OECD Handbook on Measuring Volume Output of Education and Health Chapter 3: Health. Sandra Hopkins OECD Health Division June 2007. Accurate & comparable measures of both the size and the growth of the health sector are important.
OECD Health Division
Desirable to distinguish between contribution of health industry and non-health factors which impact on outcome
Aggregation of quantities of goods and services:
1. Aggregation by disease or illness
Complete treatment refers to the pathway that an individual takes through heterogeneous institutions – offices of doctors, hospitals, medical laboratories etc. – in order to receive full and final treatment for a disease or condition
b) Aggregation across institutions
Figure 3.1 Differences in measurement between inpatient and outpatient care
Indicators which reflect changes in outcomes as a result of quality changes can be categorised into three types:
There are a number of desirable characteristics of indicators which could be used for quality adjustment for volume output for determining the marginal contribution of the health industry to outcome. Indicators should be:
Castelli et al (2007) developed quality adjusted cost weighted output indexesLimited developments in quality adjusting health volume output
What is required to get a reliable and consistent measure of quality adjusted health volume output?