FAP - Economics, Business & Business Finance

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Browsing FAP - Economics, Business & Business Finance by Author "Nicolescu, Cristina Elena"

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    Adjusting the 5C pentagon for better health policymaking: observing the leading behavioural risks factors (diet, smoking, and alcohol consumption)
    (General Association of the Economists in Romania (AGER), 2023) Bițoiu, Teodora; Nicolescu, Cristina Elena
    Smoking, alcohol consumption, and dietary risks pertain to the goods that can destabilisethe market should their production trigger too many negative externalities and not enough researchto counterbalance them. Moreover, all three are among the factors that, connected to ever-presentrisky behaviours, drive the most death and disability combined (the other two risk factors being themetabolic ones and the environmental/occupational risks). Therefore, they are to be considered as relevant to both the perceived health of the population and analysed in relation to the data onsmokers, alcohol consumers, and poor diet impact.However, the design of these health policies must be adapted to the pattern of national culture of Romania, increasing the degree of their acceptance by the population. This is particularly true whenless-damage alternatives are present in the market. Policymakers should incentivize their use overmore-damaging products. In fact, the existence of better alternatives deepens the market failure thata sub-optimal allocation of resources produces when consumers opt for more damaging productsover better goods. Clearly, the objective of policymakers ought to be to differentiate based on therisk profile of the products present on the market.
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    The Healthcare Public System – Does Standardization Withhold the Bucket from Leaking?
    (Sciendo, 2017-12) Bițoiu, Teodora; Nicolescu, Cristina Elena; Rădulescu, Crina
    The public healthcare system is heavily influenced by the 3C trilemma - cost - coverage - choice. The paper's argument tackles the fact that should the public decision on improving capacity be leaning towards universal coverage in would result in efficiency losses and, in an attempt to control the costs it would limit patients' choice. Should priority be given to performance or value? The present paper deals with the compromise between the equity and efficiency, a leaky bucket that becomes more visible in the struggle to build capacity and intervene in the market by setting standards. Setting healthcare standards is a global concern, the 3rd Sustainable Development Goal is a clear proof of that the aim to emphasise and better analyse two of the most influential variables: efficiency and equity. All in all, what we argue is that the current leaky bucket is a trade-off between choice, coverage, and cost. For a complex public service like healthcare, targeting a full coverage and multiple choice would incur huge costs and, cutting costs considerably restricts both the choice and coverage. The cost is influenced by the production capacity use when the activity has large fixed costs.