Knowing the cost of everything, the value of nothing? Challenges in measuring NHS output growth
نویسندگان
چکیده
An index of health sector outputs should capture the valuable things that the health system produces. Standard national accounting practice is to weight health service outputs by their cost so that they can be aggregated into a single index. Consequently no account is taken of quality changes, defined as changes in the characteristics of health service output which are valued by patients. We propose a method of measuring growth in NHS output that incorporate adjustment for quality. An “ideal” value weighted output index has two fundamental features. First, the value attached to each output reflects its relative contribution to health outcomes and, second, the value of other important characteristics of health care, such as the process of care delivery, can be readily incorporated. Comprehensive calculation of this index for the NHS is currently unfeasible because of a lack of data. We demonstrate how health and waiting time adjusted output indices can be calculated for a limited set of activities for which data on health outcomes exist. The influence of different assumptions about the form of quality adjustments is assessed. Indices are sensitive to the choice of valuation method when (1) there are large discrepancies in the weights produced by alternative bases for valuation (2) there are substantial changes in output mix over time.
منابع مشابه
An Input - Output Assessment of Employment, Efficiency, Income Distribution and Growth Strategies in Iran
This Paper has used a multisectoral input-output model of Iranian economy to examine the ability of different sectors of economy to create jobs per unit of output as well as capital. The results reveal that there is no conflict in a growth strategy that simultaneously attempts to improve efficiency i.e. reallocating production to sectors with low DRCs, equity and job creation. Although sectoral...
متن کاملMeasuring Economic Efficiency of Kidney Bean Production using Non-Discretionary Data Envelopment Analysis
Efficient use of assets in agriculture is a goal for policy-makers and farmers. Agricultural input resources are scarce therefore optimum use of inputs in different agricultural operations is important. Mathematical programming technique such as data envelopment analysis (DEA) is a well-known approach for estimation efficiency of agricultural DMUs. In this study, efficiency of kidney bean produ...
متن کاملMorality and Values in Support of Universal Healthcare Must be Enshrined in Law; Comment on “Morality and Markets in the NHS”
This is a commentary on Gilbert and colleagues’ (1) paper on morality and markets in the National Health Service (NHS). Morality and values are not ephemeral qualities and universal healthcare is not simply an aspiration; it has to be enshrined in law. The creation of the UK NHS in 1948 was underpinned by core legal duties which required a system of public funding and delivery to follow. The mo...
متن کاملElectricity Input–Output Analysis in Iranian Economics (Generalize Hypothetical Extraction Method)
With respect to targeting high economic growth rate and lack of financial resources, identifying key sectors and measuring inter-sectoral interactions in in the economy is becoming increasingly important. There is no doubt that the electricity sector in the economy plays a vital role in the development of other sub-sectors and it is expected that there will be a positive relationship between th...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2005