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The purpose of this chapter is to suggest a general framework for assessing the efficiency of health care in general, and health care interventions specifically. We begin with a three-pronged overview of assessing performance in health care which begins with what we call the budget or cost side model relating budgets and costs to treatments. Next we proceed to describing an intermediate outputs specification which relates hospital resources to medical outcomes, and we conclude with a final outcomes model which relates the medical outcomes to patient health outcomes. The third model is illustrated with an application to data from Swedish cataract patients.

Presents an elementary version of the Malmquist productivity change index. This index measures productivity change using data on inputs and outputs, but does not require price information.

Ila Semenick Alam is an associate professor. She received her Ph.D. in 1995 from Rice University in Houston, Texas. Her primary fields of specialization are applied econometrics and productivity in various sectors including the airlines, healthcare, and financial institutions. She has published in: Journal of Productivity Analysis, International Economic Review, World Bank Economic Review, Journal of Money, Credit and Banking, Singapore Economic Review, and Productivity and Economic Performance in the Asia-Pacific Region.

Outlines the characteristics of Japanese keiretsu (vertically integrated firms interlinked through industrial groups) and reviews the history of financial keiretsu and associated research. Compares the performance of Japanese and US banks 1989‐2000; and examines Japanese bank profit inefficiency by developing a mathematical model and applying it to 1992‐1999 bank data. Shows a “zig‐zag” pattern of profitability change over the period and concludes that the Japanese banking industry is “barely holding its own in profitability”. Points out the particular importance of this to the real economy in Japan and briefly considers the implications for government policy.

Extends Mäler′s notion of weak complementarity between a private good and a public good to non‐homothetic demand functions which can be exactly aggregated. Aggregate demand functions depending on private prices, public good quantities and income distribution statistics can then be used to recover the private individual demand functions which reveal an individual′s willingness to pay for public goods.