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With the United States and other developed nations spending as much as 14 percent of their GDP on medical care, economists and policy analysts are asking what these countries are getting in return. Yet it remains frustrating and difficult to measure the productivity of the medical care service industries. This volume takes aim at that problem, while taking stock of where we are in our attempts to solve it. Much of this analysis focuses on the capacity to measure the value of technological change and other health care innovations. A key finding suggests that growth in health care spending has coincided with an increase in products and services that together reduce mortality rates and promote additional health gains. Concerns over the apparent increase in unit prices of medical care may thus understate positive impacts on consumer welfare. When appropriately adjusted for such quality improvements, health care prices may actually have fallen. Provocative and compelling, this volume not only clarifies one of the more nebulous issues in health care analysis, but in so doing addresses an area of pressing public policy concern.

Medical care --- Medical care, Cost of --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Public health --- Cost effectiveness --- Econometric models --- Outcome Assessment (Health Care) --- Cost-Benefit Analysis --- Models, Econometric --- Econometric Models --- Econometric Model --- Model, Econometric --- Benefits and Costs --- Cost Benefit --- Cost Benefit Analysis --- Cost-Effectiveness Analysis --- Cost-Utility Analysis --- Costs and Benefits --- Economic Evaluation --- Marginal Analysis --- Cost Effectiveness --- Cost-Benefit Data --- Analyses, Cost Benefit --- Analyses, Cost-Benefit --- Analyses, Cost-Utility --- Analyses, Marginal --- Analysis, Cost Benefit --- Analysis, Cost-Benefit --- Analysis, Cost-Effectiveness --- Analysis, Cost-Utility --- Analysis, Marginal --- Cost Benefit Analyses --- Cost Benefit Data --- Cost Effectiveness Analysis --- Cost Utility Analysis --- Cost-Benefit Analyses --- Cost-Utility Analyses --- Data, Cost-Benefit --- Economic Evaluations --- Effectiveness, Cost --- Evaluation, Economic --- Evaluations, Economic --- Marginal Analyses --- Assessment, Outcomes --- Outcome Measures --- Outcome Studies --- Outcomes Assessment --- Outcomes Research --- Assessment, Outcome (Health Care) --- Assessments, Outcome (Health Care) --- Assessments, Outcomes --- Measure, Outcome --- Measures, Outcome --- Outcome Assessments (Health Care) --- Outcome Measure --- Outcome Study --- Outcomes Assessments --- Research, Outcomes --- Studies, Outcome --- Study, Outcome --- United States. --- E-books --- Cost and Benefit --- Benefit and Cost --- medical, medicine, hospital, healthcare, wellness, economics, economy, industry, finance, financial, income, united states, usa, america, american, developing countries, developed world, gdp, policy, analyst, analysis, production, service, job, career, workplace, mortality, death, illness, products, services, quality, prices, congresses, cost, theoretical, measurement, nonprofit, national, depression, treatment.

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This report examines issues surrounding the establishment of a national patient outcomes database that would be used by patients and providers to make more informed treatment decisions. It focuses on prostate cancer and surgery for osteoarthritis. The authors conclude that such longitudinal databases would be both desirable and feasible but would require substantial resources.

Outcome assessment (Medical care) - Databases - United States. --- Treatment Outcome --- Databases as Topic --- Patient Participation --- Decision Making --- Consumer Participation --- Outcome Assessment (Health Care) --- Thinking --- Information Storage and Retrieval --- Prognosis --- Patient Acceptance of Health Care --- Information Systems --- Mental Processes --- Diagnosis --- Outcome and Process Assessment (Health Care) --- Consumer Organizations --- Attitude to Health --- Information Science --- Medical Informatics Applications --- Community Health Services --- Health Care Evaluation Mechanisms --- Health Services --- Psychological Phenomena and Processes --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Medical Informatics --- Delivery of Health Care --- Quality of Health Care --- Organizations --- Psychiatry and Psychology --- Health Care Economics and Organizations --- Health Care Quality, Access, and Evaluation --- Health Care Facilities, Manpower, and Services --- Health Services Administration --- Health Care --- Medical Research --- Medicine --- Health & Biological Sciences --- Community Participation --- Administration, Health Services --- Healthcare Facilities, Manpower, and Services --- Healthcare Quality, Access, and Evaluation --- Healthcare Economics and Organizations --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Non-Governmental Organizations --- Nongovernmental Organizations --- Organizations, Nongovernmental --- Non Governmental Organizations --- Non-Governmental Organization --- Nongovernmental Organization --- Organization --- Organization, Non-Governmental --- Organization, Nongovernmental --- Organizations, Non-Governmental --- Quality of Care --- Quality of Healthcare --- Care Qualities --- Care Quality --- Health Care Quality --- Healthcare Quality --- Computer Science, Medical --- Health Information Technology --- Informatics, Clinical --- Informatics, Medical --- Information Science, Medical --- Clinical Informatics --- Medical Computer Science --- Medical Information Science --- Health Information Technologies --- Information Technologies, Health --- Information Technology, Health --- Medical Computer Sciences --- Medical Information Sciences --- Science, Medical Computer --- Technologies, Health Information --- Technology, Health Information --- Psychologic Processes and Principles --- Services, Health --- Health Service --- Service, Health --- Healthcare Evaluation Mechanisms --- Evaluation Mechanism, Healthcare --- Evaluation Mechanisms, Healthcare --- Healthcare Evaluation Mechanism --- Mechanism, Healthcare Evaluation --- Mechanisms, Healthcare Evaluation --- Community Healthcare --- Health Services, Community --- Services, Community Health --- Community Health Care --- Care, Community Health --- Community Health Service --- Community Healthcares --- Health Care, Community --- Health Service, Community --- Healthcare, Community --- Healthcares, Community --- Service, Community Health --- Application, Medical Informatics --- Applications, Medical Informatics --- Informatics Applications, Medical --- Informatics Application, Medical --- Medical Informatics Application --- Information Sciences --- Science, Information --- Sciences, Information --- Health Attitude --- Attitude, Health --- Attitudes, Health --- Health Attitudes --- Health, Attitude to --- Organizations, Consumer --- Consumer Organization --- Organization, Consumer --- Donabedian Model --- Donabedian Triad --- Outcome and Process Assessment --- Structure Process Outcome Triad --- Model, Donabedian --- Triad, Donabedian --- Antemortem Diagnosis --- Diagnoses and Examinations --- Examinations and Diagnoses --- Postmortem Diagnosis --- Antemortem Diagnoses --- Diagnoses --- Diagnoses, Antemortem --- Diagnoses, Postmortem --- Diagnosis, Antemortem --- Diagnosis, Postmortem --- Postmortem Diagnoses --- Disease --- Human Information Processing --- Information Processing, Human --- Ancillary Information Systems --- Data Systems --- Emergency Care Information Systems --- Information Retrieval Systems --- Ancillary Information System --- Data System --- Information Retrieval System --- Information System --- Information System, Ancillary --- Information Systems, Ancillary --- System, Ancillary Information --- System, Data --- System, Information --- System, Information Retrieval --- Systems, Ancillary Information --- Systems, Data --- Systems, Information --- Systems, Information Retrieval --- Prognostic Factors --- Factor, Prognostic --- Factors, Prognostic --- Prognoses --- Prognostic Factor --- Data Files --- Data Linkage --- Data Retrieval --- Data Sources --- Data Storage --- Data Storage and Retrieval --- Information Extraction --- Information Storage --- Machine-Readable Data Files --- Information Retrieval --- Data File --- Data File, Machine-Readable --- Data Files, Machine-Readable --- Data Source --- Extraction, Information --- Files, Machine-Readable Data --- Information Extractions --- Machine Readable Data Files --- Machine-Readable Data File --- Retrieval, Data --- Storage, Data --- Critical Thinking --- Thinking Skills --- Thinking Skill --- Thinking, Critical --- Assessment, Outcomes --- Outcome Measures --- Outcome Studies --- Outcomes Assessment --- Outcomes Research --- Assessment, Outcome (Health Care) --- Assessments, Outcome (Health Care) --- Assessments, Outcomes --- Measure, Outcome --- Measures, Outcome --- Outcome Assessments (Health Care) --- Outcome Measure --- Outcome Study --- Outcomes Assessments --- Research, Outcomes --- Studies, Outcome --- Study, Outcome --- Community Involvement --- Public Participation --- Community Action --- Consumer Involvement --- Action, Community --- Actions, Community --- Community Actions --- Community Involvements --- Consumer Involvements --- Involvement, Community --- Involvement, Consumer --- Involvements, Community --- Participation, Community --- Participation, Consumer --- Participation, Public --- Decision Making, Shared --- Decision Makings, Shared --- Making, Shared Decision --- Makings, Shared Decision --- Shared Decision Making --- Shared Decision Makings --- Patient Activation --- Patient Empowerment --- Patient Engagement --- Patient Involvement --- Patient Participation Rates --- Activation, Patient --- Empowerment, Patient --- Engagement, Patient --- Involvement, Patient --- Participation Rate, Patient --- Participation Rates, Patient --- Participation, Patient --- Patient Participation Rate --- Data Banks as Topic --- Data Bases as Topic --- Databanks as Topic --- Clinical Effectiveness --- Clinical Efficacy --- Patient-Relevant Outcome --- Treatment Efficacy --- Rehabilitation Outcome --- Treatment Effectiveness --- Clinical Effectivenesses --- Effectiveness, Clinical --- Effectiveness, Treatment --- Effectivenesses, Clinical --- Efficacy, Clinical --- Efficacy, Treatment --- Outcome, Patient-Relevant --- Outcome, Rehabilitation --- Outcome, Treatment --- Outcomes, Patient-Relevant --- Patient Relevant Outcome --- Patient-Relevant Outcomes --- Acceptability of Healthcare --- Acceptors of Health Care --- Health Care Utilization --- Nonacceptors of Health Care --- Patient Acceptance of Healthcare --- Acceptability of Health Care --- Health Care Seeking Behavior --- Care Acceptor, Health --- Care Acceptors, Health --- Care Nonacceptor, Health --- Care Nonacceptors, Health --- Health Care Acceptability --- Health Care Acceptor --- Health Care Acceptors --- Health Care Nonacceptor --- Health Care Nonacceptors --- Healthcare Acceptabilities --- Healthcare Acceptability --- Healthcare Patient Acceptance --- Healthcare Patient Acceptances --- Utilization, Health Care --- organization & administration --- diagnosis --- Pharmacy Audit --- Audit, Pharmacy --- Pharmacy Audits --- Health Informatics --- Informatics, Health --- Computational Biology --- Biomedical Technology --- American Recovery and Reinvestment Act --- Psychologic Processes --- Psychological Processes --- Phenomena, Psychological --- Processes, Psychologic --- Processes, Psychological --- Psychological Phenomenas --- Psychological Processe --- Public Health Administration --- Social Work --- Community Health Planning --- Biomedical Engineering --- Public Opinion --- Thought --- Thoughts --- Political Activism --- Patient Care Planning --- Problem Solving --- Refusal to Participate --- Lysholm Knee Score --- Patient Satisfaction --- Perinatal Information System --- Information System, Perinatal --- Perinatal Information Systems --- Citizen Science --- Treatment Outcome. --- Databases as Topic. --- Patient Participation. --- Decision Making. --- United States. --- Credit Assignment --- Assignment, Credit --- Assignments, Credit --- Credit Assignments