産出量法を用いた医療の国民経済計算推計に関する考察

Material type: 文書・図像類

Author: 藤澤, 美恵子ほか

Publisher: Institute of Economic Research, Hitotsubashi University

Publication date: 2013-03

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Note (General)：: How health care systems should be organized and associated financial challenges be addressed is the subject of considerable debate in developed countr...

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Material Type: 文書・図像類
Title: 産出量法を用いた医療の国民経済計算推計に関する考察
Author/Editor: 藤澤, 美恵子
Fujisawa, Mieko
Author Heading: 藤澤, 美恵子
Fujisawa, Mieko
Publication, Distribution, etc.: Institute of Economic Research, Hitotsubashi University
Publication Date: 2013-03
Publication Date (W3CDTF): 2013-03
Alternative Title: Using Volume Measerement for Measuring Health Care in the SNA
Periodical title: Global COE Hi-Stat Discussion Paper Series
No. or year of volume/issue: No. 287
Volume: No. 287
Pages: 26p.-
Text Language Code: jpn
Subject Heading: 国民経済計算
医療のアウトプット計測
産出量法
CWOI
QACWOI
national accounts
measurement of health care output
volume measurement
Target Audience: 一般
Note (General): 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 outputaccurately not only makes it possible to examine the role and significance of public health insurance and measure its qualitative effects, but would also improve themeasurement 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 outputindex (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 theother 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 inhealth 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.
Global COE Hi-Stat Discussion Paper Series ; No. 287
DOI: 10.24517/00053050
Source: https://kanazawa-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=46718&item_no=1&attribute_id=26&file_no=1
https://kanazawa-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=46718&item_no=1&attribute_id=26&file_no=1
Access Restrictions: 限定公開
Rights (production): CC BY-NC-ND
Related Material: https://hermes-ir.lib.hit-u.ac.jp/rs/handle/10086/25512
Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）
https://irdb.nii.ac.jp
Original Data Provider (Database): 金沢大学 : 金沢大学学術情報リポジトリKURA