Accounting for Health and Health Care Approaches to Measuring the Sources and Costs of Their Improvement (2010) / Chapter Skim
Currently Skimming:
1 Health Data and Health Policy
1 Health Data and Health Policy
Pages 17-26
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From page 17... ...
The United States has aggregate data that chart its total medical care expenditures and rate of growth. The most widely cited estimate of total health care costs comes from the National Health Expenditure Accounts (NHEAs)
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From page 18... ...
The panel believes that a combination of improved economic accounts for medical care and a new database for analyzing the health care sector and its impacts on population health is essen tial for informing policies in these areas; microdata -- survey and administrative records -- will also always be necessary for understanding of medical care spend ing, health status, and costs. Recommendation 1.1: Work should proceed on two projects that are distinct but complementary in nature.
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From page 19... ...
The existing NHEAs provide integrated information on health care spending. Although they serve a number of program and research needs, they are not designed to permit analysis of critical questions concerning medical care costs.
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The medical care account's major requirements are comprehensive measures of the inputs to the production of medical care (including pharmaceuticals, skilled professionals, and high-tech capital equipment) and a measure of the output of the sector.
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From page 21... ...
Alternative quantity-based methods are attractive in countries where the government provides medical care directly (so the price charged is not relevant) , but they are also worth considering for the United States because the usual practice of deflation by price indexes has both conceptual and practical disadvantages in the case of medical care.
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From page 22... ...
And that translates into a series of questions of the following type: Is the amount the United States spends on circulatory diseases, for example, too much, too little, or about right in terms of what we get for the dollars expended? 2 Addressing what society and even what individuals get for their medical expenditures is complicated because the output of the medical care sector is not health.
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From page 23... ...
1.2. REPORT AUDIENCE, REPORT STRUCTURE The Panel to Advance a Research Program on the Design of National Health Accounts was assembled to examine how health and medical care data systems might be designed and implemented within a national accounting framework.
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make recommendations to the source agencies that compile medical and health care data for their improvement and modification, with the aim of facilitating construction of the new medical care account. The second audience includes researchers developing health data programs and the agencies funding these initiatives.
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From page 25... ...
, in terms of their impact on patient health, is the quality dimension that needs to be monitored in order to estimate changes in real prices and quantities correctly. As the statistical agencies continue work relevant to a satellite medical care account, they need to keep the broader and more ambitious ideas in mind so that the programs progress in a way that will not impede future work to track health care outcomes and quality change.
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