Comparisons of hospital output in Canada: national and international perspectives

International Journal of Health Economics and Management
Ruolz Ariste, Kam Yu

Abstract

Current cost-based approach in measuring health care output does not allow decomposition of health care expenditure into price and output components. In this paper we propose an episode-based direction measurement method which closely resembles the concept of output in the system of national accounts. Using data from the Canadian Institute for Health Information, we calculate a quality unadjusted output index of the Canadian hospital sector for the periods 1996-2005. The result shows that total output increases at an average annual growth rate of 1.49%. We expect that with the quality adjustment the actual rate is higher. This is in contrast with the long-held assumption that health care productivity growth is zero. Our results provide key information on the ongoing health care policy debate.

References

Mar 8, 1998·Journal of Health Economics·L Di Matteo, R Di Matteo
Mar 23, 2002·Annual Review of Public Health·Marthe R GoldDennis G Fryback
Aug 22, 2003·The New England Journal of Medicine·Steffie WoolhandlerDavid U Himmelstein
Sep 7, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Onyebuchi A ArahNiek S Klazinga

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