Health Economics: AP/ECON 3510 Test #1  2017
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Questions and Answers

The supply side of the health care sector, encompassing individuals and organizations that provide health care services or produce health care goods, is referred to as:

  • Health care delivery (correct)
  • Health care financing
  • Health care efficiency
  • Health care funding

The criteria required under the Canada Health Act that all residents must be provided with health insurance coverage on uniform terms and conditions is known as:

  • Comprehensiveness
  • Universality (correct)
  • Portability
  • Public Administration

The principle that uses the idea of “if no person can be made better off without making another person worse off” is known as:

  • Market failure
  • Technical efficiency
  • Vertical equity
  • The Pareto criterion (correct)

A tax on cigarettes will reduce the number of smokers but society should not impose it because it will impose more burden on lower income individuals than higher income ones.

<p>This is both a positive and normative economic statement (B)</p> Signup and view all the answers

Which of the following is NOT a reason for market failure:

<p>Too many producers (A)</p> Signup and view all the answers

What is the name for goods that are commonly consumed together (e.g., doctor visits and prescription drugs)?

<p>Complementary goods (D)</p> Signup and view all the answers

Which of the following statements is correct?

<p>Modern medicine (surgeries etc.) has been found to be relatively poor at preventative health care (A)</p> Signup and view all the answers

According to the Grossman model of demand for health capital that uses the concept of the marginal efficiency of investment (MEI), when a person becomes older they are predicted to choose a lower health stock. If the person has a relatively elastic MEI curve then the decrease in the chosen health stock...

<p>Will be relatively larger (A)</p> Signup and view all the answers

What is the basic difference between Health Care Financing and Health Care Funding?

<p>Health care financing is about the activity of raising or collecting revenues (using taxes, insurance premiums etc.) to pay for the provision of health care goods and services. Health care funding regards how health care organizations and individuals are paid or provided with the financial resources required to carry out health care related activities (after the revenues have already been collected).</p> Signup and view all the answers

One patient receives more health care than another patient even though they both had the same health care need. This is an example where the vertical equity component of procedural equity is not met.

<p>False (B)</p> Signup and view all the answers

Suppose two research studies investigate the correlation (not causation) between Education (E=years of schooling) and Health Care Need (HCN). Study 1 uses a linear regression to study how education is related to a person's need rated between 0=lowest need to 100=highest need (HCN is between 0 and 100), while Study 2 uses a logistic regression to study how education is related to whether a person's need is high (HCN=1) or low (HCN=0). Study 1 finds that the regression coefficient on E is equal to -4.8 with a p-value of 0.04 while study 2 finds that the odds ratio on E is equal to 0.81 with a p-value of 0.95. According to these statistics, is the effect of Education on Health Care Need similar for the two studies? Why or why not? Make sure to reference the direction of the relationship found between E and HCN in each study.

<p>Assuming that both studies were conducted equally well and in a similar fashion then Study 1 finds that Education and Health Care Need are negatively related. This is because the coefficient is negative (less than zero) and the p-value is below 0.05 so it is accurate (or significantly different from no effect). However, Study 2 finds that there is no meaningful or significant relationship between Education and Health Care Need. This is because the odds ratio is below 1.0, suggesting a negative relationship, but the p-value is above 0.05 so this means the odds ratio is not accurate and is not significantly different from no effect (or not different from an odds ratio of 1.0). Therefore the effect of Education on Health Care Need is different for the two studies.</p> Signup and view all the answers

Even though it is commonly found that people with higher education tend to have better health (and those with lower education have poorer health), the heath economist Fuchs (1982) argued the idea that a significant portion of this positive relationship was due to "spurious correlation". Does “spurious correlation” mean that education causes people to be in better health? If so, how? And if not, then what is causing the better health?

<p>No spurious education does not mean that education causes people to be in better health in this case. Rather, spurious correlation means that education and health are positively “correlated” but the relationship is not a causal one so “spurious” correlation means “non-causal” correlation. With spurious correlation some third factor other than education and health may be causing both. In this case Fuchs theorized that since both health and education require a long term investment that this third factor causing better health (and causing higher education level) is that people are putting importance or emphasis on the future rather than the present (this is sometimes called people having “long time horizons or people having “low discount rates” for the future). Therefore it is people's preferences for long time horizons and low discount rates that is causing better health (and higher education levels).</p> Signup and view all the answers

What did McKeown argue were the 2 most important sources or reasons of mortality rate decline in Europe and North America from 1750 until now? How did he know this?

<p>McKeown argued that it was 1) Better living standards (e.g., nutrition and housing) and 2) Intervention of public health authorities to improve sanitary conditions (e.g., water and sewage purification) that were the two most important historical sources of mortality rate decline. He knew this because most of the world's mortality rate decline occurred before the invention of modern medicine (and happened before medicine science discovered “cures” for most diseases) and occurred when the world was experiencing the two factors above.</p> Signup and view all the answers

Which aspect of the health care system is primarily responsible for raising revenues and determining who bears the burden of paying for health care?

<p>Financing (C)</p> Signup and view all the answers

The 5 named criteria necessary under the Canada Health Act include all of the following EXCEPT which one?

<p>Equity (A)</p> Signup and view all the answers

Which of the following statements regarding the Pareto Criterion is TRUE?

<p>It is used as a possible way to determine allocative efficiency (D)</p> Signup and view all the answers

A tax on cigarettes will raise the price of cigarettes which will cause a reduction in the demand for cigarettes.

<p>This is a “Positive” economic statement. (A)</p> Signup and view all the answers

Which of the following does NOT account for the reason that a demand curve is downward sloping?

<p>A negative externality (C)</p> Signup and view all the answers

Which of the following statements regarding “budget constraints” from microeconomic theory is NOT TRUE?

<p>Budget constraints are curved (bowed inward) for most people (C)</p> Signup and view all the answers

McKeown showed that majority of historically rapidly falling rates of mortality for common diseases occurred:

<p>Before the invention of modern medicine became available (D)</p> Signup and view all the answers

According to the standard Grossman model of demand for health capital that uses the concept of the marginal efficiency of investment (MEI), when a person receives a wage or income increase which of the following is FALSE?

<p>The person's marginal cost r+8 line shifts downwards (A)</p> Signup and view all the answers

Canada's health care system is predominantly publicly financed and publicly delivered.

<p>False (B)</p> Signup and view all the answers

The concept of the social gradient in health means that there exists a social cost curve which lies above the private marginal cost curve (commonly known as the supply curve) which shows the full cost of supply.

<p>False (B)</p> Signup and view all the answers

Canada's health care system is predominantly:

<p>Publicly financed, privately delivered (A)</p> Signup and view all the answers

The concept that you must take the value of what must be given up (the next best alternative) as the result of a decision is known as:

<p>Opportunity cost (D)</p> Signup and view all the answers

A cost-effective efficient allocation of goods and services must also be:

<p>A technologically efficient allocation (C)</p> Signup and view all the answers

A tax on cigarettes will reduce smoking demand but society should not impose it because it will impose more burden on lower income individuals than higher income ones.

<p>This is a normative economic statement (B)</p> Signup and view all the answers

Which of the following statements regarding the Potential Pareto Criterion is True?

<p>Using it to determine an allocatively efficient allocation may make some people worse off (D)</p> Signup and view all the answers

Assume that when a patient needs health care, they require services from both doctors and nurses. This relationship is best summarized as

<p>Complementary goods/services (A)</p> Signup and view all the answers

Economists consider monopolies and taxes to be bad primarily because:

<p>They create deadweight losses (A)</p> Signup and view all the answers

Which of the following does NOT account for the reason that a supply curve is upward sloping:

<p>A negative externality (C)</p> Signup and view all the answers

An economic evaluation reports that a new smoking cessation/quitting treatment costs $500 per smoker treated. This is an example of a:

<p>Cost-effectiveness analysis (C)</p> Signup and view all the answers

Which of the following concepts is least applicable (i.e., not applicable) when health economists' study which of two medicines should the Canadian public health care system support?

<p>Vertical equity (A)</p> Signup and view all the answers

Which of the following statements regarding economic evaluation is not correct?

<p>Cost-utility analysis measures costs in monetary units and measures benefits/consequences in natural health units (C)</p> Signup and view all the answers

Assume that the table above is an excerpt from a report comparing the actual allocation of health care funds to estimates of what the funding allocation should be based on need. Using the above table, is the allocation across health areas consistent with horizontal and vertical equity? Why?

<p>Downtown and Rural both need the same amount of funds (761) however Downtown actually receives a lot more (782 vs. 532) therefore there is horizontal inequity (horizontal equity not met since equals are not treated equally). Also, Suburb needs more than Uptown (522 vs. 397) however both actually receive approximately the same amount (429 and 430) therefore there is also vertical inequity (vertical equity is not met since unequals are not treated unequally).</p> Signup and view all the answers

Suppose a Canadian health policy maker finds an academic journal article that reports the following statistical regression of education on health status based on a very recent random sample of Canadian individuals. According to the regression results below, would public policies that increase individual education levels be expected to lead to increases in individual health levels? Why? Discuss from the point of view of a knowledgeable health economist (based on our course content).

<p>-The odds ratio for Education is below 1.0 so it is negatively correlated with Health, if anything higher education levels are associated with lower health statuses, not the other way around as suggested in the question. -The negative correlation found between Education and Health is significant since p-value is &lt;0.05. Therefore we trust that the odds ratio is accurate and so we trust our finding of a negative correlation. -Also, the question above speaks to a causal relationship between Education and Health (if we increase someone's education will their health increase?) while the results above seem to be simple correlation only. More information would be needed to rule it a causal estimation in the table</p> Signup and view all the answers

Two issues that arise in economic evaluation is the concept of QALY and the need to use discounting. “QALY” means that health consequences are converted to quality- adjusted life-years used mostly in cost-benefit analysis while “discounting” means that we must take account for inflation over time when costs and health consequences are experienced across time and into the future.

<p>False (B)</p> Signup and view all the answers

Assume that the table above is an excerpt from a report comparing the actual allocation of health care funds to estimates of what the funding allocation should be based on need. Using the above table, what can be inferred regarding the distributional equity of actual allocations in the districts?

<p>Downtown and Suburbs both need approximately the same amount of funds (952 and 951) however Downtown actually receives a lot more (972 vs. 722) therefore there is horizontal inequity (horizontal equity not met since equals are not treated equally). Also Rural needs more than Uptown (712 vs. 587) however both actually receive approximately the same amount (620 and 619) therefore there is also vertical inequity (vertical equity is not met since unequals are not treated unequally).</p> Signup and view all the answers

Suppose a Canadian health policy maker finds an academic journal article that reports the following statistical regression of income and education on health status based on a very recent random sample of Canadian individuals. According to the regression results below, would public policies that increase individual education levels be expected to lead to increases in individual health levels? Discuss from the point of view of a knowledgeable health economist [Feel free to answer in paragraph form or in point form using issues and terminology discussed in class and how they pertain to the link between education and health that is estimated in question].

<p>-The odds ratio for Education is below 1.0 so it is negatively correlated with Health, if anything higher education levels are associated with lower health statuses, not the other way around as suggested in the question. {This is a slightly odd finding since it goes against the common findings mentioned in class} -The negative correlation found between Education and Health is significant since p-value is &lt;0.05. Therefore we trust that the odds ratio is accurate and so we trust our finding of a negative correlation.</p> Signup and view all the answers

One patient receives more health care than another patient even though they both had the same health care need. This is an example where the vertical equity component of procedural equity is not met. True or False and Why?

<p>False. Vertical equity says that we should treat unequals unequally. Horizontal equity says that we should treat equals equally. When one patient receives more health care than another even though they have equal need then it is Horizontal Equity that is not met, not Vertical Equity (otherwise the people with equal need would have received equal health care).</p> Signup and view all the answers

Health expenditures as a percentage of GDP have been on the rise in Canada since the 1960s. Which of the following statements is not a valid reason explaining the increases in past years?

<p>The population size may be increasing (C)</p> Signup and view all the answers

Which of the following ideas/topics cannot be used to explain the following statement: “Many people pass up free health care because the wait times and travel costs are too high”?

<p>Health care financing (B)</p> Signup and view all the answers

Which of the following is not a valid example of how health care is different from most other economic goods?

<p>Prices do not influence demand (A)</p> Signup and view all the answers

Which of the following is not a criterion of the Canada Health Act:

<p>Cost-effectiveness (B)</p> Signup and view all the answers

The criterion of “portability” under the Canada Health Act refers to the fact that the provincial health insurance plan must cover non-residents who are visiting the province.

<p>False (B)</p> Signup and view all the answers

In the view of economists “health” and “health care” are two different things.

<p>True (A)</p> Signup and view all the answers

The decision of a patient to take 8 pills for treatment because the average benefit per pill is greater than the average cost per pill is an example of a consumer using marginal decision making.

<p>False (B)</p> Signup and view all the answers

The topic of health care funding deals with the various ways that revenues can be raised to pay for health care provision.

<p>False (B)</p> Signup and view all the answers

In topic 1 we discussed how some countries (such as Japan) have devoted their health care system to providing significantly more acute short term hospital beds than most other OECD countries. This is likely due to the way that these countries (such as Japan) finance their health care differently from other OECD countries.

<p>False (B)</p> Signup and view all the answers

Suppose two research studies investigate the correlation (not causation) between Education (E=years of schooling) and Health Care Need (HCN). Study 1 uses a linear regression to study how education is related to a person's need rated between 0=lowest need to 100=highest need(HCN is between 0 and 100), while Study 2 uses a logistic regression to study how education is related to whether a person's need is high(HCN=1) or low(HCN=0). Study 1 finds that the regression coefficient on E is equal to-4.8 with a p-value of 0.04 while study 2 finds that the odds ratio on E is equal to 0.81 with a p-value of 0.95. According to these statistics, is the effect of Education on Health Care Need similar for the two studies? Why or why not? Make sure to reference the direction of relationship found between E and HCN in each study.

<p>Assuming that both studies were conducted equally well and in a similar fashion then Study 1 finds that Education and Health Care Need are negatively related. This is because the coefficient is negative (less than zero) and the p-value i sbelow 0.05 so it is accurate (or significantly different from no effect). However, Study 2 finds that there is no meaningful or significant relationship between Education and Health Care Need. This is because the odds ratio is below 1.0, suggesting a negative relationship, but the p-value is above 0.05 so this means the odds ratio is not accurate and is not significantly different from no effect (or not different from an odds ratio of 1.0). Therefore the effect of Education on Health Care Need is different for the two studies.</p> Signup and view all the answers

Allocate equal amounts of goods to those who are situated equally with respect to the relevant characteristics is an example of:

<p>Horizontal equity (A)</p> Signup and view all the answers

People with more income pay more money towards public health care finance than do people with lower income when we believe that individuals' ability to pay should be used to judge equity of health care finance. This is most likely an example of:

<p>Vertical equity (C)</p> Signup and view all the answers

Scarcity of resources results from inefficiency.

<p>False (B)</p> Signup and view all the answers

There is no opportunity cost for applications of resources that are technologically efficient, cost-effective, and allocatively efficient.

<p>False (B)</p> Signup and view all the answers

An equitable distribution of a good often implies an unequal distribution of the good among members of society.

<p>True (A)</p> Signup and view all the answers

An efficiently cost-effective allocation of productive resources must also be technologically efficient.

<p>True (A)</p> Signup and view all the answers

Pareto efficient allocations always maximize welfare in society.

<p>False (B)</p> Signup and view all the answers

Two issues that arise in economic evaluation is the concept of QALY and the need to use discounting. QALY means that health consequences are converted to quality-adjusted life-years used mostly in cost-benefit analysis while discounting means that we must take account for inflation over time when costs and health consequences are experienced across time and into the future.

<p>False (B)</p> Signup and view all the answers

Suppose a Canadian health policy maker finds an academic journal article that reports the following statistical regression of income and education on health status based on According to the regression results below, would public policies that increase individual education levels be expected to lead to increases in individual health levels?

<p>the odds ratio for Education is below 1.0 so it is negatively correlated with Health, if anything higher education levels are associated with lower health statuses</p> Signup and view all the answers

Suppose two research studies investigate the correlation (not causation) between Education (E=years of schooling) and Health Care Need (HCN). According to these statistics, is the effect of Education on Health Care Need similar for the two studies? Why or why not? Make sure to reference the direction of the relationship found between E and HCN in each study.

<p>Study 1 finds that is accurate so then there is a high effect between relationship, Study 2 shows that there is no affect between education and health care need</p> Signup and view all the answers

Flashcards

Health Care Delivery

Individuals and organizations providing health care services or producing health care goods.

Universality (Canada Health Act)

Ensuring all residents have health insurance coverage on uniform terms and conditions.

Pareto Criterion

No one can be made better off without making another worse off.

Normative Economic Statement

A statement that expresses an opinion or value judgment.

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Market Failure

A situation where the market fails to allocate resources efficiently.

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Complementary Goods

Goods commonly consumed together.

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Social gradient in health

Health outcomes vary based on social position.

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Grossman Model & Aging

Suggests an individual will choose a lower health stock as they age, given an elastic MEI.

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Healthcare Financing

Raising revenue to pay for health care.

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Healthcare Funding

How healthcare organizations are paid to deliver services.

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Vertical Equity

Treating unequals unequally.

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Horizontal Equity

Treating equals equally.

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Spurious Correlation

Correlation due to a shared underlying cause, not a direct relationship.

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McKeown's Mortality Factors

Improved living standards and public health interventions.

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Comprehensiveness (Canada Health Act)

Provision of all medically necessary services.

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Portability (Canada Health Act)

Health insurance coverage remains intact when moving or traveling within Canada.

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Public Administration (Canada Health Act)

Health care delivery adheres to non-profit principles.

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Technical Efficiency

Outputs are maximized for a given set of inputs.

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Negative Externality

Negative effect on a third party not involved in the transaction.

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Monopoly

One seller dominates the market.

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Information Asymmetry

Consumers possess less expertise compared to providers.

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Substitute Goods

Goods that can be used in place of one another.

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Distributional Equity

Focuses on fairness in health care distribution.

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Procedural Equity

Focuses on ensuring fair processes.

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Non-Causal correlation

Correlation that does not indicate a direct causal relationship.

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Positive Economic Statement

Statements of fact that can be tested.

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Study Findings

Not accurate or significantly different from no effect

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Individual Preferences

Individual's preference for long time horizons and low discount rates

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Benefits of Modern medicine

Modern medicine has been found to be better at preventative health care

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Marginal Product Of Health Care

The more health care consumed, results in increase marginal production of health care

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Equity (Canada Health Act)

Equality of access, regardless of ability to pay.

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Law of Demand

Principle stating demand decreases as price increases.

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Diminishing Marginal Utility

Satisfaction decreases while consuming more of a unit.

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Budget Constraint

Constraint showing affordable consumption bundles.

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McKeown's Findings

Factors like nutrition and sanitation markedly reduced mortality rates.

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Marginal Efficiency of Investment (MEI)

A tool that helps visualize optimal health stock.

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Private Health Care Delivery (Canada)

Health care predominantly delivered by private entities.

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Odds Ratio

Statistical measure of association.

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P-Value

Probability result occurred by chance.

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R-squared

How well the model explains the variation.

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Explain the 'social gradient in health'

Health is determined by social standing.

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What can be said from the statistics for education?

Income negatively correlates with health.

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What can be said from the statistics for education?

Education is negatively correlated with health.

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Public Administration

The health care system ensures basic standards are met.

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Portability

The health care coverage is effective within the country.

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Comprehensiveness

The health care coverage covers all necessary items.

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Externalities

A third party is affected.

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Having a monopoly

A single seller that dominates the market.

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Substitute good commodities.

Commodities that is used as replacement of another.

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Canada's Health System

A health care system where the government funds health care, but private entities deliver the services.

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Opportunity Cost

The value of the next best alternative that must be given up as a result of a decision.

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Technological Efficiency

An allocation where resources are used to produce the maximum amount of goods and services at the lowest cost.

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Allocative Efficiency

An allocation of resources that maximizes society's welfare.

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Potential Pareto Criterion

Criterion that states an allocation is efficient if those who gain could compensate those who lose and still be better off.

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Complementary Goods/Services

Goods or services that are used together.

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Deadweight Loss

A loss of economic efficiency that occurs when the equilibrium for a good or service is not Pareto optimal.

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Burden on the poor

A tax on cigarettes will reduce smoking demand but society should not impose it because it will impose more burden on lower income individuals than higher income ones.

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Supply Curve

A curve that plots the quantity of a good or service supplied at different prices.

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Diminishing Marginal Returns

The decrease in the marginal output of a production process as the amount of a single factor of production is incrementally increased, while holding all other factors of production equal.

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Reading a graph

The fact that we read graphs from the left to the right.

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Cost-Effectiveness Analysis

An economic evaluation method that measures costs in monetary units and outcomes in natural health units.

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ICER

Incremental Cost-Effectiveness Ratio: The ratio of the difference in costs to the difference in effects of two interventions.

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Cost-Utility Analysis

An economic evaluation method that measures costs in monetary units and outcomes in quality-adjusted life years (QALYs).

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Needs-Based Allocation

Distribution based on needs.

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Canadian Health Policy

Policies that increase individual education levels would not be expected to lead to increases in individual health levels.

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Education related to health

The odds ratio for Education is below 1.0 so it is negatively correlated with Health, if anything higher education levels are associated with lower health statuses, not the other way around as suggested in the question

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Determining p-Value

The negative correlation found between Education and Health is significant since p-value is

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Canadian Healthcare Financing

Predominantly publicly financed.

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Opportunity Cost

What must be sacrificed when making a purchase.

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Cost-Effective Allocation

A technically efficient allocation.

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Equity Evaluation

Allocative is determined by fairness and normative economics.

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Cost-Effectiveness Accuracy

Cost-effectiveness calculates and ICER ration that tells us the additional cost incurred per unit of effect achieved.

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Cost-Utility evaluation.

Determines cost in actual health units (or QALY's).

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Relative Price of Healthcare

Rising healthcare costs relative to other goods/services.

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Higher Quality Healthcare

We may demand better treatments, driving up costs.

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Increased Health Service Usage

More services used equals higher overall spending.

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Rational Decision Making

Making decisions by weighing costs and benefits.

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Marginal Analysis

Analyzing additional costs vs. additional benefits.

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Demand Insensitivity to Price

Prices don't always dictate use; need plays a role.

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Non-Profit Firms in Healthcare

Organizations with goals beyond profit (e.g., patient care).

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Uncertainty in Healthcare

Future health needs are hard to predict or guarantee.

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Equity and Need in Healthcare

Fairness; all should receive necessary services.

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Accessibility (Canada Health Act)

Ensuring reasonable access to services.

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Portability Defined

Covering residents when temporarily out of province.

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Health Status

Overall well-being; can range from good to poor.

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Health Care

Goods/services that influence health status.

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Utility

The happiness or satisfaction someone receives.

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Marginal Decision Making

Making step-by-step decisions.

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Marginal Benefit

Additional benefit from one more unit.

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Marginal Cost

Additional cost from one more unit.

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Financing Examples

Using taxes or premiums to pay for health care.

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Funding Defined

Giving financial resources to health organizations.

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Funding Allocation

Paying for different parts of the health system.

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Funding Trade Off

Decision of what services to prioritize.

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Fiscal Resources

Financial resources required for operation.

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Fiscal Organization

Organization that carries out activities.

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Resources raised through financing

Resources are raised through payments.

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Defining short term care

Acute short term care

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Inequity

The state of not being equal or fair.

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Scarcity

Resources are limited, a fundamental economic concept.

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Efficiency

Using resources to produce goods and services without waste.

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Cost-Effectiveness Efficiency

Producing goods/services at the lowest possible cost.

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Equitable Distribution

A distribution that is 'just' or 'fair'.

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Pareto Efficiency

Allocation where no one can be better off without making someone else worse off.

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Cost-Effectively Efficient

Production method where the outcome is achieved at the lowest total cost.

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Vertical Equity Within Area

Meeting higher need results in higher service utilization within an area.

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Vertical Equity Across Areas

Those in different areas need the same thing for the same care.

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Horizontal equity in healthcare

The same health need should result in the equivalent level of surgeries

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Meeting efficiency types

Meeting all types of efficiency means?

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Productive Resources

An efficient cost-effective allocation of productive resources

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Distribution of a good

An equitable distribution of a good often implies an unequal distribution of the good among members of society

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Pareto efficient allocations

Pareto efficient allocations always maximize welfare in society

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Programs

Which programs are being considered?

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Programme D

Program with the lowest total cost

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Goods and apples

An economy contains two people and two goods (apples and oranges). Person 1 likes apples and hates oranges (the more oranges she has, the worse off she is), and person 2 likes oranges and hates apples. There are 10 apples and 10 oranges

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Study Notes

  • Allocating equal amounts of goods to those similarly situated exemplifies horizontal equity.
  • Requiring higher-income individuals to contribute more to public health finance aligns with judging financial equity based on ability to pay, known as vertical equity.
  • Resource scarcity is a fundamental economic premise, while inefficiency arises from resource utilization. Efficient use involves technical efficiency (no wasted resources), cost-effectiveness efficiency (minimized costs), and allocative efficiency (alignment with consumer value).
  • Opportunity cost is inherent in all resource applications; a resource allocation's value must exceed its next best use, especially when meeting efficiency standards.
  • Equitable distribution implies potential inequality, considering factors like need, cost, divisibility, and scarcity, allowing unequal distributions to be deemed equitable.
  • Cost-effective resource allocation necessitates technological efficiency to minimize waste and achieve lowest costs.
  • Pareto efficient allocations may achieve allocative efficiency based on normative views. Pareto efficiency occurs when no one can improve without worsening another's situation, implying no waste.
  • In a two-person economy with apples and oranges, Pareto efficiency is reached when one person has all desired apples and the other all oranges, as no mutually beneficial trade exists beyond this point
  • The supply side of healthcare is referred to as health care delivery
  • Opportunity cost is the value of what you give up for the next best alternative
  • The test uses potential allocation to make people worse off
  • Doctors and nurses are complementary goods/services in health care
  • Cost benefit analysis calculates the net benefit of an intervention in dollar values
  • The social gradient in health is related to inequalities in social status, but not if an externality is involved
  • Raising revenues to pay for health care is called "health care financing"
  • The activity of raising revenues to pay for health care is called “health care financing” with health care publicly financed in Canada through taxation
  • Health care delivery refers to physicians, hospitals and pharmacies
  • Public policies that increase individual education levels are shown not to lead to increases in health levels
  • It has been found that, if anything, higher education levels are associated with lower health statuses, not the other way around
  • The negative correlation found between Education and Health is significant
  • The question above speaks to a causal relationship between Education and Health (if we increase someone's education will their health increase?) while the results appear to be simple correlation only
  • Age, Income and other important correlated variables are not included in the regression
  • High r-squared value implies that a lot of the variation in health data is explained
  • The 5 named criteria necessary under the Canada Health Act include all of the following EXCEPT equity
  • Delivery, Financing, Funding and Efficiency are aspect of the health care system whose primary responsibility is raising revenues and determining who bears the burden of paying for health care
  • Budget constraints that are not true are those that state budget constraints are curved (bowed inward)
  • McKeown showed that majority of historically rapidly falling rates of mortality for common diseases occurred before the invention of modern medicine became available
  • According to the standard Grossman model of demand for health capital that uses the concept of the marginal efficiency of investment (MEI), when a person receives a wage or income increase which of the following is FALSE: The person's marginal cost r+8 line shifts downwards

Production Method Efficiency in Nursing Homes

  • Programs A, C, and D exhibit technical efficiency, while Program B is technically inefficient due to higher nurse usage for equivalent results to C.
  • Program D demonstrates cost-effective efficiency with the lowest total cost among technically efficient options.

Health Care Utilization Equity Between Toronto and Owen Sound

  • Horizontal equity is absent as Toronto residents receive more surgeries regardless of need.
  • Vertical equity is met within each area, with higher need correlating to higher utilization but across areas it is not met.

Health Care Delivery

  • The supply side of the health care sector is health care delivery

Pareto Criterion

  • The Pareto Criterion is used as a possible determination of allocative efficiency

A tax on Cigarettes

  • The tax on cigarettes is both a positive and normative economic statement with a negative externality

The Canada Health Act

  • Health care insures all residents with uniform terms and conditions which represents universality

The Canadian Health Care System

  • The Canadian health care system is predominantly publicly financed (through taxation), and privately delivered (hospitals, physicians, and pharmaceutical firms are private)

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Description

Study notes for Health Economics AP/ECON 3510, Test #1, covering topics such as health care sector supply side, Canada Health Act criteria, Pareto criterion, and cigarette tax burden. Includes key concepts and principles discussed in the course.

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