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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
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

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.

Type
Articles
Copyright
Copyright © 2007 National Institute of Economic and Social Research

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