Confronted with the continuing cost expansion in the health care sector, policy makers face a dilemma: limiting moral hazard in medical care requires that consumers participate in the cost, yet copayment is strongly resisted by today's socially insured. Thus, the experiences of three private German health insurers will be of interest to physicians, social scientists, and policy makers. Insurer A writes conventional plans with deductibles and coinsurance; B pays back three-monthly premiums as a fixed rebate for no claims; while C runs an experience-rated bonus system starting with a rebate of...

Health, The Medical Profession, and Regulation presents new evidence concerning health and the environment, inequality of health in many countries, and the compatibility of different quality of life measurements, along with new solutions to problems of health policy. The book is grouped into three sections. Section I, comprising six papers, looks into the determinants of people's health. Section II consists of three papers and deals with the supply side of the market for health care services. Finally, Section III contains three contributions devoted to health regulation. The intended...

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...

Massnahmen der Gesundheits- und Sozialpolitik, z. B. der Kosten dampfung im Gesundheitswesen, zielen oft auf eine Beeinflussung des Verhaltens der niedergelassenen Aerzte abo Mangels diffe renzierter Vorstellungen liber die komplexen Zusammenhange werden dabei Primitivannahmen getroffen, z. B. nur ein Einkommensin teresse des Arztes unterstellt oder plumpe Versuche direkter Kontrollen unternommen. Eine erfahrungswissenschaftliche Fundie rung solcher Massnahmen setzt im Gegensatz hierzu voraus: eine konsistente und liberprlifte Theorie arztlichen Verhaltens, welche es ermoglicht,...