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Measuring NHS Output Growth

Author

Listed:
  • Adriana Castelli

    (Centre for Health Economics, University of York)

  • Mauro Laudicella

    (Centre for Health Economics, University of York)

  • Andrew Street

    (Centre for Health Economics, University of York)

Abstract

We report estimates of output growth for the National Health Service in England over the period 2003/4 to 2006/7. Our output index is virtually comprehensive, capturing as far as possible all the activities undertaken for NHS patients by both NHS and non-NHS providers across all care settings. We assess the quality of output by measuring the waiting times and survival status of every single patient treated in hospital, and we allow for improved disease management in primary care. We propose and apply a method that avoids the traditional requirement for consistent definition of output categories over time in construction of output indices. Use of our approach is critical: it would be not otherwise be possible to calculate output growth for the NHS over the years we consider in any meaningful way. After correcting for significant improvements in data collection in the early period, output growth for the NHS between 2003/4 to 2006/7 averages 5.1% per year, of which 1% is due to improvements in the quality of care.

Suggested Citation

  • Adriana Castelli & Mauro Laudicella & Andrew Street, 2008. "Measuring NHS Output Growth," Working Papers 043cherp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:43cherp
    as

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    File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/rp43_measuring_NHS_output_growth.pdf
    File Function: First version, 2008
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    References listed on IDEAS

    as
    1. Peter C Smith & Andrew Street, 2007. "Measurement of Non-Market Output in Education and Health," Working Papers 023cherp, Centre for Health Economics, University of York.
    2. 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.
    3. Mary O'Mahony & Lucy Stokes, 2005. "Developing new approaches to measuring NHS outputs and productivity," National Institute of Economic and Social Research (NIESR) Discussion Papers 264, National Institute of Economic and Social Research.
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    Citations

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    Cited by:

    1. Nils Gutacker & Chris Bojke & Silvio Daidone & Nancy J. Devlin & David Parkin & Andrew Street, 2013. "Truly Inefficient Or Providing Better Quality Of Care? Analysing The Relationship Between Risk‐Adjusted Hospital Costs And Patients' Health Outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 22(8), pages 931-947, August.
    2. Chris Bojke & Adriana Castelli & Rosalind Goudie & Andrew Street & Padraic Ward, 2012. "Productivity of the English National Health Service 2003-4 to 2009-10," Working Papers 076cherp, Centre for Health Economics, University of York.
    3. Laudicella, Mauro & Olsen, Kim Rose & Street, Andrew, 2010. "Examining cost variation across hospital departments-a two-stage multi-level approach using patient-level data," Social Science & Medicine, Elsevier, vol. 71(10), pages 1872-1881, November.
    4. Cookson, Richard & Laudicella, Mauro & Donni, Paolo Li, 2013. "Does hospital competition harm equity? Evidence from the English National Health Service," Journal of Health Economics, Elsevier, vol. 32(2), pages 410-422.
    5. Daidone, Silvio & Street, Andrew, 2013. "How much should be paid for specialised treatment?," Social Science & Medicine, Elsevier, vol. 84(C), pages 110-118.
    6. Chris Bojke & Adriana Castelli & Katja Grasic & Andrew Street & Padraic Ward, 2013. "NHS Productivity from 2004/5 to 2010/11," Working Papers 087cherp, Centre for Health Economics, University of York.
    7. 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.
    8. Chris Bojke & Adriana Castelli & Katja Grasic & Andrew Street, 2014. "Productivity of the English National Health Service from 2004/5: updated to 2011/12," Working Papers 094cherp, Centre for Health Economics, University of York.
    9. James Gaughan & Hugh Gravelle & Rita Santos & Luigi Siciliani, 2013. "Long term care provision, hospital length of stay and discharge destination for hip fracture and stroke patients," Working Papers 086cherp, Centre for Health Economics, University of York.
    10. Andrew Street & Padraic Ward, 2009. "NHS input and productivity growth 2003/4 - 2007/8," Working Papers 047cherp, Centre for Health Economics, University of York.
    11. repec:kap:ijhcfe:v:17:y:2017:i:3:d:10.1007_s10754-017-9214-z is not listed on IDEAS
    12. 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.

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