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how data can drive improvements in health systems

how data can drive improvements in health systems. Mark Pearson Head, OECD Health Division Japanese Health Economics Association 21 July, 2012. Structure of my talk. A cautionary tale: don’t ask me which health system is ‘the best’ Getting better international measures of health inputs

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how data can drive improvements in health systems

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  1. how data can drive improvements in health systems Mark Pearson Head, OECD Health Division Japanese Health Economics Association 21 July, 2012

  2. Structure of my talk • A cautionary tale: don’t ask me which health system is ‘the best’ • Getting better international measures of health inputs • Getting better international measures of health outputs • Prices and volumes of activity

  3. 1. Which System is best?

  4. Efficiencyof the health sector DEA analysis Source: OECD, 2010

  5. If we spent better, what would we get?

  6. Groups of countries sharing broadly similar institutions

  7. Efficiency varies more within groups of countries than across them OECD average

  8. Le Corbusier: villa Savoye

  9. What do we currently spend on health?

  10. ２. better international measures of Inputs

  11. Three dimensions of health accounting What types of health goods and services are consumed? Healthcare Consumption SHA Accounting Framework Who provides the service? Who pays? Service Provision Health Financing Source: Adapted from IHAT for SHA 2011

  12. SHA 2011: What is new and improved? • Refined boundary setting • Continuity facilitated: • Functions, Providers, Financing • New health care classifications: • Factors of provision • Financing revenues • Introduction of capital classification • Separate reporting for current and capital • Consistent labelling and categories introduced: • Link to intl. standards - SNA 2008, provider classifications (e.g. ISIC) • Larger compatibility between functions of care and providers • Closer correspondence to financing “functions” of revenue raising, pooling and purchasing

  13. A need to clarify the boundaries of LTC Different division between health and social care Restricted boundary of LTC in health

  14. Policy use of internationally comparable data USD PPP In 2007, per capita spending on pharmaceuticals in Greece was second only to the US

  15. 3. better international measures of Outputs

  16. Increasing life expectancy, but in good health?

  17. What factors account for increases in life expectancy?

  18. Cancer

  19. Care for acute exacerbation of chronic conditions

  20. Care for acute exacerbation of chronic conditions

  21. Care for chronic conditions

  22. Patient safety

  23. 4. Prices and volume

  24. Where the Japanese health system does MORE than other countries Source: OECD Health Data 2012.

  25. Widespread availability of medical technology Source: OECD Health Data 2012.

  26. Where the Japanese health system does LESS than other countries Source: OECD Health Data 2012.

  27. Comparative hospital price level, 2009

  28. Per capita volumes of hospital services, 2009

  29. Service levels were maintained in Ireland…

  30. …while growth in health prices continued in the United States Factors Accounting For Growth In Personal Health Care Spending, Selected Periods 2000–10. Source: Martin et at, Health Affairs (2012)

  31. THANK YOU FOR LISTENING http://www.oecd.org/health/healthdata

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