tailieunhanh - Medical Care Output and Productivity

Children are our most precious resource. Unfortunately, they do not have the skills to protect themselves. Adults can, and must, protect them. Most States codify this obligation in various child abuse and endangerment statutes. Still, many States fail to statutorily recognize the relationship in the traffic safety context. For example, though virtually every State recognizes the inherent dangers of driving under the influence of alcohol or drugs (DUI or DWI), many do not articulate special sanctions for DWI/DUI drivers with minor passengers. . | This PDF is a selection from an out-of-print volume from the National Bureau of Economic Research Volume Title Medical Care Output and Productivity Volume Author Editor David M. Cutler and Ernst R. Berndt editors Volume Publisher University of Chicago Press Volume ISBN 0-226-13226-9 Volume URL http books cutl01-1 Publication Date January 2001 Chapter Title What s Different about Health -- Human Repair and Car Repair in National Accounts and in National Health Accounts Chapter Author Jack E. Triplett Chapter URL http chapters c7625 Chapter pages in book p. 15 - 96 1 What s Different about Health Human Repair and Car Repair in National Accounts and in National Health Accounts Jack E. Triplett The American patient is likely to . . . regard doctors as technicians who are periodically called on to repair his physical machinery. Aaron and Schwartz 1983 Measuring the output of services industries has long been considered difficult. The conceptual problem arises because in many service sectors it is not exactly clear what is being transacted what is the output and what services correspond to the payments made to their providers Griliches 1992 7 . Among the hard-to-measure services no task has been perceived as more difficult than measuring the output of the health care sector. Why is measuring health care output so hard The medical economics literature contains a long list of intimidating and discouraging difficulties. In this paper I propose to cut through this mostly defeatist list by posing what at first might seem a narrowly focused question Why is health care different from any other analogous service such as car repair Comparing measurement issues in human repair and car repair is instructive. It is not merely the straightforward analogies Replacing a shock absorber and replacing a hip are both repairs to a suspension system diagnostic activity is a crucial part of both production processes the frequency of costly diagnostic errors is a .

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