jandacvis ekonomikis Sesavali leqcia

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• jandacvis ekonomikis Sesavali leqcia

tom jefersoni
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leqciis miznebi

• deficitis arsis ganmarteba
• ekonomikuri Sefasebis koncefciis,
• ekonomikuri Sefasebis mniSvnelobisa da misi
  principebis, aseve
• ekonomikuri Sefasebis sxvadasxva formis calke
  gamoyofis mizezebis axsna.

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leqciis miznebi (gagrZeleba)

• leqciis bolosaTvis studentebs unda SeeZloT swori
  ekonomikuri azrovneba da
• ekonomikuri Sefasebis sxvadasxva formebs Soris
  sxvaobis aRqma.

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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.

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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.

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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.

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ekonomikuri logikaeyrdnoba Semdeg principebs

• SezRuduli resursebi
• alternatiuli Rirebuleba (Opportunity cost)
• arCevani alternatiuli variantebidan

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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?).

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ekonomikuri logika da samedicino eTika

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

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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

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ekonomikuri gamokvlevebis popularobis
zrda(Elixhauzer-is mixedviT, 1993)

• gamokvle
• vaTa rao
• denoba

weli
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wasakiTxi literatura

• Maynard A. Logic in Medicine an economic
  perspective. BMJ. 19872951541. (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 187-11.
  (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).

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nawili IIekonomikuri Sefasebis safuZvlebi

• ekonomikuri 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.

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ekonomikuri Sefasebis dros didi mniSvneloba
eniWeba

• ekonomikur xedvas
• dasmul kiTxvas anu gadasaWrel problemas

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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.

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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.

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xarjT-efeqturobis analizi

• Tu 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.

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xarjT-sargeblianobis analizi

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

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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.

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unda moxdes resursebisa da Sedegebisyvela
komponentis

• gamovlena,
• gazomva da
• Sefaseba fulad erTeulebSi

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Semdgomi srulyofa

• diskonti akompensirebs danaxarjebsa da Sedegebs
  Soris droSi sxvaobas
• zRvruli analizi realizmi moqmedebaSi
• mgrZnobelobiTi analizi akompensirebs
  gaurkvevlobas

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wasakiTxi literatura

• Jefferson 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[phone]/6245
• Fax [phone].
• Costs UK 14.95 Overseas 17.00 (BMA MEMEBERS
  13.95 16.00).

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leqciis Sefaseba

• Tqveni 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_at_hotmail.c
  om.