Davis / McMaster Health Care Economics

Erscheinungsjahr 2017
ISBN: 978-1-317-29400-9
Verlag: CRC Press
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 234 Seiten

Reihe: Routledge Advances in Social Economics

The analytical approach of standard health economics has so far failed to sufficiently account for the nature of care. This has important ramifications for the analysis and valuation of care, and therefore for the pattern of health and medical care provision. This book sets out an alternative approach, which places care at the centre of an economics of health, showing how essential it is that care is appropriately recognised in policy as a means of enhancing the dignity of the individual.

Whereas traditional health economics has tended to eschew value issues, this book embraces them, introducing care as a normative element at the centre of theoretical analysis. Drawing upon care theory from feminist works, philosophy, nursing and medicine, and political economy, the authors develop a health care economics with a moral basis in health care systems. In providing deeper insights into the nature of care and caring, this book seeks to redress the shortcomings of the standard approach and to contribute to the development of a more person-based approach to health and medical care in economics.

Health Care Economics will be of interest to researchers and post-graduate students in health economics, heterodox economists, and those interested in health and medical care.

Autoren/Hrsg.

Davis, John B

McMaster, Robert

Fachgebiete

• Wirtschaftswissenschaften Wirtschaftssektoren & Branchen Fertigungsindustrie Pharmaindustrie

Inhaltsverzeichnis

List of Figures and Tables

Foreword

Preface

Acknowledgements

Chapter 1 – Health Care Economics

1.1 Introduction: Mainstream ‘health’ care economics?

1.2 The microeconomics of health care markets: Principal-agent theory, moral hazard, and care

1.3 Care as a market externality: Caring externalities

1.4 The problematic nature of caring externalities

1.5 Care and the socially embedded individual

1.6 An alternative health economics

1.7 Outline of the argument of the book

Part 1 – Health Care Notions: Health Economics and the Biomedical Approach

Chapter 2 – Health Care, Medical Care and the Biomedical Approach

2.1 Introduction: Health care and medical care

2.2 Medical care: The biomedical approach

2.3 Health economics and the biomedical approach

2.4 The biomedical approach to medical care: Issues and concerns

2.4.1 Disease, illness and the social sphere

2.4.2 Of Salutogenesis: A preference for ‘health-ease’ as opposed to ‘dis-ease’

2.4.3 Tensions with the Hippocratic tradition

2.5 Delineating medical care and health care

Chapter 3 – On Identifying and Categorizing Health and Medical Care

3.1 Introduction

3.2 The array and types of health care

3.2.1 Health economics and the array of health care

3.2.2 Health care institutions: Types, structures, and social embeddedness

3.3 Delivery levels of medical care

3.3.1 Primary care

3.3.2 Secondary care

3.3.3 Tertiary and quaternary medical care

3.3.4 Care beyond medical facilities

3.4 Medical (and health) care as distinctive measures

3.4.1 Preventive care and medicine

3.4.2 Curative medical care

3.4.2.1 Acute medical care

3.4.2.2 Therapeutic medical care

3.4.3 Palliative care

3.5 Some concluding thoughts

Part 2 – Theories of Care: Towards Health and Medical Care

Chapter 4 – Economics and Care

4.1 Introduction

4.2 Care in ‘early’ economic thought

4.2.1 Adam Smith and care

4.2.2 Karl Marx

4.2.3 Thorstein Veblen and the ‘parental bent’

4.3 Kenneth Boulding: Health economist?

4.4 Gavin Mooney on health care: From community ties to participation to reciprocity

4.5 Caring labor as a characteristic human activity: Feminist economics

Chapter 5 – Capturing Care

5.1 Introduction

5.2 An overarching definition of care?

5.3 Care of the self

5.3.1 Heidegger: care as existentialist

5.3.2 Foucault: Power, knowledge, and care of the self

5.4 The aims of care

5.4.1 Medical care: Watson’s caritas

5.5 Phases and types of care

5.6 Some final thoughts

Part 3 – Care Systems, Human Flourishing, and Policy

Chapter 6 – Institutions, Groups, and the Morality of Care

6.1 Introduction

6.2 Institutions and institutional economics

6.2.1 Definitions of institutions

6.2.2 Habits, instincts, and calculation: Towards a socially embedded individual

6.2.3 Shared intentionality and the socially embedded individual

6.3 Health and medical care institutions: Medical pluralism and the three sectors of health care

6.3.1 The social embeddedness of medical systems

6.3.2 Overlapping health care sectors

6.3.3 The ‘total institution’

6.4 Moral groups of care

6.5 Medical groups of care

Chapter 7 – Developing Capabilities and the Dignity of the Individual

7.1 Introduction

7.2 Health capabilities and their social embeddeness in care relationships

7.3 The values of socially embedded health capabilities

7.3.1 Well-being achievement and the value of equality

7.3.2 Well-being freedom and the value of ex ante responsibility

7.3.3 Agency achievement and the value of human rights

7.3.4 Agency freedom and the value of freedom, negative and positive

7.4 The nature of the person as a focus of care in socially embedded care relationships

7.4.1 The capability approach and the dignity of the person

7.4.2 The normative values of social embedded health care and the dignity of the person

7.4.3 The dignity conception of the person compared to the utility conception

Chapter 8 – Social Values in Health Care Systems

8.1 Introduction

8.2 Public health and the social causes of inequalities in health

8.2.1 The ‘social causation’ model

8.2.2 The effects of discrimination on economic inequality

8.3 Public health and health capability improvement

8.4 The normative objectives of health care systems

8.4.1 Combining top-down social goals and ground-up moral values

8.4.2 The conflict between social goals and moral values under stigmatization

8.4.3 Person-centred care rather than patient-centered care: The dignity of the individual deserving of care

8.5 The institutional and normative foundations of health care

Chapter 9 –Towards Dignity in Comprehensive Health Caring

9.1 The polarity in conceptions of care

9.2 The importance of dignity

9.3 Health policy for today and the future

9.4 Whither economics?

Index

Über Autor(innen)

John B. Davis is Professor of Economics at Marquette University and Professor of Economics at University of Amsterdam. He is co-editor of the Journal of Economic Methodology. He is author of Individuals and Identity in Economics, The Theory of the Individual in Economics, and Keynes’s Philosophical Development.

Robert McMaster is Professor Political Economy in the Adam Smith Business School at the University of Glasgow. He was a co-editor of the Review of Social Economy from 2005-2016. He has published numerous academic articles and is a co-editor of the four volume Social Economics collection in the Routledge series on Critical Concepts in Economics.