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Estimating the Costs of Specialised Care: Updated Analysis Using Data for 2009/10


  • Silvio Daidone

    (Centre for Health Economics, University of York, UK)

  • Andrew Street

    (Centre for Health Economics, University of York, UK)


We were commissioned by the Department of Health’s Payment by Results (PbR) team to use 2009/10 data update the analysis we performed using 2008/9 data to estimate the marginal costs of providing specialised care (Daidone and Street, 2011). The objectives of the original work were to investigate: 1. Whether the costs associated with specialised activity are significantly different from nonspecialised activity within the same HRG; 2. Whether any differences in costs between specialised and non-specialised activity are due to differences in productive efficiency. The objective of the update is: 1. To see whether the results obtained on the 2008-09 data are robust to 2009-10 data. 2. To investigate whether there is a case for differentiating payment on the basis of marginal cost differences arising when patients transferred between providers.

Suggested Citation

  • Silvio Daidone & Andrew Street, 2011. "Estimating the Costs of Specialised Care: Updated Analysis Using Data for 2009/10," Working Papers 071cherp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:71cherp

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    Cited by:

    1. Chris Bojke & Katja Grasic & Andrew Street, 2015. "How much should be paid for Prescribed Specialised Services?," Working Papers 118cherp, Centre for Health Economics, University of York.
    2. Chris Bojke & Katja Grasic & Andrew Street, 2014. "The Costs of Specialised Care," Working Papers 103cherp, 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.

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