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Comparisons of hospital output in Canada: national and international perspectives

Author

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  • Ruolz Ariste

    (Canadian Institute for Health Information)

  • Kam Yu

    (Lakehead University)

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.

Suggested Citation

  • Ruolz Ariste & Kam Yu, 2017. "Comparisons of hospital output in Canada: national and international perspectives," International Journal of Health Economics and Management, Springer, vol. 17(4), pages 433-451, December.
    • Handle: RePEc:kap:ijhcfe:v:17:y:2017:i:4:d:10.1007_s10754-017-9217-9
    DOI: 10.1007/s10754-017-9217-9
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    References listed on IDEAS

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    Cited by:

    1. Andrew Sharpe & Celeste Bradley & Hans Messinger, 2007. "The Measurement of Output and Productivity in the Health Care Sector in Canada: An Overview," CSLS Research Reports 2007-06, Centre for the Study of Living Standards.
    2. Wulong Gu & Stéphane Morin, 2014. "Experimental Measures of Output and Productivity in the Canadian Hospital Sector, 2002 to 2010," NBER Chapters, in: Measuring Economic Sustainability and Progress, pages 575-594, National Bureau of Economic Research, Inc.
    3. W. Diewert, 2012. "The measurement of productivity in the nonmarket sector," Journal of Productivity Analysis, Springer, vol. 37(3), pages 217-229, June.

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    More about this item

    Keywords

    Health care output; System of national accounts; Price index; Quantity index;
    All these keywords.

    JEL classification:

    • C43 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - Index Numbers and Aggregation
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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