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A New Approach to Measuring Health System Output and Productivity

Author

Listed:
  • Castelli, Adriana
  • Dawson, Diane
  • Gravelle, Hugh
  • Jacobs, Rowena
  • Kind, Paul
  • Loveridge, Pete
  • Martin, Stephen
  • O'Mahony, Mary
  • Stevens, Philip Andrew
  • Stokes, Lucy
  • Street, Andrew
  • Weale, Martin
Abstract
This paper considers methods to measure output and productivity in the delivery of health services, with an application to NHS hospital sector. It first develops a theoretical framework for measuring quality adjusted outputs and then considers how this might be implemented given available data. Measures of input use are discussed and productivity growth estimates are presented for the period 1998/9-2003/4. The paper concludes that available data are unlikely fully to capture quality improvements.

Suggested Citation

  • Castelli, Adriana & Dawson, Diane & Gravelle, Hugh & Jacobs, Rowena & Kind, Paul & Loveridge, Pete & Martin, Stephen & O'Mahony, Mary & Stevens, Philip Andrew & Stokes, Lucy & Street, Andrew & Weale, , 2007. "A New Approach to Measuring Health System Output and Productivity," National Institute Economic Review, National Institute of Economic and Social Research, vol. 200, pages 105-117, April.
    • Handle: RePEc:cup:nierev:v:200:y:2007:i::p:105-117_13
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    Cited by:

    1. Alexander Karmann & Felix Roesel, 2017. "Hospital Policy and Productivity – Evidence from German States," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 1548-1565, December.
    2. Giuntella, Osea & Nicodemo, Catia & Vargas-Silva, Carlos, 2018. "The effects of immigration on NHS waiting times," Journal of Health Economics, Elsevier, vol. 58(C), pages 123-143.
    3. Adriana Castelli & Martin Chalkley & James Gaughan & Idaira Rodriguez Santana, 2020. "Productivity of the English National Health Service: 2017/18 update," Working Papers 171cherp, Centre for Health Economics, University of York.
    4. Chris Bojke & Adriana Castelli & Andrew Street & Padraic Ward & Mauro Laudicella, 2013. "Regional Variation In The Productivity Of The English National Health Service," Health Economics, John Wiley & Sons, Ltd., vol. 22(2), pages 194-211, February.
    5. Hofmarcher, Maria M. & Festl, Eva & Bishop-Tarver, Leslie, 2016. "Health sector employment growth calls for improvements in labor productivity," Health Policy, Elsevier, vol. 120(8), pages 894-902.
    6. Adriana Castelli & Andrew Street & Rossella Verzulli & Padraic Ward, 2015. "Examining variations in hospital productivity in the English NHS," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(3), pages 243-254, April.
    7. Mary O'Mahony & Marcel P. Timmer, 2009. "Output, Input and Productivity Measures at the Industry Level: The EU KLEMS Database," Economic Journal, Royal Economic Society, vol. 119(538), pages 374-403, June.
    8. Adriana Castelli & Mauro Laudicella & Andrew Street, 2008. "Measuring NHS Output Growth," Working Papers 043cherp, Centre for Health Economics, University of York.
    9. Anastasia Arabadzhyan & Adriana Castelli & Martin Chalkley & James Gaughan & Maria Ana Matias, 2022. "Productivity of the English National Health Service: 2019/20 update," Working Papers 185cherp, Centre for Health Economics, University of York.
    10. Peter Hart, 2007. "Productivity in the National Health Service," Economics Discussion Papers em-dp2007-45, Department of Economics, University of Reading.
    11. Anastasia Arabadzhyan & Adriana Castelli & Martin Chalkley & James Gaughan & Maria Ana Matias, 2021. "Productivity of the English National Health Service 2018/19 Update," Working Papers 182cherp, Centre for Health Economics, University of York.
    12. Atella, Vincenzo & Belotti, Federico & Bojke, Chris & Castelli, Adriana & Grašič, Katja & Kopinska, Joanna & Piano Mortari, Andrea & Street, Andrew, 2019. "How health policy shapes healthcare sector productivity? Evidence from Italy and UK," Health Policy, Elsevier, vol. 123(1), pages 27-36.
    13. Mary O’Mahony & Philip Stevens, 2009. "Output and productivity growth in the education sector: comparisons for the US and UK," Journal of Productivity Analysis, Springer, vol. 31(3), pages 177-194, June.
    14. Rowena Jacobs, 2009. "Investigating Patient Outcome Measures in Mental Health," Working Papers 048cherp, Centre for Health Economics, University of York.
    15. Adriana Castelli & Martin Chalkley & James Gaughan & Maria Lucia Pace & Idaira Rodriguez Santana, 2019. "Productivity of the English National Health Service: 2016/17 update," Working Papers 163cherp, Centre for Health Economics, University of York.
    16. Wei Yang & Julien Forder & Olena Nizalova, 2017. "Measuring the productivity of residential long-term care in England: methods for quality adjustment and regional comparison," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 635-647, June.
    17. María José Aragón Aragón & Adriana Castelli & Martin Chalkley & James Gaughan, 2019. "Can productivity growth measures identify best performing hospitals? Evidence from the English National Health Service," Health Economics, John Wiley & Sons, Ltd., vol. 28(3), pages 364-372, March.
    18. Chris Bojke & Adriana Castelli & Katja Grasic & Anne Mason & Andrew Street, 2018. "Accounting for the quality of NHS output," Working Papers 153cherp, Centre for Health Economics, University of York.
    19. Idaira Rodriguez Santana & María José Aragón & Nigel Rice & Anne Rosemary Mason, 2020. "Trends in and drivers of healthcare expenditure in the English NHS: a retrospective analysis," Health Economics Review, Springer, vol. 10(1), pages 1-11, December.
    20. Chris Bojke & Adriana Castelli & Katja Grasic & Andrew Street, 2015. "Productivity of the English NHS: 2012/13 update," Working Papers 110cherp, Centre for Health Economics, University of York.
    21. Chris Bojke & Adriana Castelli & Katja Grašič & Andrew Street, 2017. "Productivity Growth in the English National Health Service from 1998/1999 to 2013/2014," Health Economics, John Wiley & Sons, Ltd., vol. 26(5), pages 547-565, May.

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