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A New Approach to Measuring Health System Output and Productivity

Published online by Cambridge University Press:  26 March 2020

Adriana Castelli ,
Diane Dawson ,
Hugh Gravelle ,
Rowena Jacobs ,
Paul Kind ,
Pete Loveridge ,
Stephen Martin ,
Mary O'Mahony ,
Philip Andrew Stevens  and
Lucy Stokes
...Show all authors
Adriana Castelli
Affiliation:
Centre for Health Economics, University of York
Diane Dawson
Affiliation:
Centre for Health Economics, University of York
Hugh Gravelle
Affiliation:
National Primary Health Care Research and Development Centre, Centre for Health Economics, University of York
Rowena Jacobs
Affiliation:
Centre for Health Economics, University of York
Paul Kind
Affiliation:
Centre for Health Economics, University of York
Pete Loveridge
Affiliation:
National Institute of Economic and Social Research
Stephen Martin
Affiliation:
Department of Economics and Related Studies, University of York
Mary O'Mahony*
Affiliation:
National Institute of Economic and Social Research
Philip Andrew Stevens
Affiliation:
National Institute of Economic and Social Research
Lucy Stokes
Affiliation:
National Institute of Economic and Social Research
Andrew Street
Affiliation:
Centre for Health Economics, University of York
Martin Weale
Affiliation:
National Institute of Economic and Social Research
*
Contact author Mary O'Mahony; m.omahony@bham.ac.uk
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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.

Keywords

Health outputproductivityquality adjustmentsD24I11L8

Information

Type
Articles
Information
National Institute Economic Review , Volume 200 , 01 April 2007 , pp. 105 - 117
Copyright
Copyright © 2007 National Institute of Economic and Social Research

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References

Atkinson, T. (2005), ‘Measurement of government output and productivity for the national accounts’, Atkinson Review: Final Report, HMSO, 31 January.Google Scholar
Castelli, A., Dawson, D., Gravelle, H., and Street, A. (2007), ‘Improving the measurement of health system output growth’, Health Economics (forthcoming).CrossRefGoogle Scholar
Dawson, D., Gravelle, H., O'Mahony, M., Street, A. and Weale, M., Castelli, A., Jacobs, R., Kind, P., Loveridge, P., Martin, S., Stevens, P. and Stokes, L. (2005), ‘Developing new approaches to measuring NHS outputs and productivity: final report’, York: Centre for Health Economics, Research Paper 6: 2005.Google Scholar
Deaton, A. and Muellbauer, J. (1980), Economics and Consumer Behaviour, Cambridge, Cambridge University Press.CrossRefGoogle Scholar
Department of Health (2006a), Implementing Payment by Results: Technical Guidance 2006/07: Executive Summary, London, Department of Health.Google Scholar
- (2006b), Reference Costs 2006 Collection: Costing and Activity Guidance and Requirements, London, Department of Health.Google Scholar
Eurostat (2001), Handbook on Price and Volume Measures in National Accounts, Luxembourg, Office for Official Publications of the European Communities.Google Scholar
Hurst, J. and Siciliani, L. (2003), ‘Tackling excessive waiting times for elective surgery: a comparison of policies in twelve OECD countries’, OECD Health Working Paper 6, Paris, OECD, available at www.oecd.org/health.Google Scholar
Lakhani, A., Coles, J., Eayres, D., Spence, C. and Rachet, B. (2005), ‘Creative use of existing clinical and health outcomes data to assess NHS performance in England: Part 1 – performance indicators closely linked to clinical care’, British Medical journal, 330, pp.1426–31.Google ScholarPubMed
Lancaster, K. (1971), Consumer Demand: A New Approach, New York, Columbia University Press.Google Scholar
O'Mahony, M. and Stevens, P. (2006), ‘International comparisons of output and productivity in public services provision: a review’, in Boyne, G.A., Meier, K.A., O'Toole, L.J. and Walker, R.M. (eds), Public Service Performance: Perspectives on Measurement and Management, Cambridge, Cambridge University Press.Google Scholar
Prescott-Clarke, P. and Primatesta, P. (1998), Health Survey for England 1996, London, The Stationery Office.Google Scholar
Sefton, J. and Weale, M.R. (2006), ‘The concept of income in a general equilibrium’, Review of Economic Studies, 73, pp. 219–49.CrossRefGoogle Scholar
Triplett, J. E. (2001), ‘What's different about health? Human repair and car repair in national accounts and national health accounts’, in Cutler, D. and Berndt, E. (eds), Medical Care Output and Productivity, Chicago, Chicago University Press.Google Scholar
UKCEMGA (2006), ‘Public Service Productivity: Health’, http://www.statistics.gov.uk/cci/article.asp?ID=1429.Google Scholar