I denne artikkelen drøfter forfatterne bruk av nyere metoder innen økonomisk evaluering som samfunnet kan bruke for å prioritere mellom ulike behandlinger der både effektene og kostnadene er usikre. Tradisjonelt har man brukt p-verdier når man skal vurdere om én behandling er bedre enn en...

In health economics, cost-effectiveness is defined as maximized health benefits for a given health budget. When there is a private alternative to public treatments, care must be taken when using costeffectiveness analysis to decide what types of treatments should be included in the public...

Abstract Diagnostic tests and in particular laboratory tests are often important in diagnostic work-up and monitoring of patients. Therefore the economic consequences of medical actions based on test results may amount to a substantial proportion of health service costs. Thus, it is of public...

A central theme in the international debate on genetic testing concerns the extent to which insurance companies should be allowed to use genetic information in their design of insurance contracts. This issue is analysed within a model with the following important feature: A person's well-being...

Activity-based financing (ABF) was implemented in the Norwegian hospital sector from 1 July 1997. A fraction (30 to 50 per cent) of the block grant from the state to the county councils has been replaced by a matching grant depending upon the number and composition of hospital treatments. As a...

In this essay a conceptual and theoretical scheme for decentralized integrated health care systems of the northern European kind is developed. With small changes it is also applicable to other countries, e.g. Italy, Spain, and Portugal. Three ideas tie together the scheme: modified fiscal...

When the list patient system was introduced in Norway in 2001, the population was requested to choose a general practitioner (GP). Prior to the reform they were asked to rank their three most preferred GPs in an entry form. Information from the entry form was input for the algorithm1 that...

On June 1, 2001 a reform took place in Norwegian general practice. This implied some advantages of importance to empirical analysis. First, a new organisation and a new payment system were introduced, which makes it possible to perform before-after analysis. Second, the GPs' preferred list-sizes...

Rapporten er skrevet på oppdrag av Helse- og omsorgsdepartementet og skal analysere effekter av bruk av anbud i helseregionene etter sykehusreformen, og drøfte alternative modeller for bruk av private leverandører, herunder mulige effekter på prioriterting, kvalitet, kostnadseffektivitet og...

We study the interaction between patient shortage and patients' waiting time to get an appointment. From a theoretical model we predict that physicians experiencing a shortage of patients offer their patients a shorter waiting time than their unconstrained colleagues. This happens because a...