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A New Approach To Measuring Health System Output and Productivity

Author

Listed:
  • Adriana Castelli

    (Centre for Health Economics, University of York)

  • Diane Dawson

    (Centre for Health Economics, University of York)

  • Hugh Gravelle

    (National Primary Health Care Research and Development Centre, Centre for Health Economics, University of York)

  • Rowena Jacobs

    (Centre for Health Economics, University of York)

  • Paul Kind

    (Centre for Health Economics, University of York)

  • Pete Loveridge

    (National Institute of Economic and Social Research)

  • Stephen Martin

    (Department of Economics and Related Studies, University of York)

  • Mary O'Mahony

    (National Institute of Economic and Social Research, m.omahony@bham.ac.uk)

  • Philip Stevens

    (National Institute of Economic and Social Research)

  • Lucy Stokes

    (National Institute of Economic and Social Research)

  • Andrew Street

    (Centre for Health Economics, University of York)

  • Martin Weale

    (National Institute of Economic and Social Research)

Abstract

This paper considers methods to measure output and productivity in the delivery of health services, with an application to the 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

  • Adriana Castelli & Diane Dawson & Hugh Gravelle & Rowena Jacobs & Paul Kind & Pete Loveridge & Stephen Martin & Mary O'Mahony & Philip Stevens & Lucy Stokes & Andrew Street & Martin 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(1), pages 105-116, April.
    • Handle: RePEc:sae:niesru:v:200:y:2007:i:1:p:105-116
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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. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. Adriana Castelli & Mauro Laudicella & Andrew Street, 2008. "Measuring NHS Output Growth," Working Papers 043cherp, Centre for Health Economics, University of York.
    11. Peter Hart, 2007. "Productivity in the National Health Service," Economics Discussion Papers em-dp2007-45, Department of Economics, University of Reading.
    12. Rowena Jacobs, 2009. "Investigating Patient Outcome Measures in Mental Health," Working Papers 048cherp, Centre for Health Economics, University of York.
    13. 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.
    14. 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.
    15. 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.
    16. 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.
    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 & 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.
    19. 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.
    20. 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.
    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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