Economics Education into Medical Professional Education — A Literature-Based Normative Curriculum Design Study
Objective: To examine how economics literacy can be systematically embedded into medical professional education in a low-cost, measurable, and sustainable way within an already near-saturated curriculum, and to build an operational curriculum integration model. Methods: The study conducted a literature-based normative curriculum design study. With Health Systems Science and constructive alignment as the analytic framework, the study synthesized international empirical cases and domestic policy texts, and derived the model through the progression “literacy positioning — curricular attribution — integration model.” Results: The study built a curriculum integration model with three components — embedding strategy, teaching organization, and evaluation. Economics content is embedded into existing courses through a longitudinal curricular thread, distributed spirally across three stages totaling 20–28 credit-hours. Teaching is organized around clinical decision problems and supported by clinical teachers working with health economists. A three-tier evaluation (knowledge, skill/behavior, reflection) secures the observability of the literacy. Conclusions: Economics literacy is a core literacy of the medical profession, not a managerial add-on; it supplies the economic dimension of the “humanities” within the medicine–humanities integration advanced by the New Medicine initiative. Its curricular intervention is best realized by embedding through a longitudinal thread, organizing teaching around clinical decisions, engaging health economists as collaborators, and securing observability through explicit, hierarchical evaluation.
[1] General Office of the State Council, 2020, Guiding Opinions on Accelerating the Innovative Development of Medical Education (GBF [2020] No. 34). https://www.gov.cn/gongbao/content/2020/content_5549881.htm.
[2] Chen X, 2021, New Medicine Construction Must Strengthen the “Five Combinations”. China Education Daily, November 15, 2021, 5.
[3] General Office of the Ministry of Education, 2023, Guide to Guiding Majors for Cultivating Talents Serving the Health Undertaking and Health Industry. http://www.moe.gov.cn/srcsite/A08/moe_740/s3864/202401/t20240104_1098007.html
[4] Xu J, Jiao Y, Wu Z, et al., 2026, Exploration of the Construction of Economics-Evaluation Courses in Clinical Medicine Teaching. Medical Education Research and Practice, 34(2): 321–326. https://doi.org/10.13555/j.cnki.c.m.e.2026.02.022
[5] Behmann M, Brandes I, Walter U, 2012, Teaching Health Economics, Health-care System and Public Health at German Medical Faculties. Das Gesundheitswesen, 74(7): 435–441. https://doi.org/10.1055/s-0031-1280847
[6] Gonzalo JD, Haidet P, Papp KK, et al., 2017, Educating for the 21st-century Health Care System: An Interdependent Framework of Basic, Clinical, and Systems Sciences. Academic Medicine, 92(1): 35–39. https://doi.org/10.1097/ACM.0000000000000951
[7] Gonzalo JD, Dekhtyar M, Starr SR, et al., 2017, Health Systems Science Curricula in Undergraduate Medical Education: Identifying and Defining a Potential Curricular Framework. Academic Medicine, 92(1): 123–131. https://doi.org/10.1097/ACM.0000000000001177
[8] Born KB, Moriates C, Valencia V, et al., 2019, Learners as Leaders: A Global Groundswell of Students Leading Choosing Wisely Initiatives in Medical Education. Academic Medicine, 94(11): 1699–1703. https://doi.org/10.1097/ACM.0000000000002868
[9] van den Akker J, Gravemeijer K, McKenney S, et al., 2006, Educational Design Research. Routledge, London. ISBN: 9780415365721
[10] Skochelak SE, Hammoud MM, Lomis KD, 2021, Health Systems Science. 2nd ed. Elsevier, Amsterdam. ISBN: 9780323694629
[11] Arrow KJ, 1963, Uncertainty and the Welfare Economics of Medical Care. American Economic Review, 53(5): 941–973. https://doi.org/10.1257/aer.53.5.941
[12] Grossman M, 1972, On the concept of health capital and the demand for health. Journal of Political Economy, 1972, 80(2): 223–255. https://doi.org/10.1086/259880
[13] National Healthcare Security Administration, 2021, Notice on Printing and Distributing the Three-Year Action Plan for DRG/DIP Payment Method Reform (NHSA [2021] No. 48).
[14] National Healthcare Security Administration, 2025, Interim Measures for the Administration of Disease-Based Payment in Medical Security (NHSA [2025] No. 18).
[15] Evans RG, 1974, Supplier-induced Demand: Some Empirical Evidence and Implications, in The Economics of Health and Medical Care. Macmillan, London, 162–173. https://doi.org/10.1007/978-1-349-63660-0_10
[16] Beecroft C, 2016, Why Health Economics Deserves a Place in the Medical Curriculum. Journal of Comparative Effectiveness Research, 5(4): 321–323. https://doi.org/10.2217/cer-2016-0028
[17] World Health Organization, 2001, Commission on Macroeconomics and Health. Macroeconomics and Health: Investing in Health for Economic Development. WHO, Geneva.
[18] Tan-Torres Edejer T, Baltussen R, Adam T, et al., 2003, Making Choices in Health: WHO Guide to Cost-Effectiveness Analysis. World Health Organization, Geneva.
[19] Dagher T, Oyler J, Press VG, et al., 2024, Development and Implementation of an Experiential Longitudinal Health Systems Science Thread Into an Existing Medical School Curriculum. Academic Medicine, 99(9): 971–975. https://doi.org/10.1097/acm.0000000000005784
[20] Stammen LA, Stalmeijer RE, Paternotte E, et al., 2015, Training Physicians to Provide High-Value, Cost-Conscious Care: A Systematic Review. JAMA, 314(22): 2384–2400. https://doi.org/10.1001/jama.2015.16353