Health Economics

A.Y. 2020/2021
Overall hours
Learning objectives
The course aims to provide the basic theoretical knowledge to analyze the health economics and the health market. The elements that distinguish the health markets and the specificities that characterize the Italian NHS will be illustrated. The main tools to analyze the efficiency and equity issues in the health sector will be accurately presented.
Expected learning outcomes
At the end of the course the student will know: the basic theoretical aspects to analyze the health economics and the health market; the elements that distinguish health markets; the specific elements that characterize the Italian NHS. The student will be aware of the main tools to analyze the efficiency and the equity issues in the healthcare sector.
Course syllabus and organization

Single session

Lesson period
Second trimester
Course syllabus
1. Introduction to health economics and international context
2. Demand for health care: (i) need and demand for health, (ii) demand or health care, (iii) Grossman model and its limitation, (iv) demand for healthcare in a static context
3. Agency: (i) GP-patient (ii) induced demand
4. Supply of health care: (i) clinician as supplier, (ii) hospital as a firm, (iii) measure and indices of productivity.
5. Waiting times and waiting lists
6. Prevention
7. Basic elements of pharma-economics
8. Economic evaluation: (i) cost of life and costs in health, (ii) cost-benefit, cost-efficacy and cost-utility in healthcare sector.
9. Macroeconomics and health policy: (i) public intervention, (ii) equity, (iii) insurance market.
Prerequisites for admission
There are no formal entry requirements. However, in order to fully understand several concepts that will be deepened during the course, students have to be aware of the basic concepts of Microeconomics, Economics and Public Economics.
Teaching methods
Taught classes and seminars
Teaching Resources
Levaggi, R.; Capri, S., Economia sanitaria. Milano: F. Angeli, 2009.
Mapelli, V., Il sistema sanitario italiano. Bologna: Il Mulino, 2012.
Costa G. et al, L'equità nella salute in Italia, Milano, Franco Angeli Editore, 2014.
Ministero della Salute (2016), Programmazione sanitaria e LEA, Livelli essenziali di assistenza (LEA)
Ministero della Salute (2016), Ricoveri ospedalieri (SDO), Il sistema DRG

In addition, during the course will be given students further references
Assessment methods and Criteria
Attendees: presence at lectures (10%) + small comments on the topics presented during lectures (30%) + final essay 2-3 pages long (30%) + written exam (1h) with open questions (30%).

NON-attendees: writing a 5-6 pages long essay on one of the possible auxiliary papers that will be listed by the end of the course (50%) + written exam (2h) with open questions (50%).
SECS-P/03 - PUBLIC ECONOMICS - University credits: 6
Lessons: 40 hours
Educational website(s)
Mondays, 9:00-12:00
MS Teams
Tuesday, 9.30-11 AM (write email before)
Via Livorno 1, 2nd floor, room 214