Comparisons of Hospital Output in Canada: National and International Perspectives

International Journal of Health Economics and Management, (2017), 17:443--451.

24 Pages Posted: 25 Sep 2010 Last revised: 16 Jul 2018

See all articles by Ruolz Ariste

Ruolz Ariste

Université Laval; Université du Quebec en Outaouais (UQO)

Kam Yu

Lakehead University

Date Written: May 17, 2017

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 percent. 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.

Keywords: Hospital Output, Index, Case Mix Groups

JEL Classification: C43, I12

Suggested Citation

Ariste, Ruolz and Yu, Kam, Comparisons of Hospital Output in Canada: National and International Perspectives (May 17, 2017). International Journal of Health Economics and Management, (2017), 17:443--451.. Available at SSRN: https://ssrn.com/abstract=1682055 or http://dx.doi.org/10.2139/ssrn.1682055

Ruolz Ariste (Contact Author)

Université Laval

2214 Pavillon J-A. DeSeve
Quebec, Quebec G1K 7P4
Canada

Université du Quebec en Outaouais (UQO) ( email )

Case postale 1250
succursale Hull
Gatineau, Québec J8X 3X7
Canada

Kam Yu

Lakehead University ( email )

Thunder Bay, P7B 5E1
Canada

HOME PAGE: http://flash.lakeheadu.ca/~kyu/

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