Improving the measurement of health system output growth
针对国民收入核算中忽略质量变化的问题，提出一种理想的价值加权产出指数，将产出价值与其对健康结果的贡献挂钩，并利用现有数据为部分医院活动构建质量调整指数。
National income accounting practice is to weight health service activities by their cost so that they can be aggregated into an output index. Quality changes are ignored. We propose an 'ideal' value weighted output index in which the value attached to each output reflects its contribution to health outcomes and other characteristics valued by patients. Calculation of the index for the health system as a whole is currently infeasible because of a lack of data, especially on health outcomes. We demonstrate alternative ways of combining health outcome data with existing information on post-treatment survival, life expectancy and waiting times to construct quality adjusted cost weighted and health outcome weighted indices for a small set of hospital activities for which there are health outcome data.