___ ___ _______________ ________ / / / / / _____________/ / ___ | / / / / / / / / | | _ / / / / / / / / | | |_| / / / / / / / / | | _ / /__________/ / / /______ / /______| | | | / ___________ / / _______/ / ________ | | | / / / / / / / / | | | | / / / / / / / / | | | | / / / / / / / / | | | | / / / / / /_____________ / / | | |_| /__/ /__/ /________________/ /__/ |__| electronic HEALTH ECONOMICS ANALYSIS LETTERS |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| ||||||||||| Volume 2, Number 6, June 1997 ||||||||||| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| A publication of the INTERNATIONAL HEALTH ECONOMICS ASSOCIATION (iHEA) **** Back issues of eHEAL are archived on the iHEA WWW homepage at: **** **** . **** EDITORIAL BOARD W. David Bradford, Ph.D. Department of Economics, University of New Hampshire Jim Burgess, Ph.D. Management Science Group, Department of Veterans Affairs NOTES TO CONTRIBUTORS The editors must hear from you so that eHEAL can effectively serve as a medium of communication for iHEA members. We are soliciting contributions from all members who have information relevant to the membership at large. There are a number of specific items we are seeking: * Announcement of job openings; * Announcement of conferences or seminars in health economics; * Calls for papers by journals and book editors; * Announcements of new appointments and promotions; * Articles describing activities or new initiatives at your institution, Center or firm (perhaps describing your departmental or university programs in health economics, discussing new pedagogical tools used in health economics education, describing new governmental policy initiatives or programs, and so forth). Please send any contributions via e-mail to the editors: W. David Bradford or James Burgess . ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||||| Contents for the Issue ||||||||||||||||| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| FEATURE ARTICLES: GRANTS FOR RESEARCH ON HEALTH SECTOR REFORM HEALTH ECONOMICS AND FINANCING SHORT COURSE JOBS UNIVERISTY OF BIRMINGHAM CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO HENRY FORD HEALTH SYSTEM MEDICAL UNIVERSITY OF SOUTH CAROLINA PHYSICIAN PAYMENT REVIEW COMMISSION ROCHE GLOBAL PHARMACOECONOMIC RESEARCH UNIVERSITY OF SOUTH CAROLINA CONFERENCES 10th ANNIVERSARY HEALTH POLICY CONFERENCE 2nd ANNUAL SUMMIT ON INTERNATIONAL MANAGED CARE TRENDS SYMPOSIUM ON HEALTH CARE AND PAYMENT SYSTEM REFORM FORTHCOMING ARTICLES HEALTH CARE MANAGEMENT REVIEW, Vol. 22, No. 2; Spring 1997 JOURNAL OF HEALTH ECONOMICS, Vol. 16, No. 1, February 1997 MEDICAL CARE, Vol. 35, No. 4, April 1997 SUBSCRIPTION AND MEMBERSHIP INFORMATION --------------------------------------------------------------------------- This newsletter is typeset in Courier 10 point font, and reads best that format. If the document is not well-aligned, reset your mail reader to display a non-proportional font (such as Courier). -------------------------------------------------------------------------- -------------------------------------------------------------------------- FEATURE ARTICLES -------------------------------------------------------------------------- GRANTS FOR RESEARCH ON HEALTH SECTOR REFORM The Partnerships for Health Reform (PHR) project is pleased to announce the second round of competition in the small applied research (SAR) grants program for individuals, research, and nonprofit organizations working in the health sector in countries eligible for USAID assistance. Seven to ten grants ranging from US$20,000 to $30,000 will be awarded. The objectives of the SAR program for developing countries are to: * Advance knowledge of health sector problems and solutions * Build policy research capacity * Support health sector reforms. PHR currently solicits proposals on one of the following four themes: 1. Protecting the poor and high risk groups during health financing reform Many countries are experimenting with alternative means to protect the poor and high risk groups (such as children and HIV+ people) during health financing reform. PHR would like to support research examining innovative means to target subsidies or exemptions on the poor. Other reforms of interest include: financing schemes which allow payment in kind, prepayment schemes amongst low-income groups or special insurance arrangements for the indigent created as part of health insurance reform. Research proposals could examine both the success of arrangements such as these in identifying the poor and their effectiveness in protecting them. 2. Costing, financing and provision of priority services USAID priority services include reproductive health, family planning, child health and AIDS. PHR is interested in supporting studies which assess the cost-effectiveness of alternative ways of delivering these services (for example, studies could compare hospital-based AIDS care with home-based care). It is generally thought inappropriate to charge fees for these priority services but PHR would be interested in analyses of this question. With respect to provision, two areas are of particular interest. First, decentralization may threaten priority services previously delivered in a vertical manner; what impact has decentralization had upon priority services? Second, how successful have attempts been to work with the private sector in delivering priority services? 3. Setting incentives and the public/private mix in health care One of the aims of health sector reform is often to create greater diversity in the provision of health care. Government has a number of instruments which it may use to affect both the quantity and quality of private supply of health care. Considerable work has already been done or is underway, looking at contracting private health care providers and the regulatory framework governing the private sector. PHR is interested in how government can set incentives to affect the public/private mix. For example, how well do incentives aimed at encouraging private providers to locate in rural areas or to provide certain sorts of services work? Incentives within the public sector, but with private sector implications, are also of interest: how effective are non-private practice allowances paid to public sector doctors, how do performance-related incentives in the public sector affect the behavior of government doctors in both public and private sectors? 4. Innovations in paying and financing hospitals In order to improve efficiency and resource allocation many countries have changed the way hospitals are paid and financed. In some cases payment has shifted from retrospective fee-for-service or global budgeting to prospective payment methods such as case-based payment. As part of the decentralization process, hospitals have often been given greater control over their own budgets. Simultaneously hospitals have engaged in new ways to raise finance, for example through user fees, hospital-based prepayment schemes, and the establishment of private wards. Research could focus on the impact of reforms on factors such as quality of care, efficiency and financial sustainability, or alternatively, the type of management reforms necessary to support reforms in hospital financing and payment. For more information or to apply for a grant, contact Rami Elamine at the PHR address to receive a package containing the grant application format, a sample proposal, and the criteria which will be used to judge the proposals. While all products submitted under the grant can be in French or Spanish, all proposals must be submitted in English, and budgets in US dollars. PHR regrets this additional application cost, but time and budgetary constraints prevent PHR from translating the numerous proposals anticipated. Requests can also be made via the internet by sending an e-mail to rami_elamine@abtassoc.com. The proposal package can also be downloaded from the PHR web site at http:\www.phrproject.com. All grant applications must be submitted to PHR by August 15, 1997. While PHR can provide support to extend research funded by other sources, PHR cannot double or jointly fund research. PHR awards seven to ten small grants ($20,000-$30,000) annually, over the life of the project (1995-2000), which best support the PHR Project objectives in three core areas of operation: health policy and management, health care financing, and health service improvement.). Seven proposals were awarded under the first funding cycle, October 1996-September 1997. For more information on the first seven grants, please see "in brief, November 1996, Small Applied Research Grants." PHR is a global project of the USAID Office of Health and Nutrition, Policy and Reform division. PHR works with partners to develop, test, and implement reforms that improve equity, efficiency, effectiveness, quality, and sustainability of health systems. --------------------------------------------- HEALTH ECONOMICS AND FINANCING SHORT COURSE BACKGROUND TO PROGRAMME There are presently limited opportunities for health economics study within Africa. In recognition of the need to develop health economics, financing and planning capacity in African countries, the Health Economics Unit at the University of Cape Town and the Centre for Health Policy at the University of the Witwatersrand will be offering a three week short course in September 1997. This course focuses on health sector financing and organisational reforms, and budgeting and planning processes, and is based on similar courses offered internationally. The content is applied, and case study materials, based on recent health sector reform initiatives in a range of African countries, have been specifically developed for this course. TARGET AUDIENCE This course is primarily aimed at mid-level managers within the public health sector and within non-governmental agencies. This course may also be of interest to researchers who work closely with health authorities. Course participants will be drawn from a range of African countries. Fluency in English is required for this course, but no previous economics background is required. COURSE OBJECTIVES The short course aims to equip health sector managers to apply basic tools of economic evaluation to the health sector. The objectives of this course are to: *provide an introduction to health policy; *provide an overview of recent health sector financing and organisational reform initiatives; develop skills in documenting health care expenditure and compiling routine National Health Accounts; *provide an understanding of alternative methods of financing and paying for health services, and to develop skills for analysing these alternatives within specific country contexts; *develop skills in health sector planning, with particular reference to budgeting and the allocation of resources for health care provision; and *develop skills in selecting and applying appropriate tools of economic analysis to evaluate the inputs, processes and outcomes of health services, programmes and policies. These issues will be addressed with reference to low- and middle-income countries, particularly within the African context. COURSE STRUCTURE AND TEACHING METHODS This course has an applied focus. It combines formal instruction with exercises and group work to review case studies. The course demands active student participation and individual after-hours study. Participants will be required to prepare a country profile during the course, and are requested to bring the following information to the course (either relating to their country of origin or another low- or middle-income country in which they have an interest): *Basic socio-economic indicators; *Data on morbidity and mortality; *Description of how health services are provided; *Data on health facilities and personnel; *Data on health care expenditure, including the public/private sector mix and the distribution between levels of care (e.g. primary health care, different categories of hospitals) and by source of finance; and *Information on recent health sector reform initiatives. TEACHING STAFF The course will be taught by staff of the Health Economics Unit (University of Cape Town), the Centre for Health Policy (University of the Witwatersrand), and the London School of Hygiene and Tropical Medicine. These academics have experience of health sector work in a wide range of African countries, as well as knowledge of other settings. COURSE DETAILS The course will be held from 10 to 28 November 1997 in Cape Town, South Africa. The course fee is US$1,700. Accommodation and full board is available at the University of Cape Town (approximately US$50 per day) FURTHER INFORMATION Further information on the course content can be obtained from the Health Economics Unit, University of Cape Town. Telephone: (27-21) 406-6558 Facsimile: (27-21) 448-8152 e-mail: lk@anat.uct.ac.za dimac@anat.uct.ac.za Applications should preferably be sent to the above facsimile number, or may be mailed to the following address: Health Economics Unit, Department of Community Health, University of Cape Town, Medical School, Anzio Road, Observatory, 7925, SOUTH AFRICA Applications should include the following information: Details of educational background; Details of current and past work experience; A brief description of your reasons for wanting to attend the course; and Full contact details, including a facsimile number. Please use the above format and ensure that all the information requested is included in your application. Letters of acceptance will be faxed to applicants by mid-August 1997, to allow adequate time for the processing of visa applications. We recommend that applicants approach donor organisations for bursary support at an early stage. Applications close 1 August 1997 -------------------------------------------------------------------------- JOBS -------------------------------------------------------------------------- UNIVERSITY OF BIRMINGHAM The following posts are available at the Health Economics Facility, University of Birmingham: 2 Senior Lecturers and 1 Lecturer. Salary: Senior Lecturer in the range ú29,380-ú33,202 Lecturer in the range ú16,045-ú27,985 Hours: Fulltime (consideration given to part time proposals) Starting Date/ Duration: As soon as possible, for three years in the first instance. Post reference: C14164/97 Closing date: 30 June 1997. PERSON SPECIFICATION Senior Lecturers - Health Economics Facility The Senior Lecturers must be able to demonstrate particular expertise in research, development or teaching and training, as well the ability to manage projects and staff. Specialist skills might include: -analytic skills such as simulations, decision analysis, meta- analysis, systematic reviews and medical statistics, -ability to use routine NHS data sources, stay abreast of current developments and help provide comparative analyses at both purchaser and provider levels -knowledge of industrial economics including efficient contracting, product definition, costing, market regulation and role of information technology, Lecturers - Health Economics Facility Lecturers must be able to demonstrate interest or expertise in at least one of the following specialist skills: -research protocols designs which include economic aspects, such as cost effectiveness or cost utility analysis. Direct experience in clinical trials would be an advantage. -analytic skills such as simulations, decision analysis, meta analysis, systematic reviews and medical statistics, - use of routine NHS data sources. JOB DESCRIPTIONS Both research and development are emphasised. Research objectives in the short run include design of economic aspects of trials and assistance in the carrying out of such trials. Methodological development of more standardised approaches to economic analysis will be encouraged, in part by exploring different approaches in trials. Besides trials, research will focus on issues such as capitation funding, contracting, and benchmarking. Research will also address issues around the shift to a primary care led NHS, including research on general practice (in conjunction with the Department of General Practice) and on cost-effectiveness (in conjunction with the Department of Public Health and Epidemiology, the Health Services Management Centre, and the Department of Economics). Close links will be established with the new Clinical Trials Unit and ARIF (the Aggressive Research Intelligence Facility). The Unit has already won some Regional and National research projects. The senior lecturer posts will provide core expertise in helping meet the above objectives and will help manage the growing portfolio of projects held by the unit. Development of specialist expertise and research interests will also be facilitated. The lecturer in health economics will join the existing three lecturers, and take part in a range of general projects as appropriate. Applicants who are interested in modelling and simulation, medical statistics and information technology will be particularly suitable candidates to join the existing team. For further information please contact: Professor James Raftery, Director, Health Economics Facility, Health Services Management Centre, 40 Edgbaston Park Rd, Birmingham, B15 2RT; Tel 44 (0)121-414-3056/6215; Fax 44 (0)121-414-7051; Email rafteryj@css.bham.ac.uk Application forms available and returnable to (1 original and 1 copy): The Director of Staffing Services, The University of Birmingham, Edgbaston Birmingham B15 2TT, UK; Fax: 44 (0)121 414 4802; Tel: 44 (0)121 4146486 --------------------------------------------- CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Health Services Administration Program Department of Health Science and Human Ecology The Department of Health Science and Human Ecology, California State University, San Bernardino, California is accepting applications for a tenure tract, assistant/associate professor for the Health Service Administration program. The successful candidate will possess: a doctorate degree in health services administration, or closely related field; professional experience in health care delivery or public health; excellent teaching skills and experience, preferably at the graduate level; an active record of scholarship and peer-reviewed publications, and demonstrated success with securing external funding. Teaching and research experience in health services accounting and health care finance are highly desirable. Professional service at leadership levels within HSA will be a plus. The successful candidate will teach courses in the MSHSA graduate program and the undergraduate health services administration and planning program, supervise masters theses, and provide service to the university, the School of Natural Sciences, the department, and the community. The health services administration programs are rapidly growing and the successful candidate will participate in the revision of the MSHSA curriculum, the seeking of ACEHSA accreditation and the development of a joint MSHSA/MBA program. Salary is commensurate with experience and qualifications. Deadline is February 15, 1997 or until position is filled. Send letter of application, vita and names and telephone numbers of three references to: Richard Eberst, Chair, Health Science and Human Ecology Department, California State University, San Bernardino, 92407-2387; (909) 880-5339; Fax (909) 880-7037; reberst@wiley.csusb.edu. The University is an equal opportunity, affirmative action employer. Women and minorities are strongly encouraged to apply. CHERA --------------------------------------------- HENRY FORD HEALTH SYSTEM, Detroit, Michigan Project Coordinator, Center for Clinical Effectiveness QUALIFICATIONS: Masters level candidate with training in Health Care Administration, Public Health, Economics or closely related field to coordinate research projects including a national Spinal Surgery Consortium for Outcomes Research (SCORE) project. Work with staff of clinical departments and institutions to design and develop data collection instruments, databases and other project resources. Manage study protocol. Participate in statistical analyses and writing of articles for publication. May supervise research assistants, programmers, or data entry personnel. Competency with spread sheet, database, and statistical software preferred. 6 to 12 months of project experience and work with exectuvie level managers and physicians is highly desirable. BACKGROUND: The Henry Ford Health System is a vertically integrated regional health care system, including 11 owned or affiliated hospitals, a 1100+ member multi-speciality group practice with 40+ locations throughout Southeast Michigan, a 500,000 member health maintenance organization, a durable medical equipment and home health care division, and a thriving research program which includes a full range of biomedical, clinical and health services research. Henry Ford is a dominant health care provider in Southeast Michigan, known for innovation, particulary in science-driven managed care and quality management. The Center for Clinical Effectiveness, established in 1989, is a research and internal support organization with a broad agenda in health services research, quality and outcomes measurment, clinical policy analysis, and medical informatics. For more information about the CCE visit our web site: http://hfhs-cce.org Send resume and cover letter to: Richard E. Ward, MD, MBA, Director Center for Clinical Effectiveness Henry Ford Health System 1 Ford Place - 3C Detroit MI 48202 CHERA --------------------------------------------- MEDICAL UNIVERSITY OF SOUTH CAROLINA PHARMACOECONOMICS AND PHARMACOEPIDEMIOLOGY DEPARTMENT OF PHARMACY PRACTICE COLLEGE OF PHARMACY The Department of Pharmacy Practice at the Medical University of South Carolina invites applications for two 12-month full-time tenure-track positions, one each in pharmacoeconomics and pharmacoepidemiology. A pharmacy background is preferred, and candidates should have an earned doctorate or concentration in a discipline relevant to pharmacoeconomics and /or pharmacoepidemiology. Appointment rank and salary will be commensurate with qualifications and accomplishments. The successful candidates must have the potential to assume leadership roles in developing the Department's research agenda, and will be responsible for conducting research in a growing program within a dynamic and changing University. The persons selected will be expected to develop and carry out major externally-funded research projects, in collaboration with faculty and staff in the College of Pharmacy, the MUSC Center for Health Care Research (CHCR), and/or other academic units. It is expected that the successful candidates will generate a substantial portion of their salary through external funding. Potential areas or research concentration should center around pharmaceutical outcomes research, with emphasis on the health, psychosocial, and economic consequences of pharmaceuticals, pharmaceutical care, and drug policies. The successful candidates will teach pharmacoepidemiology, pharmacoeconomics, and other related courses within the College curriculum. Ideal candidates should have exceptional research skills and experience in grants development and administration. Application and nomination procedures. The positions are available immediately, and will remain open until filled. Applicants should send a letter of interest addressing qualifications, a curriculum vitae, and the names, addresses and telephone numbers of three references. Applications and nominations should be forwarded to: Monina R. Lahoz, Ph.D., Chair, Search CommitteeDepartment of Pharmacy Practice, College of Pharmacy, Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29425-2302; Telephone: (803) 792-8439; E-Mail: lahozmr@musc.edu The Medical University of South Carolina is an Equal Opportunity/Affirmative Action Employer --------------------------------------------- PHYSICIAN PAYMENT REVIEW COMMISSION The Physician Payment Review Commission is seeking applications for Senior Analyst and Analyst positions on its staff. Established in 1986, PPRC advises Congress on issues related to Medicare, Medicaid, and the changing health delivery system. Staff conducts analytic work and work directly with the Congress providing information, developing policy options, and assessing the impact of legislative proposals. All activities have a strong policy focus. Current projects relate to such issues as expanding health plan options, setting capitation payments, promoting quality of care, risk selection and risk adjustment, slowing expenditure growth, access, and managing fee for service. Senior analysts take lead responsibility for analytic work and technical assistance to the Congress. They may work with or supervise other staff members. Analysts work independently and in collaboration with senior staff. Projects may be short term or continue over one to two years. Staff define the analytic work, prepare background and options papers, present analyses at Commission meetings, and write the Commission's annual report. All positions require strong analytic and writing skills. Expertise in quantitative methods (econometrics and statistics) is desirable; applicants with strong qualitative skills are also needed. For senior analysts, doctoral degree or equivalent experience. For analysts, masters degree or equivalent experience. Send resume and writing sample to PPRC, 2120 L Street NW, Suite 200, Washington, D.C. 20037. Direct any questions to David Colby, deputy director, at (202) 653-7220 or dcolby@pprc.gov. --------------------------------------------- ROCHE GLOBAL PHARMACOECONOMIC RESEARCH Pharmacoeconomic Research Manager Nutley, New Jersey Position Description: The primary responsibility of the global pharmacoeconomic (PE) research manager in Roche is to provide pharmacoeconomic support to International Project Teams (IPTs) for compounds in development. The manager provides pharmacoeconomic input to the IPT and works closely with clinical staff to adapt the clinical plan to gather needed data on medical care resource use and patient quality of life. As a member of a multidisciplinary global department, the manager integrates input from epidemiologists, economists, and statisticians to develop the pharmacoeconomic strategy and analysis plans for compounds in development. The manager is responsible for designing and implementing the strategy but receives support both from within the department and from external consultants. This manager oversees contracts with these external consultants. The manager also works closely with pharmacoeconomic personnel in the Roche companies worldwide to ensure that the pharmacoeconomic strategy meets the needs of the marketplace in the major country markets. Responsibilities would typically include managing the global PE program for the eight major countries for at least two compounds in development. Minimum level of education: Masters degree in economics, decision analysis, public health, or business or a relevant biological science; Pharm.D. Additional specialized courses: Statistics, Health Economics, Pharmacoeconomics, Epidemiology, Research Design. Type of experience: Two alternative backgrounds may be suitable: (1) Experience in economics or pharmacoeconomics with some experience in drug development, or (2) Strong drug development experience with demonstrated skills in economics or business. Experience in pharmacoeconomics is strongly preferred. Applicants should have excellent oral and written communications skills in English. Applicants should send their curriculum vitae, statement of interest, and the names and contact information for three individuals who can provide recommendations. Applications should be sent by June 23 to: Jennie Best, Roche Global Pharmacoeconomic Research, 3401 Hillview Avenue, Palo Alto, California 94304 or via e-mail to Jennie.Best@Roche.com. Roche is committed to the principles of Equal Employment Opportunity. --------------------------------------------- UNIVERSITY OF SOUTH CAROLINA Center for Health Services and Policy Research The Center for Health Services and Policy Research at the University of South Carolina seeks applications and nominations for the position of Director. Appointment in an appropriate academic department is also contemplated. This is a continuing, eleven-month appointment and is subject to final budgetary authorization. The University of South Carolina is a comprehensive institution including the Schools of Medicine and Public Health and Colleges of Nursing and Pharmacy. The center is located in the Institute of Public Affairs, which is an interdisciplinary, university-wide research and service organization. Policy oversight is provided by a committee that includes representatives of the Institute of Public Affairs, the Schools of Medicine and Public Health and Richland Memorial Hospital. The center has established working relationships with policy makers and health services organizations in the state. This position provides the opportunities and the challenges associated with shaping and building a significant program of research and service in health policy and health services. The director will be responsible for overall management of the center, building a strong base of externally supported research and service; encouraging faculty participation in center initiatives; and managing the center's on- and off-campus relationships. Especially important is the continued development of collaborative relationships with the community's largest hospital in conducting research on outcomes and medical practice. Applicants should have a doctoral degree, or equivalent, in a field relevant to health policy and health services research, a history of successful externally supported research, scholarly work commensurate with a senior academic appointment, and experience in research administration. The ability to work with policy makers, health service administrators, health industry executives, and other health researchers is essential. Experience in the utilization of large data bases related to health issues is desirable. Applications should include a letter outlining interest and relevant experience, a complete resume, and at least three references who are available to support the application. The search will remain open until the position is filled. Please send letters of inquiry, nominations, and completed applications to: Director's Search Committee Center for Health Services and Policy Research Institute of Public Affairs University of South Carolina Columbia, SC 29208 The University of South Carolina is an equal opportunity employer. We encourage minorities and females to apply. -------------------------------------------------------------------------- CONFERENCES -------------------------------------------------------------------------- 10th ANNIVERSARY HEALTH POLICY CONFERENCE Centre for Health Services and Policy Research UBC "Impending Doctor Drought?: New Opportunities for Old Mistakes" Friday, November 14, 1997 Delta Pacific Hotel Resort and Conference Centre, Richmond, B.C. CONFERENCE DESCRIPTION With recent Canadian data showing a downturn in physician supply per capita, for the first time in over 30 years, concerns are beginning to be heard about future shortages of physicians. This conference will explore the likely future supply trends, international approaches to physician supply policy, and implications for issues such as geographic distribution, primary care, and professional licensure and regulation, of a potentially changing supply environment. CONFIRMED SPEAKERS AND PANELISTS (other speakers to be announced): Morris Barer, Centre for Health Services and Policy Research (UBC) Steve Gray, British Columbia Ministry of Health Kevin Grumbach, Institute for Health Policy Studies, University of California, San Francisco Alan Maynard, Centre for Health Economics, University of York The registration materials will be available in September (the registration fee will be approximately $130). If you would like to receive a registration package in September please contact Juliet Ho at: Juliet Ho Centre for Health Services and Policy Research Room 429 IRC Building 2194 Health Sciences Mall University of British Columbia Vancouver BC V6T 1Z3 T: (604) 822-4969 F: (604) 822-5690 E: hprusec@chspr.ubc.ca --------------------------------------------- 2nd ANNUAL SUMMIT ON INTERNATIONAL MANAGED CARE TRENDS The American Association of Health Plans and the Academy for International Health Studies will hold its Second Annual Summit on International Managed Care Trends, December 7-10, 1997 at the Boca Raton Resort in Boca Raton, Florida, U.S.A. Over 400 senior level healthcare executives from around the world are expected at this event focusing on market trends and commercial opportunities in the global healthcare marketplace. Oscar Arias Sanchez, former President of Costa Rica and the 1987 Nobel Peace Prize winner is confirmed to speak on "Health and Human Rights". Other confirmed speakers are Georgie Ann Geyer, renowned foreign affairs journalist; Roger Axtell, author of A Guide to International Behavior; The Do's & Taboos of Using American/English Abroad and The Do's and Taboos of Body Language Around the World; Lynn Payer, author of Medicine and Culture; Alan Langlands, Chief Executive, National Health Service, Department of Health of England and Tan Sri Dato (Dr) Abu Bakar Dato Suleiman, Director General, Ministry of Health, Malaysia. Three major plenary sessions will address Managed Care Market Trends in the Pacific Rim, Europe and Latin America. Over forty focused seminars and workshops are planned, each concentrating on healthcare opportunities in specific countries and individual policy topics. Seminar titles include: Healthcare Finance and Regulatory Reform in Latin-America, Importing Cost-Effective Alternative Medicine, Building Managed Care Delivery Systems in Rural Regions, Global Opportunities in Workers Compensation and International Comparisons in Healthcare Efficiency. To request a complete conference brochure on the Summit on International Managed Care Trends, call 415-435-9754. --------------------------------------------- INTERNATIONAL SYMPOSIUM ON HEALTH CARE AND PAYMENT SYSTEM REFORM June 23~25,1997 Taipei, Taiwan, R.O.C. (Tentative Scientific Program) June 22, 1997 (Sunday) 18:30 Welcome Party at Grand Hyatt Taipei June 23, 1997 (Monday) 08:30 -- 09:00 Registration 09:00 -- 09:30 Opening Remarks Vice-President Chan Lian Dr. Po-Ya Chang Dr. Chung-Fu Lan Dr. Uwe Reinhardt Section I : The Trend of Health Care Reform in the World Co-Chair: Dr. William Hsiao Dr. Chung-Fu Lan 09:30 -- 10:00 Overview of the Health Insurance System in Taiwan Dr. Ching-Chuan Yeh 10:00 -- 10:30 Health Care Reform in an International Context Dr. Uwe Reinhardt 10:30 -- 10:50 Coffee Break Section II : Progress and Prospects of NHI in Taiwan Co-Chair: Dr. Uwe Reinhardt Dr. Mei-Shu Lai 10:50 -- 11:20 Issues and Challenges under the National Health Insurance Dr. Chen-Hua Lee 11:20 -- 11:40 Financial Aspect of the National Health Insurance Dr. Joan C. Lo 11:40 -- 12:00 Alternative Approaches to Reforming the NHI Dr. Michael S. Chen 12:00 -- 13:00 Lunch Section III : Health Care Reform in Major Developed Countries( I ) Co-Chair: Dr. Robert Evans Dr. Chih-Liang Yaung 13:30 -- 14:00 Health Care Reform in the OECD Countries Dr. Simone Sandier 14:00 -- 14:30 Health Care Reform in the United States Dr. William Hsiao 14:30 -- 15:00 Health Care Reform in the Netherlands Dr. Wynand P.M.M. van de Ven 15:00 -- 15:20 Coffee Break Section IV : Health Care Reform in Major Developed Countries( II ) Co-Chair: Dr. Wynand P.M.M. van de Ven Dr. Tung-Liang Chiang 15:20 -- 15:50 Health Care Reform in Canada Dr. Robert Evans 15:50 -- 16:20 Health Care Reform in Germany Dr. Klaus Dirk Henke 16:20 -- 16:50 Health Care Reform in the United States Dr. Judith Lave Section V : Panel Discussion ( I ) Co-Chair: Dr. Simone Sandier Dr. Ching-Chuan Yeh 16:50 -- 18:00 Panel Discussion Dr. Robert Evans Dr. Klaus Dirk Henke Dr. William Hsiao Dr. Judith Lave Dr. Uwe Reinhardt Dr. Wynand P.M.M. van de Ven June 24, 1997 (Tuesday) Section VI : Impacts and Effects of Payment System in Taiwan, Two Years after NHI Co-Chair: Dr. Judith Lave Dr. Nelson Hsin 09:00 -- 09:30 Current Situation and Impact of Payment System Dr. Chien-Hsiang Liu 09:30 -- 09:50 Payment System Design and Its Reform in Taiwan Dr. Yue-Chun Lee 09:50 -- 10:10 Issues of Payment System and Its Reform in Taiwan Dr. Chih-Liang Yaung 10:10 -- 10:30 Coffee Break Section VII : The World Trend in Reforming the Payment System Co-Chair: Dr. Klaus Dirk Henke Dr. Eng-Rin Chen 10:30 -- 11:00 Payment System and Its Reform in Canada Dr. Robert Evans 11:00 -- 11:30 Physician Payment Reform in the United States Dr. William Hsiao 11:30 -- 12:00 Payment System Reform around the World Dr. Uwe Reinhardt 12:00 -- 13:10 Lunch Section VIII : The Impact of NHI on Quality and Providers' Behavior in Taiwan Co-Chair: Dr. Yu-Mai Yu Dr. Yueh-Guey Huang 13:10 -- 13:40 Monitoring Quality of Care Dr. Andrew T. Huang 13:40 -- 14:10 Transition of Health Care Industry After NHI Dr. Tung-Liang Chiang 14:10 -- 14:40 The Impact of NHI on Physicians' Behavior Dr. Chung-Fu Lan 14:40 -- 15:00 Coffee Break Section IX : Panel Discussion( II ) Co-Chair: Dr. Uwe Reinhardt Mr. Han-Chuan Yang 15:00 -- 17:30 Panel Discussion Dr. C. Steve Chan Dr. Chin-Un Chang Dr. Min-Ho Huang Dr. Tong-Yuan Tai Dr. Hsiing-Jer Twu Dr. Kun-Kuang Wu 18:30 Farewell Banquet at Grand Hotel June 25, 1997 (Wednesday) Section X : Health Care Reform and Related Issues Co-Chair: Dr. Judith Lave Dr. Wei-Jao Chen 09:00 -- 09:30 Long-term Care and Its Reform in Germany Dr. Klaus Dirk Henke 09:30 -- 10:00 Quality of Care in the Netherlands Dr. Wynand P.M.M. van de Ven 10:00 -- 10:30 Recipes of the French Health Care Reform Dr. Simone Sandier 10:30 -- 10:50 Coffee Break Section XI : Future Perspective of NHI in Taiwan Co-Chair: Deputy Premier Li-Teh Hsu Dr. William Hsiao 10:50 -- 12:10 Panel Discussion Dr. Yi-Chou Chuang Dr. Judith Lave Dr. Uwe Reinhardt Dr. Simone Sandier Dr. Fu-Hsiun Shan Dr. Ching-Chuan Yeh 12:10 -- 12:30 Concluding Remarks Deputy Premier Li-Teh Hsu Dr. William Hsiao An optional half-day cultural and city tour will be offered to foreign participants free of charge. For details or conference registration, please contact: Symposium Secretariat: c/o TCM/Congrex P. O. Box 68-439, Taipei, Taiwan, ROC Tel: +886-2-523-6017 Fax: +886-2-537-7479 -------------------------------------------------------------------------- FORTHCOMING ARTICLES -------------------------------------------------------------------------- HEALTH CARE MANAGEMENT REVIEW, Vol. 22, No. 2; Spring 1997 Effective Regional Trauma Networks. Denis H. J. Caro Elderly Patients' Satisfaction with the Outcome of Their Health Care Complaints. Arthur L. Dolinsky Integrated Networks and Health Care Provider Cooperatives. Michelle M. Casey Management Retention Contracts. Clayton G. Leroux The Valuation of Health Care Intangible Assets. Robert F. Reilly, James R. Rabe Organizational Tenure and the Perceived Importance of the Perceived Importance of Retention Factors in Nursing Homes. E. Jose Proenca, Richard M. Shewchuk Methods of Measuring Patient Satisfaction in Health Care Organizations. Robert C. Ford, Susan A. Bach, Myron D. Fottler The Physician Executive: Role in the Adaptation of American Medicine. Eugene S. Schneller, Howard P. Greenwald, Joann Ott Consumers' Inferences about Physician ability and Accountability. Manuel C. Pontes, Nancy M. H. Pontes --------------------------------------------- JOURNAL OF HEALTH ECONOMICS, Vol. 16, No. 1, February 1997 Economic foundations of cost-effectiveness analysis. A.M. Garber, C.E. Phelps Accounting for future costs in medical cost-effectiveness analysis. D. Meltzer Health utility indices and equity considerations. H. Bleichrodt, Income-related inequalities in health: some international comparisons. E. van Doorslaer, A. Wagstaff, O. Winkelhake The importance of patient preferences for comorbidities in cost-effectiveness analyses. R.A. Harris, R.F. Nease Jr. Theoretical issues in cost-effectiveness analysis. M.C. Weinstein, W.G. Manning Jr. --------------------------------------------- MEDICAL CARE, Vol. 35, No. 4, April 1997 Peer Review and the Research Commons: A Problem of Success. Duncan Neuhauser Whither Triazolam? Richard E. Johnson, Bentson H. McFarland, Gary T. Woodson Changes Over Time in the Use of Do Not Resuscitate Orders and the Outcomes of Patients Receiving Them. Neil S. Wenger, Marjorie L. Pearson, Katherine L. Kahn Geographic Variation in Resource Use for Coronary Artery Bypass. Patricia A. Cowper, Elizabeth R. DeLong, Daniel B. Mark The Efficacy and Effectiveness of Process Consultation in Improving Staff Morale and Absenteeism. Robin Weir, Larry Stewart, Louise Seymour Productivity Growth in Health-Care Delivery. Rolf Fare, Shawna Grosskopf, Jean-Pierre Poullier Risk-Adjusted Outcome Measures and Quality of Care in Nursing Homes. Dana B. Mukamel On Becoming 65 in Ontario: Effects of Drug Plan Eligibility on Use of Prescription Medicines. Paul V. Grootendorst, Bernie J. O'Brien, Geoffrey M. Anderson What Influences Patients' Reports of Three Aspects of Hospital Services Ann F. Minnick, Marc J. Roberts, Richard J. Marcantonio Development and Testing of the Medical Outcomes Study 36-Item Short Form Health Survey Summary Scale Scores in the United Kingdom: Results From a Large-Scale Survey and a Clinical Trial. Crispin Jenkinson, Richard Layte, Kate Lawrence -------------------------------------------------------------------------- SUBSCRIPTION AND MEMBERSHIP INFORMATION -------------------------------------------------------------------------- A subscription to eHEAL is included as a benefit of membership in iHEA. Non-member subscriptions are not availible at this time. iHEA has been formed to increase communication among health economists, foster a higher standard of debate in the application of economics to health and health care systems, and assist young researchers at the start of their careers. Activities of the association include: Present the annual "Kenneth J. 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