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Remodeling health care

R H Sprinkle1

  • 1Duke University.

Journal of Health Politics, Policy and Law
|January 1, 1994
PubMed
Summary

Standard health economics models fail to control costs. A new Jevonian model better explains patient demand and supplier behavior, suggesting cost control through modulating factors beyond patient price manipulation.

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Area of Science:

  • Health economics
  • Political economy

Background:

  • Standard economic models for healthcare demand and supply focus on price manipulation for cost control.
  • These models inadequately capture patient demand complexity and primary drivers of healthcare cost escalation.

Purpose of the Study:

  • To present a Jevonian political-economic model for a more nuanced understanding of healthcare markets.
  • To identify alternative cost-control and care-enhancement strategies.

Main Methods:

  • Development of a Jevonian political-economic model.
  • Analysis of patient demand and physician/corporate supply behaviors within this framework.

Main Results:

  • The Jevonian model offers a richer portrayal of healthcare market dynamics.
  • Identifies limitations in standard models regarding cost escalation and demand behavior.

Conclusions:

  • Healthcare cost control can be achieved by modulating factors beyond patient price sensitivity.
  • Reforms should leverage the self-regulating nature of patient demand rather than solely discouraging utilization.

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