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Improving productive efficiency in hospitals: findings from a review of the international evidence

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  • Rumbold, Benedict E.
  • Smith, Judith A.
  • Hurst, Jeremy
  • Charlesworth, Anita
  • Clarke, Aileen

Abstract

At present, health systems across Europe face the same challenges: a changing demographic profile, a rise in multi-morbidity and long-term conditions, increasing health care costs, large public debts and other legacies of an economic downturn. In light of these concerns, this article provides an overview of the international evidence on how to improve productive efficiency in secondary care settings. Updating and expanding upon a recent review of the literature by Hurst and Williams (2012), we set out evidence on potential interventions in the policy environment, hospital management, and operational processes. We conclude with five key lessons for policy makers and practitioners on how to improve productive efficiency within hospital settings, and identify several gaps in the existing evidence base.

Suggested Citation

  • Rumbold, Benedict E. & Smith, Judith A. & Hurst, Jeremy & Charlesworth, Anita & Clarke, Aileen, 2015. "Improving productive efficiency in hospitals: findings from a review of the international evidence," Health Economics, Policy and Law, Cambridge University Press, vol. 10(1), pages 21-43, January.
    • Handle: RePEc:cup:hecopl:v:10:y:2015:i:01:p:21-43_00
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    Cited by:

    1. Alejandro Arvelo-Martín & Juan José Díaz-Hernández & Ignacio Abásolo-Alessón, 2019. "Hospital productivity bias when not adjusting for cost heterogeneity: The case of Spain," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-17, June.
    2. Nistor Cristina Silvia & Ștefănescu Cristina Alexandrina & Crișan Andrei-Răzvan, 2017. "Performance Through Efficiency in the Public Healthcare System – A DEA Approach in an Emergent Country," Studia Universitatis Babeș-Bolyai Oeconomica, Sciendo, vol. 62(1), pages 31-49, April.
    3. María Jose Aragon Aragon & Adriana Castelli & James Gaughan, 2017. "Hospital Trusts productivity in the English NHS: Uncovering possible drivers of productivity variations," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-14, August.
    4. Åhlin, Philip & Almström, Peter & Wänström, Carl, 2022. "When patients get stuck: A systematic literature review on throughput barriers in hospital-wide patient processes," Health Policy, Elsevier, vol. 126(2), pages 87-98.
    5. Slusariuc Gabriela Corina, 2021. "Performance In Management Of Medical Institutions," Annals - Economy Series, Constantin Brancusi University, Faculty of Economics, vol. 6, pages 20-25, December.
    6. Levaggi, Laura & Levaggi, Rosella, 2020. "Is there scope for mixed markets in the provision of hospital care?," Social Science & Medicine, Elsevier, vol. 247(C).
    7. Francesco Longo & Luigi Siciliani & Hugh Gravelle & Rita Santos, 2017. "Do hospitals respond to rivals' quality and efficiency? A spatial panel econometric analysis," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 38-62, September.
    8. Reyes-Santias, Francisco & Reboredo, Juan C. & de Assis, Edilson Machado & Rivera-Castro, Miguel A., 2021. "Does length of hospital stay reflect power-law behavior? A q-Weibull density approach," Physica A: Statistical Mechanics and its Applications, Elsevier, vol. 568(C).
    9. Johannessen, Karl Arne & Kittelsen, Sverre A.C. & Hagen, Terje P., 2017. "Assessing physician productivity following Norwegian hospital reform: A panel and data envelopment analysis," Social Science & Medicine, Elsevier, vol. 175(C), pages 117-126.
    10. Francesco Longo & Luigi Siciliani & Hugh Gravelle & Rita Santos, 2017. "Do hospitals respond to rivals’ quality and efficiency? a spatial econometrics approach," Working Papers 144cherp, Centre for Health Economics, University of York.

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