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Series:   Elements in Public Economics

Public Health Care

Published online by Cambridge University Press:  10 March 2025

Luigi Siciliani ,
Kurt Brekke ,
Mathias Kifmann  and
Odd Rune Straume
Luigi Siciliani
Affiliation:
University of York
Kurt Brekke
Affiliation:
Norwegian School of Economics
Mathias Kifmann
Affiliation:
University of Hamburg
Odd Rune Straume
Affiliation:
University of Minho

Summary

This Element discusses the role of the government in the financing and provision of public health care. It summarises core knowledge and findings in the economics literature, giving a state-of-the-art account of public health care. The first section is devoted to health system financing. It provides policy rationales for public health insurance which rely on both equity and efficiency, the co-existence of public and private health insurance, how health systems deal with excess demand, and the effect of health insurance expansion. The second section covers the provision of health care and the effect of policy interventions that aim at improving quality and efficiency, including reimbursement mechanisms, competition, public–private mix, and integrated care. The third section is devoted to the market for pharmaceuticals, focusing on the challenges of regulating on-patent and off-patent markets, and discussing the main incentives for pharmaceutical innovation.
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Keywords

health carehealth financinghealthcare provisionpharmaceuticalspublic
Type
Element
Information
Series: Elements in Public Economics
Online ISBN: 9781108652537
Publisher: Cambridge University Press
Print publication: 31 May 2025

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