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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

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
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
slide4

Efficiencyof the health sector

DEA analysis

Source: OECD, 2010

three dimensions of health accounting
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

sha 2011 what is new and improved
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
a need to clarify the boundaries of ltc
A need to clarify the boundaries of LTC

Different division between health and social care

Restricted boundary of LTC in health

policy use of internationally comparable data
Policy use of internationally comparable data

USD PPP

In 2007, per capita spending on pharmaceuticals in Greece was second only to the US

where the japanese health system does more than other countries
Where the Japanese health system does MORE than other countries

Source: OECD Health Data 2012.

widespread availability of medical technology
Widespread availability of medical technology

Source: OECD Health Data 2012.

where the japanese health system does less than other countries
Where the Japanese health system does LESS than other countries

Source: OECD Health Data 2012.

while growth in health prices continued in the united states
…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)

thank you for listening
THANK YOU FOR LISTENING

http://www.oecd.org/health/healthdata