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Outsourcing cleaning services increases MRSA incidence: Evidence from 126 english acute trusts

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  • Toffolutti, Veronica
  • Reeves, Aaron
  • McKee, Martin
  • Stuckler, David

Abstract

There has been extensive outsourcing of hospital cleaning services in the NHS in England, in part because of the potential to reduce costs. Yet some argue that this leads to lower hygiene standards and more infections, such as MRSA and, perhaps because of this, the Scottish, Welsh, and Northern Irish health services have rejected outsourcing. This study evaluates whether contracting out cleaning services in English acute hospital Trusts (legal authorities that run one or more hospitals) is associated with risks of hospital-borne MRSA infection and lower economic costs.

Suggested Citation

  • Toffolutti, Veronica & Reeves, Aaron & McKee, Martin & Stuckler, David, 2017. "Outsourcing cleaning services increases MRSA incidence: Evidence from 126 english acute trusts," Social Science & Medicine, Elsevier, vol. 174(C), pages 64-69.
    • Handle: RePEc:eee:socmed:v:174:y:2017:i:c:p:64-69
    DOI: 10.1016/j.socscimed.2016.12.015
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    References listed on IDEAS

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    1. Alberto Abadie & Guido W. Imbens, 2016. "Matching on the Estimated Propensity Score," Econometrica, Econometric Society, vol. 84, pages 781-807, March.
    2. Washer, Peter & Joffe, Helene, 2006. "The "hospital superbug": Social representations of MRSA," Social Science & Medicine, Elsevier, vol. 63(8), pages 2141-2152, October.
    3. Marco Caliendo & Sabine Kopeinig, 2008. "Some Practical Guidance For The Implementation Of Propensity Score Matching," Journal of Economic Surveys, Wiley Blackwell, vol. 22(1), pages 31-72, February.
    4. Guido W. Imbens, 2004. "Nonparametric Estimation of Average Treatment Effects Under Exogeneity: A Review," The Review of Economics and Statistics, MIT Press, vol. 86(1), pages 4-29, February.
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    Cited by:

    1. Goodair, Benjamin, 2023. "‘Accident and emergency’? Exploring the reasons for increased privatisation in England's NHS," Health Policy, Elsevier, vol. 138(C).
    2. Fredrik Andersson & Henrik Jordahl & Jens Josephson, 2019. "Outsourcing Public Services: Contractibility, Cost, and Quality," CESifo Economic Studies, CESifo Group, vol. 65(4), pages 349-372.
    3. Beatrice Casini & Benedetta Tuvo & Michela Scarpaci & Michele Totaro & Federica Badalucco & Silvia Briani & Grazia Luchini & Anna Laura Costa & Angelo Baggiani, 2023. "Implementation of an Environmental Cleaning Protocol in Hospital Critical Areas Using a UV-C Disinfection Robot," IJERPH, MDPI, vol. 20(5), pages 1-10, February.
    4. Beatrice Casini & Anna Righi & Nunzio De Feo & Michele Totaro & Serena Giorgi & Lavinia Zezza & Paola Valentini & Enrico Tagliaferri & Anna Laura Costa & Simona Barnini & Angelo Baggiani & Pietro Luig, 2018. "Improving Cleaning and Disinfection of High-Touch Surfaces in Intensive Care during Carbapenem-Resistant Acinetobacter baumannii Endemo-Epidemic Situations," IJERPH, MDPI, vol. 15(10), pages 1-9, October.
    5. Beatrice Casini & Benedetta Tuvo & Maria Luisa Cristina & Anna Maria Spagnolo & Michele Totaro & Angelo Baggiani & Gaetano Pierpaolo Privitera, 2019. "Evaluation of an Ultraviolet C (UVC) Light-Emitting Device for Disinfection of High Touch Surfaces in Hospital Critical Areas," IJERPH, MDPI, vol. 16(19), pages 1-10, September.
    6. Alena Podaneva & Pierre Picard, 2023. "Facility Management Services in UK Hospitals: in-house or outsourcing," DEM Discussion Paper Series 23-15, Department of Economics at the University of Luxembourg.

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