HEALTH ECONOMICS
Academic year and teacher
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- Versione italiana
- Academic year
- 2022/2023
- Teacher
- EMIDIA VAGNONI
- Credits
- 6
- Didactic period
- Primo Semestre
- SSD
- SECS-P/07
Training objectives
- The subject aims at developing students' knowledge related to the basics of NHS structure, the pharmaceutical function and the role of Community pharmacies to health goals. Furthermore, the subject aims at developing the capacity of the students to analyse the impact of the institutional context on the pharmacists' action, to apply the basic management accounting techniques, and to develop a management controlling approach.
Prerequisites
- Interest in the economic context and the work environment.
Course programme
- Section I - Health expenditure and NHS
Health expenditure and pharmaceutical expenditure
The main health expenditure areas: an analysis
The NHS
The Organization of NHS
The central, the regional and the local organization of NHS
The National Health Plan
The minim level of health assistance
THe funding process of health services
Defining the regional health fund
The regional level: policies and actions for health and drugs
Section II - Pharmaceutical expenditures' controlling mechanisms and policies
Regional policies to control pharmaceutical costs: risk sharing, pay back, copayment, etc.
The health organizations
Governance and structure
The quasi-market situation
Economic evaluation: CEA, CBA, CUA
Pharmacoeconomics
Section III - Community pharmacy's management
Basics of firm theory
Strategic planning for pharmacies
Managerial control system
Budgeting and cost analysis
Costs classifications
Break even analysis
Basics of balance sheet
The evolution of community pharmacy role: from drugs' delivery to services delivery
Pharmaceutical Care approach
Analysis of the recent legislation (Law 69/2009 and following decrees)
Mechanism to reward pharmacies: from mark up to fee for services systems
International experience with regard to pharmacies rewarding mechanismsCommunity Pharmacy contribution to social and environmental sustainability
The state of the art about the revision of the national Agreement between NHS and community pharmacies Didactic methods
- On campus interactive lectures and case studies (at least with regard to pharmacoeconomics techniques, to cost accounting and to break even point),
scientific literature analysis (at least with regard to the pharmacist role, and to pharmaceutical care),
and, eventually, assignments. Learning assessment procedures
- Compulsory written assessment, eventually followed by an interview.
The written evaluation is organized in a close test composed of about 25 questions and 3 open answered questions. The student has to complete the entire written exam in almost 1 hour.
The close test is organized in questions, each of them has three possible answer, and only one is the right one. For each wrong reply, for each question not replied, some points will be deducted from the maximum mark achievable.
The eventual interview exam is organized in three/four questions, and it lasts almost 10 minutes. Reference texts
- Vagnoni E (2013) Le sfide manageriali delle farmacie. Franco Angeli, Milano
and
Teaching materials (articles) that support specific lectures and that will be availableto the students on the dedicated Classroom.
To deepend some fundamentals of firm's management, please give a look at: M. Benassi (2005). Economia e Gestione d'impresa. Cedam. Or any other management manual.
