Economics, competition and the regulation of public health risks.

Abstract:

OBJECTIVE:The efficiency of regulation of public health risks has been questioned on the grounds that the costs of regulation may outweigh the benefits. There are strong arguments that risk management is best left to the market place, where individual consumers can make the trade-off between risk and the forgone benefits of reduced consumption of hazardous products. The paper reviews the economic arguments for the regulation of health risks and the use of safety standards. RESULTS:There are five key arguments for regulation of public health risks. Consumers misperceive the hazards of products and therefore take more risks than they would if fully informed. The provision of information has certain public goods characteristics (it is non-rival). There may be economies of scale in collecting, providing and disseminating information that is costly to acquire. The private decision maker may not be the person bearing the whole risk, exposing others to risk e.g. children. If public policy has chosen to provide public finance for health care it may be efficient to discourage risk taking by individuals even if that risk taking is optimal from the individual's perspective. CONCLUSION:There are arguments for public intervention to reduce private health risks and regulation of risk is a legitimate tool to achieve the socially optimal level of risk in certain circumstances. Private subjective assessment of risk may not capture the full social benefits of risk reduction. Regulation by safety standards however may fail to capture the full range of concerns about risk, including avoiding catastrophe, taking personal control of risk, and a distrust of expert opinion.

authors

Harris A

doi

10.1111/j.1467-842x.2001.tb00548.x

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

41-3

issue

1

eissn

1326-0200

issn

1753-6405

journal_volume

25

pub_type

杂志文章
  • Debunking the 'only 50%' myth: prevalence of established risk factors in New Zealanders with self-reported ischaemic heart disease.

    abstract:OBJECTIVE:To estimate the prevalence of established risk factors for ischaemic heart disease (IHD) in New Zealand adults and compare the prevalence in adults with and without this disease. DESIGN:Data were obtained from the 2002/03 New Zealand Health Survey. Risk factor prevalence was determined by: self-reported doct...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2005.tb00218.x

    authors: Tobias M,Turley M,Paul S,Sexton K

    更新日期:2005-10-01 00:00:00

  • The dietary intake of chemical residues in Brisbane adults.

    abstract::The purpose of this work was to integrate existing chemical residue and food consumption data for individuals to improve estimates of the dietary intake of chemical residues in the population of Brisbane. Previous estimates of intakes from the Australian Market Basket Survey (AMBS) have been based on energy-adjusted '...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1998.tb01186.x

    authors: Harvey PW,Marks GC,Heywood PF

    更新日期:1998-04-01 00:00:00

  • Sun exposure and sun protection behaviours among young adult sport competitors.

    abstract:OBJECTIVES:To explore the relationship between sun protection and physical activity in young adults (18-30 years) involved in four organised sports. METHODS:Participants (n=237) in field hockey, soccer, tennis and surf sports completed a self-administered survey on demographic and sun-protective behaviours while playi...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2007.00053.x

    authors: Lawler S,Spathonis K,Eakin E,Gallois C,Leslie E,Owen N

    更新日期:2007-06-01 00:00:00

  • General paediatrics outpatient consultation fees, bulk billing rates and service use patterns in Australia.

    abstract:OBJECTIVE:To determine: 1) the mean, median and range of fees for initial and subsequent private outpatient consultations with a general paediatrician in Australia; 2) any variation in fees and bulk billing rates between states/territories; and 3) volume of outpatient general paediatric specialist consultations relativ...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12819

    authors: Freed GL,Allen AR

    更新日期:2018-12-01 00:00:00

  • Demography of assault in a provincial Victorian population.

    abstract::The study examined the frequency and patterns of assault within a large regional population of Victoria. The records of 860 victims of physical assault who presented to the Geelong Hospital emergency department during 1993 and 1994 were analysed retrospectively. The policy data on 1427 reported cases of physical assau...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1997.tb01654.x

    authors: Taylor D,Eddey D,Cameron P

    更新日期:1997-02-01 00:00:00

  • Age, period and cohort effects on body mass index in New Zealand, 1997-2038.

    abstract:OBJECTIVE:To estimate the effects of age, period and birth cohort on observed trends, and to provide short- to medium-term projections of population BMI in New Zealand. METHODS:Data were obtained from New Zealand national health surveys covering the period 1997 to 2015 (n=76,294 individuals). A Hierarchical Age-Period...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12804

    authors: Wilson R,Abbott JH

    更新日期:2018-08-01 00:00:00

  • Using data linkage to improve the completeness of Aboriginal and Torres Strait Islander status in communicable disease notifications in Victoria.

    abstract:OBJECTIVE:The burden of notifiable diseases in Aboriginal and Torres Strait Islander Victorians cannot be accurately estimated due to under-reporting of Indigenous status. We used data linkage to improve completeness of Indigenous status in people notified with viral hepatitis and gonococcal infection. METHODS:Notific...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12434

    authors: Rowe SL,Cowie BC

    更新日期:2016-04-01 00:00:00

  • Pseudo-drunk-patron evaluation of bar-staff compliance with Western Australian liquor law.

    abstract::Compliance of bar staff with the Western Australian liquor law prohibiting service to drunk patrons was assessed through the deployment of actors trained to behave in a drunken manner. The serving practices of 23 licensed premises (19 hotels and four nightclubs) were examined. During 120 visits to hotel and nightclub ...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1996.tb01031.x

    authors: Rydon P,Stockwell T,Lang E,Beel A

    更新日期:1996-06-01 00:00:00

  • Risky driving behaviour in young people: prevalence, personal characteristics and traffic accidents.

    abstract:OBJECTIVES:This research aimed to examine the prevalence of risky driving behaviour among young people, the characteristics of those who engage in risky driving behaviour, and the association between risky driving behaviours and accident risk. METHODS:Data were gathered during the course of the Christchurch Health and...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2003.tb00404.x

    authors: Fergusson D,Swain-Campbell N,Horwood J

    更新日期:2003-01-01 00:00:00

  • Inappropriate use of medications in the veteran community: how much do doctors and pharmacists contribute?

    abstract::There is widespread inappropriate use of pharmaceuticals. Problems are with the prescribing and dispensing as well as with the taking of medicines. Levels of potentially inappropriate prescribing were estimated in the population of Australian veterans and war widows. This group tends to have multiple medical condition...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1997.tb01737.x

    authors: Parkes AJ,Coper LC

    更新日期:1997-08-01 00:00:00

  • Socio-economic mortality differentials in Sydney over a quarter of a century, 1970-94.

    abstract:OBJECTIVE:To examine trends in socio-economic differentials in all-cause mortality in Sydney over a 25-year period (1970-94). METHODS:Five measures of single indicators (two for occupation, two for education and one for income) and a composite measure of socio-economic disadvantage based on Census data (the Australian...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2002.tb00177.x

    authors: Hayes LJ,Quine S,Taylor R,Berry G

    更新日期:2002-08-01 00:00:00

  • Do low control response rates always affect the findings? Assessments of smoking and obesity in two Australian case-control studies of cancer.

    abstract:OBJECTIVE:Participation rates have been declining in case-control studies, particularly among controls, raising concerns about possible bias. Formal assessments of the effect of low participation on odds ratios (OR) are seldom presented however. We sought to quantify possible bias using multiple imputation techniques. ...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2009.00401.x

    authors: Pandeya N,Williams GM,Green AC,Webb PM,Whiteman DC

    更新日期:2009-08-01 00:00:00

  • 'Maximising shareholder value': a detailed insight into the corporate political activity of the Australian food industry.

    abstract:OBJECTIVE:To gain deeper insight into the corporate political activity (CPA) of the Australian food industry from a public health perspective. METHODS:Fifteen interviews with a purposive sample of current and former policy makers, public health advocates and academics who have closely interacted with food industry rep...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12639

    authors: Mialon M,Swinburn B,Allender S,Sacks G

    更新日期:2017-04-01 00:00:00

  • Seroprevalence of markers for hepatitis B, C and G in male and female prisoners--NSW, 1996.

    abstract:OBJECTIVES:1. Establish the prevalence of markers for hepatitis B (HBV), C (HCV) and G (HGV) in a sample of male and female inmates. 2. Examine exposure to multiple viruses. 3. Compare risk factors for HGV infection with known risk factors for HBV and HCV. DESIGN:Cross-sectional random sample stratified by sex, age an...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1999.tb01278.x

    authors: Butler T,Spencer J,Cui J,Vickery K,Zou J,Kaldor J

    更新日期:1999-08-01 00:00:00

  • General health in Timor-Leste: self-assessed health in a large household survey.

    abstract:OBJECTIVE:Timor-Leste is one of the world's newest nations and became a democracy in 2002. Ranked 150 out of 177 in the 2007 UNDP Human Development Index, the country has the worst health indicators in the Asia-Pacific region. The objective of this study was to collect and analyse data on subjectively assessed general ...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2009.00411.x

    authors: Earnest J,Finger RP

    更新日期:2009-08-01 00:00:00

  • The case for action on socioeconomic differences in overweight and obesity among Australian adults: modelling the disease burden and healthcare costs.

    abstract:OBJECTIVE:We aimed to quantify the extent to which socioeconomic differences in body mass index (BMI) drive avoidable deaths, incident disease cases and healthcare costs. METHODS:We used population attributable fractions to quantify the annual burden of disease attributable to socioeconomic differences in BMI for Aust...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12970

    authors: Gearon E,Backholer K,Lal A,Nusselder W,Peeters A

    更新日期:2020-04-01 00:00:00

  • Evidence-based consumer choice: a case study in colorectal cancer screening.

    abstract:OBJECTIVES:To elicit community preferences for colorectal cancer (CRC) screening by faecal occult blood test (FOBT) using discrete choice modeling (DCM). To provide policymakers with information that would assist them in designing the future national screening program. METHODS:301 participants in central Sydney, aged ...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2003.tb00425.x

    authors: Salkeld G,Solomon M,Short L,Ryan M,Ward JE

    更新日期:2003-01-01 00:00:00

  • Social capital and its relevance to health and family policy.

    abstract::It is important to consider the global context in which we operate and in which the association between society and health is to be explored. We are in a democratic world, with an economy that emphasises the market and a post-modern culture. The ancient elements of state, market and community are discernible in avaric...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章,评审

    doi:10.1111/j.1467-842x.1999.tb01288.x

    authors: Leeder S,Dominello A

    更新日期:1999-08-01 00:00:00

  • What New Zealanders find important to their quality of life: comparisons with international WHOQOL data from 14 other countries.

    abstract:OBJECTIVE:When the World Health Organization Quality of Life tools were developed by 15 collaborating centres in 14 countries, respondents rated how important they considered various facets of health-related quality of life. The present study compared quality of life importance ratings from New Zealanders with the glob...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12350

    authors: Krägeloh CU,Billington R,Hsu PH,Landon J

    更新日期:2015-08-01 00:00:00

  • Mental health expenditure in Australia: time for affirmative action.

    abstract::In Australia, there is a clear relationship (r=-0.56) between the ratio of health expenditure to burden and the ratio of mortality to disability across illness groups. Those illnesses with high mortality relative to disability (e.g. cancer and cardiovascular) are associated with lower health expenditure, relative to t...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2006.tb00102.x

    authors: Hickie IB,Davenport TA,Luscombe GM

    更新日期:2006-04-01 00:00:00

  • Hepatitis B vaccination coverage of Vietnamese children in south-western Sydney.

    abstract::Vaccination coverage since the selective hepatitis B vaccination of neonates of high-risk group program introduced in 1987, was measured in 658 children from 301 Vietnamese families living in the south-western Sydney. The vaccination rate of children born after the introduction of the program was twice that of childre...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1998.tb01421.x

    authors: Lam LP,McLaws ML

    更新日期:1998-06-01 00:00:00

  • Recommendations by Queensland GPs to be more physically active: which patients were recommended which activities and what action they took.

    abstract:OBJECTIVE:To ascertain the extent to which general practitioners in Queensland recommend physical activity to their patients, the types of patients they target, types of activities they suggest and how patients respond to the recommendations. METHODS:Questions designed to answer the research objectives were included i...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2011.00779.x

    authors: Robertson R,Jepson R,Shepherd A,McInnes R

    更新日期:2011-12-01 00:00:00

  • Maintaining sexual health in commercial sex workers in Australia: condom effectiveness, screening, and management after acquiring sexually transmissible infections.

    abstract:OBJECTIVE:To provide practical advice to health care providers and public health practitioners regarding screening and management of sexually transmitted infections (STIs) in sex workers, and to examine the effectiveness of condoms in reducing transmission of STIs. METHODS:Medline search using the key words sex worker...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2004.tb00443.x

    authors: Lyttle PH,Thompson SC

    更新日期:2004-08-01 00:00:00

  • School and individual-level characteristics are associated with children's moderate to vigorous-intensity physical activity during school recess.

    abstract:OBJECTIVE:The objective of this study was to identify school environmental characteristics associated with moderate to vigorous physical activity during school recess, including morning and lunch breaks. METHODS:Accelerometry data, child-level characteristics and school physical activity, policy and socio-cultural dat...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2012.00914.x

    authors: Martin K,Bremner A,Salmon J,Rosenberg M,Giles-Corti B

    更新日期:2012-10-01 00:00:00

  • Dietary intakes of European, Māori, Pacific and Asian adults living in Auckland: the Diabetes, Heart and Health Study.

    abstract:OBJECTIVE:To compare dietary intakes of European, Māori, Pacific, and Asian men and women living in Auckland. METHODS:Daily nutrient intakes were calculated from a self-administered food frequency questionnaire from participants in a cross-sectional health screening study carried out between 2002 and 2003. Participant...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2008.00279.x

    authors: Metcalf PA,Scragg RR,Schaaf D,Dyall L,Black PN,Jackson R

    更新日期:2008-10-01 00:00:00

  • Tracing and recruiting a cohort with community acquired hepatitis 25 years later.

    abstract:OBJECTIVE:We describe the methods used to trace and recruit a cohort (including injecting drug users) 25 years after admission to hospital in Melbourne with hepatitis. METHODS:Information recorded in the original medical record was used for tracing purposes. Subjects were located using the electoral roll, CD-ROM telep...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2001.tb00309.x

    authors: Rodger A,Lanigan A,Hocking J,Crofts N

    更新日期:2001-12-01 00:00:00

  • Hepatitis C virus infection rates and risk factors in an Australian hospital endoscopy cohort.

    abstract:OBJECTIVE:To determine the reservoir and risk factors of HCV infection in a hospital population. METHODS:The presence of anti-HCV in 2,119 endoscopy patients was related to putative risk factors for exposure using the SAS statistical package. RESULTS:Most of the 4.7% of anti-HCV positive patients had multiple risk fa...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2009.00426.x

    authors: Vickery K,Tawk HM,Bisset L,Selby W,Cossart YE

    更新日期:2009-10-01 00:00:00

  • Pap smears in general practice: a secondary analysis of the Australian Morbidity and Treatment Survey 1990 to 1991.

    abstract::We investigated the characteristics of Australian general practice that predict performance of Pap smears by secondary analysis of the Australian Morbidity and Treatment Survey 1990 to 1991. Chi-squared analysis identified potential associations between Pap smear rate and patient, doctor and practice variables. Signif...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1997.tb01696.x

    authors: Reid SE,Simpson JM,Britt HC

    更新日期:1997-06-01 00:00:00

  • Cervical smear participation and prevalence of sexually transmitted infections in women attending a community-controlled Indigenous health service in north Queensland.

    abstract:OBJECTIVE:To increase Pap smear participation and to assess the prevalence of sexually transmitted infection (STI) in urban Indigenous women in Townsville. DESIGN:Convenience sample of women attending Townsville Aboriginal and Islanders Health Services (TAIHS) for health care participating in the Trichomonas vaginalis...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2006.tb00112.x

    authors: Panaretto KS,Dallachy D,Manessis V,Larkins S,Tabrizi S,Upcroft J,Garland S

    更新日期:2006-04-01 00:00:00

  • Evaluation of linked cancer registry and hospital records of breast cancer.

    abstract:BACKGROUND:Information on the treatment of women with breast cancer in Australia is generally available only from special surveys. Analysis of routinely collected datasets may be more timely and cost effective, if the data are sufficiently accurate and complete. OBJECTIVE:To evaluate the accuracy and completeness of d...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1998.tb01490.x

    authors: McGeechan K,Kricker A,Armstrong B,Stubbs J

    更新日期:1998-12-01 00:00:00