Dimensions of health care system quality in Finland
Pääkkönen, Jenni ; Seppälä, Timo
VATT Working Papers 31 - May 2012 - Valtion taloudellinen tutkimuskeskus
Government Institute for Economic Research - Helsinki 2012
Available online PDF [40p.] at: http://bit.ly/KlzFqA
“……This paper evaluates the determinants of quality - cost relationship in primary health care. We first summarize information from various indicators of care by principal component analysis (PCA), effectively producing quality of care indicators: accessibility, coverage and allocative efficiency.
We then regress the costs of care against these indicators to evaluate their relationship. Our results suggest that PCA may be used to produce quality of care indicators. Furthermore, the relationship between the costs and quality of care is complex. Better accessibility is reflected in higher costs, whereas the efficient allocation of resources will bring some cost savings. …”
“……….The main task of a public health care system is to maintain and yield health among the citizens. However, government budgets are tight and the increase in health care expenses together with aging does not help to consolidate the budgets.
Decision makers may be able to minimize the increase in health care expenses by allocating resources efficiently. However, policies are not alike: some cost-saving policies may harm the quality of care, while other policies may leave quality intact.
To evaluate the influence of cost-savings on quality, one needs first a measurement of quality, and second, the relationship between costs and quality should be verified.
Most health economic research focusing on quality-cost issues has concentrated on fragments of health care (e.g. cardiac diseases, diabetes treatments), whereas given the weak economic prospects of governments, one should rather study the possibility of revealing a link between quality and costs at the system level. In this paper, we attempt to measure the quality of care at the system level. We also evaluate whether costs are systematically associated with quality. Finnish data from primary health care facilitate the contemplation of these issues empirically……..”
2 Quality of care indicators
A Appendix: data
B Appendix: results
* * *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues. [DD/ KMC Area]
“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.