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Can productivity growth measures identify best performing hospitals? Evidence from the English National Health Service
Health‐care systems around the world face limited financial resources, and England is no exception. The ability of the health‐care system in England to operate within its financial resources depends in part on continually increasing its productivity. One means of achieving this is to identify and di...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590216/ https://www.ncbi.nlm.nih.gov/pubmed/30656778 http://dx.doi.org/10.1002/hec.3847 |
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author | Aragón Aragón, María José Castelli, Adriana Chalkley, Martin Gaughan, James |
author_facet | Aragón Aragón, María José Castelli, Adriana Chalkley, Martin Gaughan, James |
author_sort | Aragón Aragón, María José |
collection | PubMed |
description | Health‐care systems around the world face limited financial resources, and England is no exception. The ability of the health‐care system in England to operate within its financial resources depends in part on continually increasing its productivity. One means of achieving this is to identify and disseminate throughout the system the most efficient processes. We examine the annual productivity growth achieved by 151 hospitals over five financial years, using the same methods developed to measure productivity of the National Health Service as a whole. We consider whether there are hospitals that consistently achieve higher than average productivity growth. These could act as examples of good practice for others to follow and provide a means of increasing system performance. We find that the productivity growth of some hospitals over the whole period exhibits better than average performance, but there is little or no evidence of consistency in the performance of these hospitals over adjacent years. Even the best performers exhibit periods of very poor performance and vice versa. We therefore conclude that accepted methods of measuring productivity growth for the health system as a whole do not appear suitable for identifying good performance at the hospital level. |
format | Online Article Text |
id | pubmed-6590216 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-65902162019-07-08 Can productivity growth measures identify best performing hospitals? Evidence from the English National Health Service Aragón Aragón, María José Castelli, Adriana Chalkley, Martin Gaughan, James Health Econ Research Articles Health‐care systems around the world face limited financial resources, and England is no exception. The ability of the health‐care system in England to operate within its financial resources depends in part on continually increasing its productivity. One means of achieving this is to identify and disseminate throughout the system the most efficient processes. We examine the annual productivity growth achieved by 151 hospitals over five financial years, using the same methods developed to measure productivity of the National Health Service as a whole. We consider whether there are hospitals that consistently achieve higher than average productivity growth. These could act as examples of good practice for others to follow and provide a means of increasing system performance. We find that the productivity growth of some hospitals over the whole period exhibits better than average performance, but there is little or no evidence of consistency in the performance of these hospitals over adjacent years. Even the best performers exhibit periods of very poor performance and vice versa. We therefore conclude that accepted methods of measuring productivity growth for the health system as a whole do not appear suitable for identifying good performance at the hospital level. John Wiley and Sons Inc. 2019-01-18 2019-03 /pmc/articles/PMC6590216/ /pubmed/30656778 http://dx.doi.org/10.1002/hec.3847 Text en © 2019 The Authors Health Economics Published by John Wiley & Sons, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Aragón Aragón, María José Castelli, Adriana Chalkley, Martin Gaughan, James Can productivity growth measures identify best performing hospitals? Evidence from the English National Health Service |
title | Can productivity growth measures identify best performing hospitals? Evidence from the English National Health Service |
title_full | Can productivity growth measures identify best performing hospitals? Evidence from the English National Health Service |
title_fullStr | Can productivity growth measures identify best performing hospitals? Evidence from the English National Health Service |
title_full_unstemmed | Can productivity growth measures identify best performing hospitals? Evidence from the English National Health Service |
title_short | Can productivity growth measures identify best performing hospitals? Evidence from the English National Health Service |
title_sort | can productivity growth measures identify best performing hospitals? evidence from the english national health service |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590216/ https://www.ncbi.nlm.nih.gov/pubmed/30656778 http://dx.doi.org/10.1002/hec.3847 |
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