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Hospital Trusts productivity in the English NHS: Uncovering possible drivers of productivity variations

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Hospital Trusts productivity in the English NHS : Uncovering possible drivers of productivity variations. / Aragon Aragon, María Jose; Castelli, Adriana; Gaughan, James.

In: PLoS ONE, Vol. 12, No. 8, e0182253, 01.08.2017.

Research output: Contribution to journalArticle

Harvard

Aragon Aragon, MJ, Castelli, A & Gaughan, J 2017, 'Hospital Trusts productivity in the English NHS: Uncovering possible drivers of productivity variations', PLoS ONE, vol. 12, no. 8, e0182253. https://doi.org/10.1371/journal.pone.0182253

APA

Aragon Aragon, M. J., Castelli, A., & Gaughan, J. (2017). Hospital Trusts productivity in the English NHS: Uncovering possible drivers of productivity variations. PLoS ONE, 12(8), [e0182253]. https://doi.org/10.1371/journal.pone.0182253

Vancouver

Aragon Aragon MJ, Castelli A, Gaughan J. Hospital Trusts productivity in the English NHS: Uncovering possible drivers of productivity variations. PLoS ONE. 2017 Aug 1;12(8). e0182253. https://doi.org/10.1371/journal.pone.0182253

Author

Aragon Aragon, María Jose ; Castelli, Adriana ; Gaughan, James. / Hospital Trusts productivity in the English NHS : Uncovering possible drivers of productivity variations. In: PLoS ONE. 2017 ; Vol. 12, No. 8.

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@article{5ab91094254d4c40b0e8930cd61117d6,
title = "Hospital Trusts productivity in the English NHS: Uncovering possible drivers of productivity variations",
abstract = "Background: Health care systems in OECD countries are increasingly facing economic challenges and funding pressures. These normally demand interventions (political, financial and organisational) aimed at improving the efficiency of the health system as a whole and its single components. In 2009, the English NHS Chief Executive, Sir David Nicholson, warned that a potential funding gap of £20 billion should be met by extensive efficiency savings by March 2015. Our study investigates possible drivers of differential Trust performance (productivity) for the financial years 2010/11-2012/13. Methods: Following accounting practice, we define Productivity as the ratio of Outputs over Inputs. We analyse variation in both Total Factor and Labour Productivity using ordinary least squares regressions. We explicitly included in our analysis factors of differential performance highlighted in the Nicholson challenge as the sources were the efficiency savings should come from. Explanatory variables include efficiency in resource use measures, Trust and patient characteristics, and quality of care. Results: We find that larger Trusts and Foundation Trusts are associated with lower productivity, as are those treating a greater proportion of both older and/or younger patients. Surprisingly treating more patients in their last year of life is associated with higher Labour Productivity.",
author = "{Aragon Aragon}, {Mar{\'i}a Jose} and Adriana Castelli and James Gaughan",
note = "{\circledC} 2017 Aragon Aragon et al.",
year = "2017",
month = "8",
day = "1",
doi = "10.1371/journal.pone.0182253",
language = "English",
volume = "12",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "8",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Hospital Trusts productivity in the English NHS

T2 - Uncovering possible drivers of productivity variations

AU - Aragon Aragon, María Jose

AU - Castelli, Adriana

AU - Gaughan, James

N1 - © 2017 Aragon Aragon et al.

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Background: Health care systems in OECD countries are increasingly facing economic challenges and funding pressures. These normally demand interventions (political, financial and organisational) aimed at improving the efficiency of the health system as a whole and its single components. In 2009, the English NHS Chief Executive, Sir David Nicholson, warned that a potential funding gap of £20 billion should be met by extensive efficiency savings by March 2015. Our study investigates possible drivers of differential Trust performance (productivity) for the financial years 2010/11-2012/13. Methods: Following accounting practice, we define Productivity as the ratio of Outputs over Inputs. We analyse variation in both Total Factor and Labour Productivity using ordinary least squares regressions. We explicitly included in our analysis factors of differential performance highlighted in the Nicholson challenge as the sources were the efficiency savings should come from. Explanatory variables include efficiency in resource use measures, Trust and patient characteristics, and quality of care. Results: We find that larger Trusts and Foundation Trusts are associated with lower productivity, as are those treating a greater proportion of both older and/or younger patients. Surprisingly treating more patients in their last year of life is associated with higher Labour Productivity.

AB - Background: Health care systems in OECD countries are increasingly facing economic challenges and funding pressures. These normally demand interventions (political, financial and organisational) aimed at improving the efficiency of the health system as a whole and its single components. In 2009, the English NHS Chief Executive, Sir David Nicholson, warned that a potential funding gap of £20 billion should be met by extensive efficiency savings by March 2015. Our study investigates possible drivers of differential Trust performance (productivity) for the financial years 2010/11-2012/13. Methods: Following accounting practice, we define Productivity as the ratio of Outputs over Inputs. We analyse variation in both Total Factor and Labour Productivity using ordinary least squares regressions. We explicitly included in our analysis factors of differential performance highlighted in the Nicholson challenge as the sources were the efficiency savings should come from. Explanatory variables include efficiency in resource use measures, Trust and patient characteristics, and quality of care. Results: We find that larger Trusts and Foundation Trusts are associated with lower productivity, as are those treating a greater proportion of both older and/or younger patients. Surprisingly treating more patients in their last year of life is associated with higher Labour Productivity.

UR - http://www.scopus.com/inward/record.url?scp=85026673645&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0182253

DO - 10.1371/journal.pone.0182253

M3 - Article

VL - 12

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 8

M1 - e0182253

ER -