Managing genetic tests, surveillance, and preventive medicine under a public health insurance system

Lilia Filipova-Neumann and Michael Hoy

Journal of Health Economics, 2014, vol. 34, issue C, 31-41

Abstract: There is a prospect in the medium to long term future of substantial advancements in the understanding of the relationship between disease and genetics. We consider the implications of increased information from genetic tests about predisposition to diseases from the perspective of managing health care provision under a public health insurance scheme. In particular, we consider how such information may potentially improve the targeting of medical surveillance (or prevention) activities to improve the chances of early detection of disease onset. We show that the moral hazard implications inherent in surveillance and prevention decisions that are chosen to be privately rather than socially optimal may be exacerbated by increased information about person-specific predisposition to disease.

Keywords: Genetic tests; Medical surveillance; Public health insurance; Moral Hazard; Value of Information (search for similar items in EconPapers)
JEL-codes: D8 I12 I18 (search for similar items in EconPapers)
Date: 2014
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:34:y:2014:i:c:p:31-41

DOI: 10.1016/j.jhealeco.2013.12.003

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