jandacvis ekonomikis Sesavali leqcia

tom jefersoni

leqciis miznebi

• deficitis arsis ganmarteba;• ekonomikuri Sefasebis koncefciis, • ekonomikuri Sefasebis mniSvnelobisa

da misi principebis, aseve• ekonomikuri Sefasebis sxvadasxva

formis calke gamoyofis mizezebis axsna.

leqciis miznebi (gagrZeleba)

leqciis bolosaTvis studentebs unda SeeZloT swori ekonomikuri azrovneba da

ekonomikuri Sefasebis sxvadasxva formebs Soris sxvaobis aRqma.

nawili Ira aris jandacvis ekonomika?

jandacvis ekonomika (originalSia janmrTelobis ekonomiksi) aris mkafiod Camoyalibebuli logikuri sistema, romlis mizania jandacvis organizatorebsa da jandacvaSi momuSave yvela specialists, aseve mTavrobebsa da zogadad sazogadoebas daexmaros arsebuli resursebis optimalur gamoyenebaSi.

ekonomikuri Sefasebis (analizis) mniSvneloba

jandacvis sistemaSi momuSave yvela adamiani yoveldRe ramdenjerme iRebs gadawyvetilebas resursebis gamoyenebis Sesaxeb;

maSasadame, gadawyvetilebebis miReba resursebis gamoyenebis Sesaxeb maTTvis ucxo ar aris. ekonomikuri Sefaseba am process aZlevs ufro logikur xasiaTs. igi gvexmareba alternatiuli variantebidan yvelaze optimaluris amorCevaSi.

jandacvis specialistebs unda esmodeT ekonomikuri Sefasebis

arsi

jandacvis specialistebma monawileoba unda miiRon ekonomikur SefasebaSi;

Sefaseba unda iyos mravalganzomilebiani;ekonomikuri Sefasebis mniSvnelobis zrda

gamowveulia menejmentis rolis zrdiT.

ekonomikuri logikaeyrdnoba Semdeg principebs:

SezRuduli resursebi;alternatiuli Rirebuleba (Opportunity

cost);arCevani alternatiuli variantebidan;

arCevani SeiZleba iyos

• teqnikuri xasiaTis (ra aris gripis momdevno epidemiis Tavidan acilebis yvelaze iafi saSualeba?);

• alokaciuri xasiaTis (raSi unda CavdoT fuli: gulis iSemiuri daavadebis garTulebebis mkurnalobaSi Tu rkinigzaSi?).

ekonomikuri logika da samedicino eTika

konfliqti ekonomikur logikasa da samedicino eTikas Soris mxolod warmosaxviTia da gamowveulia jandacvis ekonomikis arsSi gaurkvevlobiT

jandacvis ekonomikis evolucia

• me-20 saukunis 60-ian wlebSi gamoCnda daavadebaTa Rirebulebisadmi (Cost of illness) miZRvnili naSromebi, romelTac mohyva xarjebisa da Sedegebis analizze (Cost benefit analysis) dafuZnebuli naSromebi

• 70-80-ian wlebSi xdeba ekonomikuri Sefasebis sxva formebis gamoyeneba

• Semdeg wlebSi adgili aqvs jandacvis ekonomikaze gamoqveynebuli naSromebis mkveTr zrdas

gamokvlevaTa raodenoba

ekonomikuri gamokvlevebis popularobis zrda

(Elixhauzer-is mixedviT, 1993)

weli

wasakiTxi literatura

• Maynard A. Logic in Medicine: an economic perspective. BMJ. 1987;295:1541. (The clearest and most concise description of the basis of economic logic that we have come across). Williams A. Health economics: the end of clinical freedom? BMJ. 1988 297: 1183-86.

• Willliams A. Cost-effectiveness analysis: is it ethical? Journal of Medical Ethics 1992; 18:7-11. (These last two papers represent a clear summary of the relationship between medical ethics and economic logic).

• Elixhauser A (editor). Health care cost-benefit and cost-effectiveness analysis (CBA/CEA). From 1979 to 1990: a bibliography. Medical Care 1993; 31(supp): JS1-149. (A published database of published economic evaluations which is a useful starting point for any search).

nawili IIekonomikuri Sefasebis

safuZvlebiekonomikuri Sefaseba gulisxmobs Cveni

gadawyvetilebebis gansaxorcileblad saWiro resursebisa da misi Sedegebis Semadgeneli komponentebis CamonaTvalis momzadebasa da maT Sefasebas fulad erTeulebSi. ekonomikuri Sefaseba logikuri, gaazrebuli procesia.

zemoaRniSnuli komponentebi sxvadasxvaa konteqstidan da dasaxuli miznidan gamomdinare.

ekonomikuri Sefaseba aris erT-erTi, magram ara erTaderTi saSualeba, romelic gvexmareba swori gadawyvetilebis miRebaSi.

ekonomikuri Sefasebis dros didi mniSvneloba eniWeba

• ekonomikur xedvas• dasmul kiTxvas anu gadasaWrel

problemas

ekonomikuri Sefasebis meTodebi

ekonomikuri analizis yvela meTodi Seiswavlis da erTmaneTs udarebs am Tu im Carevis (variantis) ganxorcielebisaTvis saWiro resursebsa da mis Sedegebs.

analizis sxvadasxva meTodi erTmaneTisagan gansxvavdeba resursebisa da Sedegebis Semadgeneli komponentebis CamonaTvlis momzadebisa da fulad erTeulebSi maTi Sefasebis wesiT. es gansxvavebebi gamowveulia rogorc dasaxuli miznis, aseve ekonomikuri xedvis sxvaobiT.

xarjT-minimizaciis analizi

roca sxvadasxva Carevis Sedegebi erTnairia, maSin mxedvelobaSi iReben mxolod ama Tu im Carevis ganxorcielebisaTvis saWiro danaxarjebs. Sedegi unda iqnes miRebuli minimaluri danaxarjebiT, amitom unda avirCioT yvelaze iafi gza.

xarjT-efeqturobis analiziTu sxvadasxva Carevis Sedegebi

erTmaneTisagan gansxvavebulia, magram maTi gazomva mainc SesaZlebelia identuri erTeulebiT, maSin dasawyisSi xdeba danaxarjebis Sefaseba, Semdeg ki alternatiuli variantebis Sedareba maTi Sedegebis (gamosavlebis) erTeulze danaxarjebis mixedviT.

xarjT-sargeblianobis analizi

xarjT-sargeblianobis analizi gamoiyeneba maSin, roca Carevebi, romelTac Cven erTmaneTs vadarebT, iwveven gansxvavebul cvlilebebs rogorc sicocxlis xangrZlivobis, aseve sicocxlis xarisxis mxriv.

xarjebisa da Sedegebis analizi

rogorc danaxarjebis, aseve Sedegebis Sefaseba xdeba fuladi erTeulebiT. es meTodi saSualebas iZleva erTmaneTs SevadaroT ara marto proeqtebi jandacvis sferoSi, aramed jandacvis proeqtebi SevadaroT sxva sferos proeqtebsac.

unda moxdes resursebisa da Sedegebis

yvela komponentis

• gamovlena,• gazomva da• Sefaseba fulad erTeulebSi

Semdgomi srulyofa

diskonti – akompensirebs danaxarjebsa da Sedegebs Soris droSi sxvaobas

zRvruli analizi – realizmi moqmedebaSimgrZnobelobiTi analizi – akompensirebs

gaurkvevlobas

wasakiTxi literaturaJefferson T.O, Demicheli V, Mugford M.

Elementary Economic Evaluation in Health Care. London: BMJ Books 1996. ISBN number 0-7279-1074-4.

Available from: BMJ Publishing Group, PO Box 295, London WC1H 9TE, UNITED KINGDOM.

Tel:++44 171-383 61 85/6245;Fax ++44171 383 6662.

Costs UK: £14.95; Overseas: £17.00 (BMA MEMEBERS £13.95; £16.00).

leqciis SefasebaTqveni Sefasebebi Zalian

mniSvnelovania superkursis Semdgomi ganviTarebisaTvis. gTxovT SeavsoT leqciis bolo gverdze (Review) moyvanili forma da daaWiroT submit button-s. Tu inglisuri ena giqmniT problemas, gamoagzavneT Tqveni komentarebi Semdeg misamarTze: malkhaz_j@hotmail.com.