{"id":"https://openalex.org/W2276646647","doi":"https://doi.org/10.1093/oxrep/grv018","title":"The economics of health system design","display_name":"The economics of health system design","publication_year":2016,"publication_date":"2016-01-01","ids":{"openalex":"https://openalex.org/W2276646647","doi":"https://doi.org/10.1093/oxrep/grv018","mag":"2276646647"},"language":"en","primary_location":{"id":"doi:10.1093/oxrep/grv018","doi":"https://doi.org/10.1093/oxrep/grv018","is_oa":false,"landing_page_url":"https://doi.org/10.1093/oxrep/grv018","pdf_url":null,"source":{"id":"https://openalex.org/S106098198","display_name":"Oxford Review of Economic Policy","issn_l":"0266-903X","issn":["0266-903X","1460-2121"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","jufo-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oxford Review of Economic Policy","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001508652","display_name":"Peter Smith","orcid":"https://orcid.org/0000-0003-0058-7588","observed_orcids":["https://orcid.org/0000-0003-0058-7588","https://orcid.org/0000-0001-8286-4563","https://orcid.org/0000-0001-8707-2581"]},"institutions":[{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Peter C. Smith","raw_affiliation_strings":["Imperial College Business School,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Imperial College Business School,","institution_ids":["https://openalex.org/I47508984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5073611041","display_name":"Winnie Chi-Man Yip","orcid":"https://orcid.org/0000-0002-8168-2669","observed_orcids":["https://orcid.org/0000-0002-8168-2669"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Winnie Yip","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5001508652"],"corresponding_institution_ids":["https://openalex.org/I47508984"],"apc_list":{"value":3866,"currency":"GBP","value_usd":5098},"apc_paid":null,"fwci":3.9042,"has_fulltext":false,"cited_by_count":20,"citation_normalized_percentile":{"value":0.92784744,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"32","issue":"1","first_page":"21","last_page":"40"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.4787999987602234,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.4787999987602234,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.24379999935626984,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.10620000213384628,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-system-design","display_name":"health system design","score":0.9900000095367432},{"id":"https://openalex.org/keywords/health-system-economics","display_name":"health system economics","score":0.5669999718666077},{"id":"https://openalex.org/keywords/constrained-optimization","display_name":"constrained optimization","score":0.9350000023841858},{"id":"https://openalex.org/keywords/health-system-complexity","display_name":"health system complexity","score":0.5009999871253967},{"id":"https://openalex.org/keywords/institutional-economics","display_name":"institutional economics","score":0.8659999966621399},{"id":"https://openalex.org/keywords/microsimulation","display_name":"microsimulation","score":0.8230000138282776},{"id":"https://openalex.org/keywords/option-pricing","display_name":"option pricing","score":0.7950000166893005},{"id":"https://openalex.org/keywords/health-system-evaluation","display_name":"health system evaluation","score":0.5220000147819519}],"concepts":[{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.5494491457939148},{"id":"https://openalex.org/C94862452","wikidata":"https://www.wikidata.org/wiki/Q3048444","display_name":"Schools of economic thought","level":2,"score":0.46290573477745056},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.41640979051589966},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.4136945605278015},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.38896048069000244},{"id":"https://openalex.org/C6303427","wikidata":"https://www.wikidata.org/wiki/Q47398","display_name":"Economic history","level":1,"score":0.3664241135120392},{"id":"https://openalex.org/C190253527","wikidata":"https://www.wikidata.org/wiki/Q295354","display_name":"Law and economics","level":1,"score":0.3579874038696289},{"id":"https://openalex.org/C161191863","wikidata":"https://www.wikidata.org/wiki/Q199655","display_name":"Library science","level":1,"score":0.3568103313446045},{"id":"https://openalex.org/C74916050","wikidata":"https://www.wikidata.org/wiki/Q841090","display_name":"Classics","level":1,"score":0.3395848274230957},{"id":"https://openalex.org/C29595303","wikidata":"https://www.wikidata.org/wiki/Q165650","display_name":"Media studies","level":1,"score":0.33518508076667786},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"score":0.2104032337665558},{"id":"https://openalex.org/C133425853","wikidata":"https://www.wikidata.org/wiki/Q60571","display_name":"Neoclassical economics","level":1,"score":0.20892268419265747},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.19372689723968506},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16937875747680664},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.09512060880661011}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/oxrep/grv018","doi":"https://doi.org/10.1093/oxrep/grv018","is_oa":false,"landing_page_url":"https://doi.org/10.1093/oxrep/grv018","pdf_url":null,"source":{"id":"https://openalex.org/S106098198","display_name":"Oxford Review of Economic Policy","issn_l":"0266-903X","issn":["0266-903X","1460-2121"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","jufo-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oxford Review of Economic Policy","raw_type":"journal-article"},{"id":"pmh:oai:RePEc:oup:oxford:v:32:y:2016:i:1:p:21-40.","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10.1093/oxrep/grv018","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"},{"id":"pmh:oai:open-archive.highwire.org:oxrep:32/1/21","doi":null,"is_oa":false,"landing_page_url":"http://oxrep.oxfordjournals.org/cgi/content/short/32/1/21","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.46810001134872437,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":67,"referenced_works":["https://openalex.org/W38264724","https://openalex.org/W173646734","https://openalex.org/W180180942","https://openalex.org/W194147919","https://openalex.org/W270551113","https://openalex.org/W351365287","https://openalex.org/W1499162521","https://openalex.org/W1516216046","https://openalex.org/W1522395368","https://openalex.org/W1522824946","https://openalex.org/W1530299212","https://openalex.org/W1532975605","https://openalex.org/W1533102664","https://openalex.org/W1565914121","https://openalex.org/W1595046345","https://openalex.org/W1860664076","https://openalex.org/W1897121462","https://openalex.org/W1916612367","https://openalex.org/W1934147159","https://openalex.org/W1962964587","https://openalex.org/W1967411490","https://openalex.org/W1980938356","https://openalex.org/W1989289588","https://openalex.org/W1996751693","https://openalex.org/W1997387916","https://openalex.org/W2014509720","https://openalex.org/W2015075272","https://openalex.org/W2028750332","https://openalex.org/W2029786198","https://openalex.org/W2037491713","https://openalex.org/W2043141621","https://openalex.org/W2046034301","https://openalex.org/W2047782512","https://openalex.org/W2091263072","https://openalex.org/W2102858050","https://openalex.org/W2107202753","https://openalex.org/W2114692608","https://openalex.org/W2116356249","https://openalex.org/W2117035957","https://openalex.org/W2122017149","https://openalex.org/W2122080175","https://openalex.org/W2129045549","https://openalex.org/W2129507368","https://openalex.org/W2129861807","https://openalex.org/W2130022681","https://openalex.org/W2131309922","https://openalex.org/W2135277023","https://openalex.org/W2146027413","https://openalex.org/W2149759828","https://openalex.org/W2155644070","https://openalex.org/W2156885153","https://openalex.org/W2171129639","https://openalex.org/W2241117886","https://openalex.org/W2295712338","https://openalex.org/W2413160796","https://openalex.org/W2460410087","https://openalex.org/W2481396062","https://openalex.org/W2495213261","https://openalex.org/W2586600282","https://openalex.org/W2800997608","https://openalex.org/W3124052700","https://openalex.org/W4230364799","https://openalex.org/W4248588451","https://openalex.org/W4285719527","https://openalex.org/W4320288076","https://openalex.org/W4410095157","https://openalex.org/W6685625565"],"related_works":["https://openalex.org/W7220666818","https://openalex.org/W2942856385","https://openalex.org/W1607627691","https://openalex.org/W7028954713","https://openalex.org/W6905030208","https://openalex.org/W141317403","https://openalex.org/W4386407598","https://openalex.org/W4386303873","https://openalex.org/W2388140431","https://openalex.org/W2800719128"],"abstract_inverted_index":{"There":[0],"has":[1],"been":[2,69],"much":[3],"rhetoric":[4],"in":[5,110,137],"global":[6],"health":[7,14,53,63,99,113,126,185],"about":[8],"the":[9,13,21,27,45,48,56,62,94,98,122,125,128,134,138,149,171,179,184],"need":[10,37],"to":[11,33,38,93,108,148],"consider":[12],"sector":[15,100],"as":[16,25],"a":[17,40],"\u2018system\u2019,":[18],"defined":[19],"by":[20],"World":[22],"Health":[23],"Organization":[24],"all":[26],"activities":[28],"whose":[29],"primary":[30],"purpose":[31],"is":[32,167],"improve":[34],"health.":[35],"The":[36,118,161],"adopt":[39],"system-wide":[41],"perspective":[42,76],"arises":[43],"from":[44,73],"complexity":[46,180],"of":[47,61,89,97,124,140,164,173,183],"processes":[49],"for":[50,177],"delivering":[51],"effective":[52],"services,":[54],"and":[55,105,115,133,157,181],"important":[57,162],"interdependencies":[58],"between":[59],"elements":[60],"system.":[64,186],"However,":[65],"there":[66],"have":[67],"hitherto":[68],"very":[70],"few":[71],"contributions":[72],"an":[74,86,103],"economic":[75,87],"that":[77,85,130,145,168],"explicitly":[78],"address":[79],"these":[80],"issues.":[81],"This":[82],"paper":[83,119],"argues":[84],"paradigm":[88],"constrained":[90],"optimization":[91],"adapted":[92],"systemic":[95],"nature":[96],"could":[101,146],"provide":[102],"analytical":[104],"practical":[106],"approach":[107],"policy-makers":[109],"assessing":[111],"their":[112],"systems":[114],"deriving":[116],"solutions.":[117],"therefore":[120],"discusses":[121],"objectives":[123],"system,":[127],"factors":[129],"constrain":[131],"optimization,":[132],"decision":[135],"variables,":[136],"form":[139],"policy":[141],"levers.":[142],"Economic":[143],"approaches":[144],"contribute":[147],"associated":[150],"research":[151],"agenda":[152],"include":[153],"institutional":[154],"economics,":[155],"micro-simulation,":[156],"option":[158],"pricing":[159],"theory.":[160],"feature":[163],"such":[165],"methods":[166,176],"they":[169],"offer":[170],"possibility":[172],"developing":[174],"tractable":[175],"addressing":[178],"interconnectedness":[182]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":3}],"updated_date":"2026-10-17T09:40:24.721904","created_date":"2016-06-24T00:00:00"}
