Barbara M. FraumeniMuskie School of Public Service, ... 课件.ppt

* Barbara M. Fraumeni Muskie School of Public Service, University of Southern Maine the National Bureau of Economic Research, USA IARIW, Session 3 Joensuu, Finland August 22, 2006 A Framework for Quality Adjustment Across UK Public Services By Jim Ebdon and Ogho Okiti, ONS, UK Muskie School of Public Service Ph.D. Program in Public Policy GOALS Establish a consistent framework across all UK public services Differentiate and cover representative service sub-types Quality adjust via degree of success contribution to outcomes Muskie School of Public Service Ph.D. Program in Public Policy Differentiation of Services As detailed and homogeneous as possible Avoids confounding of structural and quality changes Even when costs are predominantly staff costs, assuming cost and quality correspondences may be problematic Switch from marginal cost to value weights Muskie School of Public Service Ph.D. Program in Public Policy Degree of Success Atkinson: ‘a quality improvement is equivalent to getting a larger package.” Need to measure output quality changes, not just process quality changes Avoid double-counting Example of timeliness and accuracy for social security benefits processing Muskie School of Public Service Ph.D. Program in Public Policy Contribution to Outcome Eurostat handbook backs use of outcome indicators to adjust for quality Attribution and time lag: an education example Muskie School of Public Service Ph.D. Program in Public Policy Case Study: Adult Social Care Differentiation of Services 23 categories of services, where data exists, by Type of service Client group Type of home Muskie School of Public Service Ph.D. Program in Public Policy Outcome Adjustments Care weeks, intensity of care, and quality of care Methodology from the Personal Social Services Research Unit (PSSRU) of the University of Kent Concentrated on current welfare gains 9 dimensions of outcome, such as personal cleanliness comfort and control over daily lif