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Dynamics of Healthcare Markets

1) Choose one of Erdmann’s research articles published in this module or find a QI article in an area of medicine you are interested in and want to further your knowledge. Using the theories and concepts in the chapter (and book if you wish), briefly describe the study method (what was targeted and how), result and explain why the result occurred. Bold constructs and theories in your answer.

2) Use the EAST framework to create a public health strategy for one of two new public health goals announced by AMA (June, 2025):

a. Reducing alcohol consumption in the US.
b. Increasing awareness of adverse health impacts from ultraprocessed foods.
Some ideas are here:
https://www.ama-assn.org/press-center/ama-press-releases/ama-adopts-new-public-health-policies-improve-health-nation-9
Your answer needs to have more than the reflection of this plan.

3) Preventable deaths in the US are on the rise, while they are on the decline in other high income countries. What policy (or policies) could a health system create to lower preventable deaths? You can reference what is working in other countries such as Australia, Japan, Iceland, European countries, etc). Answers can include mental and/or physical health. Explain why they would work using concepts from the chapter. Bold concepts and theories used.

HCA 6013 Dynamics of Healthcare Markets
Module Eleven Assignment

Healthcare Expenditures

4) Based on the information presented at the beginning of Chapter 11, choose one difference between the US and one or several other countries.
a. Define the difference. (We do this, they do that.)
b. Using the economic concepts/constructs from the book describe why the effect occurs. Use at least 3.
BOLD CONSTRUCTS/THEORIES mentioned.

5) From Erdmann’s chart posted in the Module, summarizing many of the reasons from Chapter 11 that US healthcare is more expensive than other countries,
The lecture is mostly me discussing this question. Please view that lecture.
Find which group you are assigned to by initial of last name (Group 1: A-F, Group 2 G-L; Group 3 M-S; Group 4 T-Z.
Choose one of the issues assigned to your group.
Describe: Find at least one source from policy group or scholarly article.
a. What is something that is being done or could be done to address the issue? (Chart gives some ideas, answers are not limited to those ideas).
b. Is it a government policy or market dyanmic or both?
c. What do we know about the intervention’s effectiveness so far? If new what might be some indicators of effectiveness?
d. Describe economic factors that could be causing or help in the resolution of this issue? Use Book Concepts. BOLD CONSTRUCTS/THEORIES/ASSUMPTIONS chosen.

Method: This was a large-scale, cross-sectional survey study.

Patients (N=25,178) completed a questionnaire (the EUROPEP questions) which is a tool designed to measure patient-perceived quality of general practice care.

The patients were stratified into two groups based on whether their physician was part of a network (72.2%) or independent (27.8%).

The study also looked at differences based on patient type (chronic vs. non-chronic diseases).

Result and Explanation

Result: The overall patient satisfaction was higher with physicians in independent practice compared to those participating in a network. This difference was less pronounced for patients with chronic diseases.

Explanation (Theories and Concepts): The result suggests that network participation, which is often promoted under the Theory of Planned Change and Quality Improvement (QI) models to increase efficiency and coordination, may inadvertently decrease qualities related to patient-centeredness and practice management—the "soft data."

Sample Answer

Analysis of a Quality Improvement (QI) Article

I will analyze the research described in the abstract: "

Criticalreflexiononqualityimprovementandnetworking

" which compares patient satisfaction with physicians in a network versus independent practice.

Study Method (What was targeted and how)

Target: The study targeted patient satisfaction with the quality of interpersonal care and practice management experienced with two groups of physicians: those participating in a network versus those in independent practice.