Samenvatting Economie - Prof. Kesteloot deel 2: AANBOD VAN GEZONDHEIDSZORG

KESTELOOT: AANBOD VAN
GEZONDHEIDSZORG
Concepten.................................................................................................................................................................3
Producteeeneproductivtevt...................................................................................................................................3
Producteconcepten..........................................................................................................................................3
Productefunctee ezondhevdszor conceptueel............................................................................................3
Productefunctee ezondhevd........................................................................................................................3
A.eAl emeen..............................................................................................................................................3
B.eInepraktikkeconsumteiarvates..............................................................................................................4
C.epra matsch...........................................................................................................................................4
D.eVanuvtemacroperspectef......................................................................................................................5
Technolo vscheevnnoiate......................................................................................................................................8
Soorten..............................................................................................................................................................8
Leienscyclusetechnolo ve..................................................................................................................................8
Kostprviseenekosten................................................................................................................................................8
Vasteeeneiarvabeleekostene/elan eeenekorteetermvin..............................................................................................8
Vasteeiersuseiarvabeleekosten...........................................................................................................................8
Korteeiersuselan eetermvinekosten....................................................................................................................9
Totale,e emvddeldeeenemar vnaleekosten..............................................................................................................9
Schaal-,escope-eeneleerefecten.............................................................................................................................9
Dvrecteeenevndvrecteekosten...................................................................................................................................9
Indvrectee(oierhead)ekosten............................................................................................................................10
Fulleisedvrectecostn ....................................................................................................................................10
Dvrectecostn k..........................................................................................................................................10
Fullecostn keActivtyebasedecostn ..........................................................................................................10
Opbren sten........................................................................................................................................................10
Vasteeeneiarvabeleeopbren stenk....................................................................................................................10
Kostene(eneopbren sten)eopeierschvllendeetidstppen.......................................................................................11
Berekenvn eEquvialenteeiaarlvikseekost....................................................................................................11
Oefenvn en......................................................................................................................................................11
Defnvtes..........................................................................................................................................................12
Toepassvn en...........................................................................................................................................................12
Breakeeieneanalyse..............................................................................................................................................12
Wvizv vn ekostene/eopbren stenev.f.i.eACtivtevten..............................................................................................12
Selecteevniestervn enkeivaerAWe(netoeactueleewaarde)...................................................................................13


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, zor bekost vn keKosteneiersusefnancvervn .......................................................................................................13
Hoo eaandeeleiasteekosten.............................................................................................................................13
Laa eaandeeleiasteekosten..............................................................................................................................14

DEAe(dataeenielopmenteanalysvs)eerelateieeefcvënte ......................................................................................14
Resultaat..........................................................................................................................................................14
Technvscheeefcvënte......................................................................................................................................15
Factorprviseefcvënte.......................................................................................................................................15
Relateieeefcvënte.........................................................................................................................................15
Schaalefcvënte..........................................................................................................................15

Praktik........................................................................................................................................15

Zvekenhuvsmodel.................................................................................................................................................16
Huvdv emodel...................................................................................................................................................16
raare2ezvekenhuvsmodellen.............................................................................................................................16
1.eSolutoneshopemodel................................................................................................................................16
Valueeaddvn eprocessemodele(VAP).............................................................................................................16
Inioerenenveuwebusvnessemodelevnezvekenhuvzen...........................................................................................16
rvetespontaan..............................................................................................................................................16
ro emeerebarrveresevne ezondhevdszor .....................................................................................................16
Besluvten..................................................................................................................................................................17




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, COrCEPTEre

PRODUCTIEeErePRODUCTIVITEIT


PRODUCTIECOrCEPTEre
1. Productefunctekemaxvmaleeproducte,emete e eienevnputse
- technvscheeefcvëntee
- compatbelemetewvnstmax.,ekostenmvn.e
2. Productivtevtkeoutputeperevnpute
– emvddeldeofemar vnaale
– totaaleofeperevnpute(arbevd,ekapvtaal,ebedden,e…)
– vnewaardetermeneofevnefysvscheetermene(patënten,eierplee da en,eopnamen)

PRODUCTIEFUrCTIEeGEZOrDHEIDSZORGCOrCEPTUEELe
 Outpute=e ezondhevdszor e
 Mult-producte
 Meetbaarhevde?e
 Inputse=evnfrastructuure( ebouwen,euvtrustn ,e…)e+emankrachte(artsen,eierplee kundv en,esecretarvaat,e…)e+
matervaale+e…

PRODUCTIEFUrCTIEeGEZOrDHEIDe

A.eALGEMEEr

 Outpute=e ezondhevde( z)e
 Inputse=e ezondhevdszor e( zz),ehy vëne,eioedvn ,
huvsiestn ,eweliaart,eleef ewoonten,..

eGrafscheeioorstellvn ke ezondhevde=ef( ezondhevdszor ,e))

1. Maatstaf gezondheid ?
 Sterfecvifers
 Leiensierwachtn e(opebepaaldeeleefvid)
(+)e ebaseerdeope“harde”emortalvtevtscvifers
(+)ecviferseruvmebeschvkbaar
(-)ekwalvtevteianeleiene(“morbvdvtevt”)e
 QALYs,eDALYs,eHLE,eDALEe
(+)emortalvtevteénemorbvdvtevt
(-)enveteoperuvmeeschaalebeschvkbaare(landen,etidreeksen)
2. Empiriee?e
 Ie–eIVekeafankelvikeianesoortezor ierlenvn e&eafankelvikeianeomian eandereedetermvnantene
 Bvidra ee ezondhevdszor evsebeperkte
 Bvidra ee ezondhevdszor eenaarmatee ezondhevde(andereedetermvnanten)e

3. Overconsumpte overproducte ?
 ZoneeIIIeeneIVekeoierconsumptee e
 ZoneeIeeneIIe?ekeafankelvikeianedeeMOevn ezeteemvddelenevneandereeaanwendvn en
eMO(GZZ)/€e>eofe<eMO(andere)/€ee(toepasbaareopevndvivdueeleenea re atefeilak)



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