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所在平台: Coursera |
课程主页: https://www.coursera.org/learn/health-economics-us-healthcare-systems
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课程名称：《医疗保健交付的经济学》 课程概述：本课程将帮助您了解医疗保健的关键组成部分以及其背后的经济学原理和定价策略。由宾夕法尼亚医学院的Ezekiel Emanuel教授和沃顿商学院的Guy David教授设计，课程旨在帮助您理解医疗保健系统和健康保险的复杂结构。通过从经济学角度分析医疗提供者和保险，您将学习基本经济原理如何适用于原则和支付方法。完成本课程后，您将能够识别不同类型的医疗提供者，并理解提供者与患者之间的动态关系，从而能够运用最佳实践并最大化您的医疗组织利润。 课程大纲： 模块1：美国医疗保健系统的历史与结构 描述：Ezekiel Emanuel博士将介绍门诊医疗提供者的概况、美国医疗改革的历史、医疗补助及其他政府保险计划的审视，以及私营健康保险的介绍。Guy David教授将探讨医疗保健的铁三角（质量、成本和获取）和医疗保健政策的关注领域。 模块2：保险经济学 描述：在本模块中，Guy David教授将介绍保险的经济学及其结构和关键组成部分，讨论风险厌恶和道德风险的概念，以及成本分担和逆向选择的挑战。 模块3：医疗保健经济学的提供者与医院视角 描述：Guy David教授将从医生和医院的角度考察医疗保健的经济学，包括激励的影响、供应商诱导的需求、成本转嫁和交叉补贴等问题。Ezekiel Emanuel博士将解释医院和医生的支付方式，并探讨提供行为健康的协作护理模式。 模块4：后急性和临终关怀的经济学 描述：在本模块中，Guy David教授将考察后急性和临终关怀的经济学以及向医院外部护理的转变。他将解释纵向与横向整合、价格歧视和价格固定对医疗系统的相关性，并审查需要证书和反垄断法规，以及确定合并是否违反反垄断法的过程。完成本模块后，您将更深入地理解医疗生态系统，以及各种医疗提供者在该系统内如何相互影响。
Name:Module 1
Description:Important Program Note: A revised course version is set to launch on or near July 1, 2025. If you are a student with late work, deadlines will be reset and the content will be updated.This module is designed to give you an understanding of the history and structure of the American health care system. Dr. Emanuel begins with an overview of ambulatory care providers, the history of health care reform in the United States, an examination of Medicaid and other government insurance programs, and an introduction to private health insurance. Prof. David explores the concept of the iron triangle of health care—quality, cost, and access—and the focus areas for health care policy.
Name:Module 2
Description:This module introduces the economics of insurance, as well as its structure and key components. Prof. David will also examine the concepts of risk aversion and moral hazard, and the challenges of cost sharing and adverse selection.
Name:Module 3
Description:In this module, Prof. David surveys the economics of health care from the physician and hospital perspectives, including the impact of incentives, supplier-induced demand, cost-shifting, and cross-subsidization. Dr. Emanuel explains provider payments to hospitals and doctors, and he examines collaborative care models offering behavioral health.
Name:Module 4
Description:In this module, Prof. David surveys the economics of post-acute and hospice care and the shift toward care outside the hospital. He explains the relevance of vertical and horizontal integration, price discrimination, and price fixing to health systems. And he examines certificate of need and antitrust regulations, as well as the process for determining whether mergers violate antitrust laws. By the end of this module, you will have a deeper understanding of the health care ecosystem, and how various providers of health care affect each other within that system.
In this course, you’ll learn about the key components of health care, and the economics behind their principles and pricing strategies. Professors Ezekiel Emanuel of Penn Medicine and Guy David of the Wharton School have designed this course to help you understand the complex structure of the health care system and health insurance. Through study and analysis of providers and insurance through an economic lens, you’ll learn how basic economic principles apply to both principles and payment methods. By the end of this course, you’ll be able to identify different types of health care providers and understand the dynamic between the providers and patient so you can employ best practices and maximize profit for your health care organization.
