Dictionary
The Dictionary provides concise definitions of health economics terms, arranged alphabetically for quick reference. Use it to understand unfamiliar terminology or confirm the meaning of a specific term.
A
- Administrative FeasibilityImplementation Feasibility, Institutional Feasibility
- An assessment of whether a policy can practically be implemented given available government administrative capacity and institutional expertise.
B
- Bed AssignmentBed Allocation, Patient Placement
- The process of allocating a specific hospital bed to an admitted patient based on their clinical needs and facility capacity.
- Bed CapacityInpatient Capacity, Bed Availability
- The total number of hospital or facility beds available to accommodate patients, a key measure of inpatient service delivery capacity.
- Bed Management SystemBMS, Bed Tracking System
- A technology or process tracking and coordinating hospital bed availability and assignment, intended to optimise patient flow and capacity use.
- Best Interest StandardBest Interests Standard, Patient Wellbeing Standard
- A decision-making principle for a surrogate acting for a patient lacking capacity, choosing the option that would most benefit their overall wellbeing.
- Bounded Rationality ConceptBounded Rationality, Satisficing
- A theory that decision-makers face limits on information, cognitive capacity, and time, and so settle for satisfactory rather than optimal choices.
- Brain DrainHealth Worker Emigration, Skilled Migration
- The emigration of highly trained healthcare workers from lower-resource to higher-income countries offering better pay, depleting origin countries' workforce capacity.
C
- CapacityMaximum Throughput, Output Ceiling
- The maximum level of output a health system, facility, or programme can sustainably deliver given its available staff, equipment, and infrastructure.
- Capacity AssessmentMental Capacity Evaluation, Decisional Capacity Determination
- A clinical evaluation of an individual's ability to understand information, appreciate consequences, and communicate a choice, to determine consent validity.
- Capacity ManagementCapacity Optimisation, Demand-Capacity Balancing
- The processes an organisation uses to plan for, monitor, and optimise available resources relative to anticipated patient demand.
- Capacity PlanningCapacity Forecasting, Provision Planning
- The estimation and alignment of usable service resources with expected workload, variation and access goals over a defined planning period.
- Capacity UtilisationCapacity Utilization, Bed Utilisation Rate
- A measure of the extent to which an organisation's available capacity, such as beds, is actually used relative to its maximum potential.
- Catastrophic Expenditure MeasureCHE Measure, Catastrophic Spending Indicator
- A quantitative indicator assessing whether household out-of-pocket healthcare spending exceeds a defined threshold share of income or consumption capacity.
- Cognitive FunctioningCognitive Capacity, Cognitive Ability
- A clinical outcome domain describing mental capacities, including memory, concentration, and problem-solving, typically assessed using standardised tests or questionnaires.
- Cognitively Impaired ResearchResearch with Cognitive Impairment, Impaired Capacity Research
- Research involving participants whose cognitive capacity may limit their ability to provide fully informed consent, requiring additional ethical safeguards.
- CompetenceDecisional Competency, Legal Decision Authority
- A legal determination of whether an individual has the legal authority to make their own decisions, distinct from clinical capacity assessment.
- Consent CapacityDecision-Making Capacity, Mental Capacity
- An individual's clinical ability to understand information, appreciate consequences, and communicate a choice, the foundational requirement for valid consent.
D
- Decision Fatigue ConceptDecision Fatigue, Choice Depletion
- A decline in decision quality following a long sequence of prior decisions, caused by depletion of self-regulatory capacity.
- Diseconomies of ScaleDecreasing Returns to Scale, Scale Diseconomies
- A situation in which average cost of production rises as output increases, often due to coordination difficulties or capacity constraints.
E
- Emergency Care CoverageEmergency Access Coverage, Emergency Service Coverage
- A measure of the extent to which a population has timely access to needed emergency medical services, reflecting response capacity.
- Emergency PolicyEmergency Preparedness Policy, Health Crisis Policy
- Government or health system policy governing preparedness for and response to public health emergencies, including stockpiling and surge capacity planning.
F
- Fiscal SustainabilityBudgetary Sustainability, Long-Run Fiscal Viability
- The capacity of a health system's financing arrangements to be maintained long term without unsustainable debt or disruptive future cuts.
- Foundational Sustainability EvaluationCore Sustainability Evaluation, Base Sustainability Evaluation
- The core approach to assessing whether a programme's resource use can be maintained over time without compromising future capacity.
- Functional IndependenceIndependent Functioning, Self-Care Capacity
- An individual's capacity to perform daily activities without assistance from others, commonly assessed using standardised functional status instruments.
- Functional LimitationFunctional Restriction, Capacity Limitation
- A restriction in a person's ability to perform basic physical or mental actions, such as lifting or concentrating, per the WHO functioning framework.
- Functional ResponseFunctional Improvement, Mobility Gain
- A measure indicating improvement in a patient's functional capacity following treatment, such as increased mobility or improved daily activity performance.
G
- Global Health SecurityGHS, Epidemic Preparedness Capacity
- The collective capacity of the international community to prevent, detect, and respond to acute public health threats crossing national borders.
I
- ImmunogenicityImmune Reactogenicity, Anti-Drug Antibody Response
- The capacity of a biological therapy to provoke an immune response in the patient receiving it, potentially reducing effectiveness or causing adverse reactions.
L
- Liquidity RatioCash Position Ratio, Short-Term Liquidity Measure
- A liquidity ratio is a financial measure comparing an organisation’s readily available or current assets with its near-term obligations to assess its capacity to meet payments as they fall due.
M
- Mature MinorCompetent Minor, Minor with Capacity
- A legal doctrine letting a sufficiently mature adolescent below the age of majority consent to certain treatments independently of parental involvement.
O
- Occupancy RateBed Occupancy Rate, Hospital Bed Occupancy Rate
- Occupancy rate is the proportion of available service capacity used over a specified period, with the occupied and available units defined consistently for the setting.
P
- Pandemic Preparedness Economics
- The application of health economic evaluation to advance investments improving a health system's capacity to detect and respond to a future outbreak.
- Presenteeism
- Reduced productivity from an employee who is physically present at work but performing below their normal capacity due to illness or injury.
Q
- Queuing Modelqueueing model, queue model, queuing theory model
- A queuing model is a mathematical representation of how arrivals, service times, capacity, and service rules generate waiting, congestion, and throughput in a service system.
R
- Recovery Model
- A mental health treatment approach emphasising a person's own goals, strengths, and capacity for a meaningful life, rather than symptom elimination alone.
- Role Functioning
- A broader construct covering an individual's overall capacity to fulfil expected social and occupational roles, assessed as a composite scale.
S
- Self-Efficacy
- An individual's belief in their own capacity to successfully perform actions needed to manage a specific situation, such as a chronic condition.
- Sensitivity to Change
- The capacity of a health outcome measure to register a difference in health status when a real change has occurred in a patient's condition.
- Social Functioning
- A broader construct covering an individual's overall capacity for social engagement and relationships, often assessed as a composite scale.
- Solvency
- The financial capacity of an organisation, such as an insurer or hospital, to meet its long-term financial obligations as they come due.
- Structure Quality Indicator
- A measurable metric assessing the resources and organisational capacity available to a provider, such as staffing ratios or specialist equipment.
- Substituted Judgment
- A decision standard for a surrogate acting for a patient lacking capacity, choosing what the patient themselves would have chosen based on known values.
- Surge Capacity Cost
- The expense of maintaining a health system's ability to rapidly expand service capacity in response to a sudden demand increase.
- Surrogate Decision-Maker
- An individual authorised to make healthcare decisions on behalf of a patient lacking the capacity to make their own.
- Sustainability
- The capacity of a health system or programme to be maintained long term without depleting resources needed to meet future needs.
- Sustainability EvaluationSustainability Assessment
- An assessment of whether the resource use of a programme can be maintained over time without compromising future capacity.
- System Resilience
- A health system's capacity to prepare for, respond to, and recover from a significant shock, such as a disease outbreak, while continuing essential services.
- System Sustainability
- The capacity of a health system's financing, workforce, and infrastructure to be maintained long term without unsustainable debt or disruptive cuts.
T
- Task Shifting
- The delegation of healthcare tasks from more highly trained workers to those with less training but adequate skill, maximising workforce capacity.
- Time-Driven ABCTDABC
- A simplified variant of activity-based costing using the cost per unit of time for resource capacity and the time an activity takes, rather than activity surveys.