A new approach to measuring health system output and productivity

Adriana Castelli, Diane Dawson, Hugh Gravelle, Rowena Jacobs, Paul Kind, Pete Loveridge, Stephen Martin, Mary O'mahony, Philip Andrew Stevens, Lucy Stokes, Andrew Street, Martin Weale

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)105-117
Number of pages13
JournalNational Institute Economic Review
Issue number1
Publication statusPublished - 1 Apr 2007

Bibliographical note



  • Health output
  • productivity
  • quality adjustments

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