SciELO - Scientific Electronic Library Online

 
 número10Confiança nas Equipas de I&D: Operacionalização de um ConstructoAplicação da Teoria dos Rough Sets na Previsão do Fracasso Empresarial índice de autoresíndice de assuntosPesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Não possue artigos similaresSimilares em SciELO

Compartilhar


Tékhne - Revista de Estudos Politécnicos

versão impressa ISSN 1645-9911

Tékhne  n.10 Barcelos dez. 2008

 

Health economics or Health Care economics?[1]

Cláudia Cardoso[2]

ccardoso@ipca.pt

(recebido em 16 de Junho de 2008; aceite em 7 de Novembro de 2008)

 

 

Resumo: Arrow (1963) iniciou a discussão sobre mercados de cuidados de saúde. Contudo, foi Grossman (1972) quem apresentou um modelo de procura de saúde, mostrando que a problemática relevante era a Saúde e não os Cuidados de Saúde. Tanto Arrow como Grossman defenderam que os Cuidados de Saúde são apenas uma das variáveis que explicam a Saúde. Apesar de partirem da mesma premissa, os autores seguiram diferentes abordagens.

Discute-se se a disciplina, usualmente chamada de “Economia da Saúde” é essencialmente economia da saúde ou economia dos cuidados de saúde; e se é possível traçar uma fronteira precisa. A conclusão é que a separação existe e que, nas últimas décadas, a economia dos cuidados de saúde dominou a investigação.

Palavras-chave: pensamento económico, história económica, economia da saúde, economia dos cuidados de saúde, programas de investigação

 

 

Abstract. Arrow (1963) started the discussion about health care markets. However, Grossman (1972) was who presented a model of demand for health, showing that the relevant social concern was health, not health care. Both Arrow and Grossman defended that health care is just one of the variables that explain health. Despite starting from the same premise, they followed different approaches.

It is discussed if the discipline usually called ‘health economics’ is mainly health economics, or mainly health care economics; and if we can trace a precise distinction. The conclusion is that the separation exists and that, in the last decades, the health care economics had dominated the research.    

Keywords: economic thought, economic history, health economics, health care economics, research programmes

 

Full text only available in PDF format.

Texto completo disponível apenas em PDF.

 

 

References

Arrow. K. J. (1963). “Uncertainty and the welfare economics of medical care”. American Economic Review. 53 (5): 941-973        [ Links ]

Blaug. M. (1998). “Where are we now in British health economics?”. Health Economics. 7. s63-s78

Eatwell. J.. M. Milgate & P. Newman (Eds.) (1987). The New Palgrave: A Dictionary of Economics. In four volumes. Macmillan Press Limited

Edwards. R. T. (2001). “Paradigms and research programmes: is it time to move from health care economics to health economics?”. Health Economics. 10: 635-649

Fuchs. V. R. (1996). “Economics. Values. and health care reform”. American Economic Review. 86(1): 1–24

Fuchs. V. R. (2000). “The future of health economics”. Journal of Health Economics. 19(2): 141–157

Grossman. M. (1972). “On the concept of health capital and the demand for health”. Journal of Political Economy. 80(2): 223-255

Grossman. M. (2000). “The human capital model”. in Handbook of Health Economics. vol. 1A. ed. A. J. Culyer and J. P. Newhouse

Grossman. M. (2004). “The demand for health. 30 years later: a very personal retrospective and prospective reflection”. Journal of Health Economics. 23: 629-636

Hammer. P. J.. D. Haas-Wilson & W. M. Sage (2001). “Kenneth Arrow and the changing economics of health care: “Why Arrow? Why now?””. Journal of Health Politics. Policies and Law. 26(5): 835-849

Leibowitz. A. A. (2004). “The demand for health and health concerns after 30 years”. Journal of Health Economics. 23: 663-671

Maynard. A. & P. Kanavos (2000). “Health economics: an evolving paradigm”. Health Economics. 9: 183–190.

Mushkin. Selma J. (1958). “Toward a definition of health economics”. Public Health Reports. 73(9): 785-793

Phelps. C. E. (1995). “Perspectives in health economics”. Health Economics. 4(5): 335-353

Phelps. C. E. (2003). Health Economics. 3rd ed.. Pearson Education

Weisbrod. B. A.. (1991). “The health care quadrilemma: an essay on technological change. insurance. quality of care. and cost containment”. Journal of Economic Literature. 29: 523-552

The author acknowledges Professors Roger Backhouse and Pedro Teixeira for their helpful comments. This paper was used as a partial input to a collective work: Borges, Ana Pinto, Cardoso, Cláudia and Rebelo, Luís Pina (2007), “Health Economics: From a pool of thoughts, unravelling into two paths”, presented at HET 2007, Belfast.

 

[1] The author acknowledges Professors Roger Backhouse and Pedro Teixeira for their helpful comments. This paper was used as a partial input to a collective work: Borges, Ana Pinto, Cardoso, Cláudia and Rebelo, Luís Pina (2007), “Health Economics: From a pool of thoughts, unravelling into two paths”, presented at HET 2007, Belfast.

[2] Instituto Politécnico do Cávado e do Ave