Room MB439 Economics and Management Building C&F Times: Tuesdays and Fridays

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1 Personnel Module leader Contact details Health Economics Aki Tsuchiya Room MB439 Economics and Management Building C&F Times: Tuesdays and Fridays Prerequisites None Module Aims and Objectives Aims 1. to apply economic analysis to the market for health and health care and 2. to develop the skills required for the analysis of key issues in health economics. The intended learning outcomes are that by the end of the module you should demonstrate: 1. a comprehensive understanding of how advanced microeconomics can be used to address issues relating to the financing and provision of health care; 2. insight into the limitations of the neoclassical paradigm; the ability to understand, and critically assess the relevance of, recent contributions to the literature. Transferable Skills - Presentation skills - Independent research - Report writing Timetable - Ten 2-hr lectures between wk1 and wk10; Wednesdays MB G27 - One 2-hr presentation session wk9: Friday HI F24 - One 3-hr student conference wk10: Friday IC Collaboratory 1 Student Responsibilities - This is a 15 credit module and therefore it is expected it will require 150 study hours per student (including formal teaching hours). As a rough guideline this means you should expect to devote about 10 hours of study time per week to this module during a 15 week semester. - Attendance at all lectures and the two Friday sessions is compulsory and will be monitored. - Students should make use of staff consultation and feedback times to discuss any issues they have with the module. Assessment

2 - The assessment of this module will be by unseen exam (75%), and assignment (25%). - Coursework questions will be discussed during the wk1 lecture. - Deadline: Mon 10 Dec (wk12) - Word limit is strictly 3000 words. - Harvard referencing must be used. - Coursework must always be submitted in hard copy to the Enquiry Office, and by no later than 3.00pm on the day of the deadline. Unauthorised late submissions will incur a penalty of 5% of the mark per day for 5 working days and after that a mark of zero. - A Turnitin submission should be made within 5 working days of the paper copy deadline. Failure to submit an assessment to Turnitin by this date will lead to a zero mark for the assessment. - Marked coursework will be returned within 3 working weeks. - The exam will be 2 hours long. A specimen paper is on the module website - The pass mark for this module is 50% overall and there is a minimum mark required for every component of 40%. - Any change to assessment arrangements will be announced in lectures and also via the website. Reassessment - In the case of students who fail the exam of this module, repeat assessment will be by re-sit exam. In the case of students who fail the coursework of this module, repeat assessment will be by re-submission of the coursework. - Resit candidates must consult the website for further information, up until the time of the reassessment, not merely in semester time. Website - Students must read the module website regularly. The header on the homepage will indicate new posts but students should also check regularly for announcements. - Where students are expected to have access to lecture notes in the lecture these will always be posted at least 24 hours before the lecture. Student Feedback - The module website has a Module Feedback Report which gives a detailed account by the module leader of the student experience on this module last year. - Soon after coursework is returned to students, general feedback will be given on the website on performance in the coursework, in addition to the individual feedback given on the pink cover sheet which accompanies returned coursework. Course Outline and Reading There is no single textbook that covers all the material of the course, but the following books give basic introduction to a number of topics. - Dolan P, Olsen JA (2002), Distributing Health Care: Economic and Ethical Issues, Oxford University Press - Folland S, Goodman AC, Stano M (2009), The Economics of Health and Health Care, 6th ed, Pearson Education - Jones, AM ed (2012), The Elgar Companion to Health Economics, 2nd ed, Edward

3 Elgar - Morris S, Devlin N, Parkin D, Spencer A (2012), Economic Analysis in Health Care, 2nd ed, John Wiley Other general references - Culyer AJ, Newhouse JP eds. (2000), Handbook of Health Economics, Vols. 1A & 1B, Elsevier Science [vol. 1A available as e-book from Library] - Donaldson C, Gerard K (2005), Economics of Health Care Financing: The Visible Hand, 2nd ed, Palgrave McMillan - Glied S, Smith PC eds (2011), The Oxford Handbook of Health Economics, Oxford University Press - McGuire A, Henderson J, Mooney G (1988), The Economics of Health Care: An Introductory Text, Routledge [available as e-book from Library] - Mooney G (2009), Challenging Health Economics, Oxford University Press [available as e-book from library] - Olsen JA (2009), Principles in Health Economics and Policy, Oxford University Press - Rice T (2003), The Economics of Health Reconsidered, 2nd ed, Health Administration Press Specific reading by week wk 1: Introduction; and Characteristics of health and health care - Culyer AJ, Newhouse JP (2000), The state and scope of health economics, In Handbook of Health Economics, Vol. 1B (Culyer AJ, Newhouse JP eds) Elsevier Science * Maynard A, Kanavos P (2000), Health economics: an evolving paradigm, Health Economics, 9: Williams A (1987), Health economics: The Cheerful face of the dismal science? in Culyer AJ, Maynard A eds, Being Reasonable about the Economics of Health: Selected Essays by Alan Williams * Arrow KJ (1963), Uncertainty and the welfare economics of medical care, American Economic Review, 53, wk 2: Production of health * Bolin K (2011), Health production, in Glied S, Smith PC eds, The Oxford Handbook of Health Economics, Oxford University Press - Evans RG, Stoddart GL (1990), Producing health, consuming health care, Social Science and Medicine, 31(12): Leibowitz AA (2004), The demand for health and health concerns after 30 years, Journal of Health Economics, 23:

4 wk 3: Health care insurance * Nyman JA (1999), The economics of moral hazard revisited, Journal of Health Economics, 18: * Pauly MV (1968), The economics of moral hazard: comment, The American Economic Review, 58(3): * Rice T (1992), An alternative framework for evaluating welfare losses in the health care market, Journal of Health Economics, 11:85-92 wk 4: Information * Labelle R, Stoddart G, Rice T (1994), A re-examination of the meaning and importance of supplier-induced demand, Journal of Health Economics, 13, * Pauly MV (1994), Editorial: A re-examination of the meaning and importance of supplier-induced demand, Journal of Health Economics, 13: * Carlsen F, Grytten J, (2000), Consumer satisfaction and supplier induced demand Journal of Health Economics, 19(5): wk 5: Normative health economics - Culyer AJ, Evans RG (1996), Mark Pauly on welfare economics: normative rabbits from positive hats, Journal of Health Economics, 15: Pauly MV (1996), Reply to Anthony J. Culyer and Robert G. Evans, Journal of Health Economics, 15: * Tsuchiya A, Williams A (2001), Welfare economics and economic evaluation. in Drummond M, McGuire A, eds, Theory and Practice of Economic Evaluation in Health Care, Oxford University Press wk 6: Equity and equality * Culyer AJ Wagstaff A (1993), Equity and equality in health and health care, Journal of Health Economics, 12, * Fleurbaey M, Schokkaert E, Unfair inequalities in health and health care, Journal of Health Economics, 28(1): Wagstaff A (1994). QALYs and the equity-efficiency trade-off. In Layard A, Glaister S, eds. Cost-Benefit Analysis. 2 ed. Cambridge University Press (reprinted from Journal of Health Economics, 10:21-41, 1991, with corrections) - Williams A, Cookson R (2000), Equity in health, In Culyer AJ, Newhouse JP eds Handbook of Health Economics, Vol. 1B, Elsevier Science. wk 7: Welfarist and non-welfarist health economics * Birch S, Donaldson C (2003), Valuing the benefits and costs of health care programmes: where's the extra in extra-welfarism?, Social Science & Medicine,

5 56(5): * Culyer AJ (1989), The normative economics of health care finance and provision, Oxford Review of Economic Policy, 5(1) Hurley J (2000), An overview of the normative economics of the health sector, in Culyer AJ, Newhouse JP eds Handbook of Health Economics, Vol. 1A, Elsevier Science [available as e-book from Library] - Tsuchiya A, Miyamoto J (2009), Chapter 20 Social choice in health and health care, in Anand P, Puppe C, Pattanaik P. eds, Handbook of Rational and Social Choice, Oxford University Press - Mooney G (2009), Challenging Health Economics, Oxford University Press [available as e-book from library] wk 8: CBA vs CEA/CUA - Garber AM, Phelps CE (1997), Economic foundations of cost-effectiveness analysis, Journal of Health Economics, 16:1-31 * Johannesson M (1995), The relationship between cost-effectiveness analysis and cost-benefit analysis, Social Science & Medicine, 41(4): Brazier J, Ratcliffe J, Salomon J, Tsuchiya A. (2007), Measuring and Valuing Health Benefits for Economic Evaluation, Oxford University Press; Chapter 3: Foundations in welfare economics and utility theory: what should be valued? wk 9: Incorporating public views in health care priority setting * Dolan P, Olsen JA, Menzel P, Richardson J (2003), An inquiry into the different perspectives that can be used when eliciting preferences in health, Health Economics, 12: Nord E, Pinto JL, Richardson J, Menzel P, Ubel P (1999), Incorporating societal concerns for fairness in numerical valuations of health programmes, Health Economics, 8, Ratcliffe J. (2000). Public preferences for the allocation of donor liver grafts for transplantation. Health Economics 9(2): Richardson J, McKie J (2005), Empiricism, ethics and orthodox economic theory: what is the appropriate basis for decision-making in the health sector? Social Science & Medicine, 60: * Schwappach D (2003), Does it matter who you are or what you gain? An experimental study of preferences for resource allocation, Health Economics. 12(4): Tsuchiya A, (2012) "Distributional judgements in the context of economic evaluation" in Jones, AM (ed), The Elgar Companion to Health Economics 2nd edition pp , Edward Elgar [Eoffprint available] wk 10: Health care systems

6 * <accessed 08 Sep 2012> - Gerdtham UG, Jönsson B (2000), International comparisons of health expenditure: Theory, data and econometric analysis, in Culyer AJ, Newhouse JP eds Handbook of Health Economics, Vol. 1A, Elsevier Science [available as e-book from Library] - Wagstaff A, van Doorslaer E (1992), Equity in the finance of health care: Some international comparisons, Journal of Heath Economics, 11: Wagstaff A, van Doorslaer E, et al (1999), Equity in the finance of health care: some further international comparisons, Journal of Health Economics, 18: Note that the schedule of topics may be altered. [version 8 Sep 2012]

ECON 834: Health Economics University of Saskatchewan Department of Economics. Professor Nazmi Sari Phone: (306)

ECON 834: Health Economics University of Saskatchewan Department of Economics Professor Nazmi Sari Phone: (306) 966-5216 Office: Arts 815 E-mail: Nazmi.Sari@usask.ca Office Hours: TBA. Web: http://homepage.usask.ca/~sari/