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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

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Related Experiment Video

Updated: Jun 22, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Primary care delivery, risk pooling and economic efficiency.

Michael C M Leung1

  • 1School of Public Health, The Chinese University of Hong Kong, Shatin, Hong Kong. b578769@cuhk.edu.hk

The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care
|June 17, 2009
PubMed
Summary

Game theory reveals that cost-sharing in consumer-driven health care can prevent over-treatment due to information gaps. Alternative insurance models also ensure efficient treatment, offering better consumer welfare and supporting market regulation.

Related Experiment Videos

Last Updated: Jun 22, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Area of Science:

  • Health economics
  • Game theory applications
  • Healthcare market analysis

Background:

  • Consumer-driven health care presents challenges due to information asymmetry between providers and patients.
  • Existing health insurance plans have varying impacts on healthcare utilization and efficiency.
  • Understanding consumer behavior is crucial for optimizing healthcare delivery and outcomes.

Purpose of the Study:

  • To analyze the consequences of consumer-driven health care under different insurance models using game theory.
  • To investigate how demand-side cost-sharing influences provider and consumer behavior.
  • To evaluate the efficiency and welfare implications of various healthcare provision models.

Main Methods:

  • Game theoretic modeling to simulate healthcare market interactions.
  • Analysis of information asymmetry between healthcare providers and consumers.
  • Comparative assessment of different health insurance plan structures.

Main Results:

  • Demand-side cost-sharing effectively mitigates over-treatment in scenarios with information asymmetry.
  • Alternative models, including full insurance with fixed salaries or referral systems, achieve treatment efficiency.
  • These alternative models demonstrate superior welfare outcomes for consumers.

Conclusions:

  • Regulation in healthcare markets can lead to more efficient and equitable outcomes.
  • Strategic use of cost-sharing and insurance design can align provider and consumer incentives.
  • Findings support a balanced approach to healthcare market oversight for improved public welfare.