coverage persist. In particular, environmental impacts on health were designated as a field of priority interest in the call for papers to this Congress. Yet, not even half a dozen contribu­ tions were submitted, which is remarkable in view of the intense interest of the public in the health effects of environmental degradation, ranging from noise level to ozone concentration. Another specially designed field was the political economy of health, dealing with the behavior of policy makers when deciding about changes in the health care systems. It did not attract as many contributions as we had hoped for or expected.

• Financing
• competition
• health
• hospital
• political economy

• Dept. of Economics, University of Zürich, Switzerland

  Peter Zweifel

• Dept. of Economics, University of California, USA

  H. E. Frech

Policies and ethics