IDEAS home Printed from
   My bibliography  Save this paper

Using Volume Measurement for Measuring Health Care in the SNA


  • Mieko Fujisawa


How health care systems should be organized and associated financial challenges be addressed is the subject of considerable debate in developed countries, including Japan. An important aspect in this context is the measurement of health care output, which would also be useful in the measurement of productivity. Measuring health care output accurately not only makes it possible to examine the role and significance of public health insurance and measure its qualitative effects, but would also improve the measurement of gross domestic product(GDP). An important approach in this context is the volume approach to measuring health care output. Against this background, the aim of this study is to examine if and how measures of health care output could be used in the Japanese System of National Accounts (JSNA) and to present materials for implementing the measurement of health care output. The results indicate that when estimating output employing a cost-weighted output index (CWOI) using the number of patients, there are no large changes which can be observed, because the annual changes in the number of patients are also small. On the other hand, when employing a quality-adjusted cost-weighted output index (QACWOI) using the survival rate of cancer patients, some interesting results are obtained. Specifically, it is found that the rate of increase in the QACWOI was larger than that in the CWOI. Moreover, the rate of increase in the QACWOI was smaller than that in health care expenditure. To measure health care output overall, it would be necessary to decide on a measurement criterion for each type of medical treatment or surgery. On the other hand, if it were possible to change the estimation approach used for the JSNA to employ medical treatment units, it would be possible to partly reflect the results obtained here. This study shows one potential avenue for using the volume measurement approach for measuring quality-adjusted health care output.

Suggested Citation

  • Mieko Fujisawa, 2013. "Using Volume Measurement for Measuring Health Care in the SNA," Global COE Hi-Stat Discussion Paper Series gd12-287, Institute of Economic Research, Hitotsubashi University.
  • Handle: RePEc:hst:ghsdps:gd12-287

    Download full text from publisher

    File URL:
    Download Restriction: no

    References listed on IDEAS

    1. Clots-Figueras, Irma, 2011. "Women in politics: Evidence from the Indian States," Journal of Public Economics, Elsevier, vol. 95(7-8), pages 664-690, August.
    Full references (including those not matched with items on IDEAS)

    More about this item


    national accounts; measurement of health care output; volume measurement; CWOI; QACWOI;

    NEP fields

    This paper has been announced in the following NEP Reports:


    Access and download statistics


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hst:ghsdps:gd12-287. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Tatsuji Makino). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.