By the same authors

From the same journal

From the same journal

Truly inefficient or providing better quality of care? Analysing the relationship between risk-adjusted hospital costs and patients' health outcomes

Research output: Contribution to journalArticle

Standard

Truly inefficient or providing better quality of care? Analysing the relationship between risk-adjusted hospital costs and patients' health outcomes. / Gutacker, Nils; Bojke, Chris; Daidone, Silvio; Devlin, Nancy J.; Parkin, David; Street, Andrew.

In: Health Economics, Vol. 22, No. 8, 08.2013, p. 931-947.

Research output: Contribution to journalArticle

Harvard

Gutacker, N, Bojke, C, Daidone, S, Devlin, NJ, Parkin, D & Street, A 2013, 'Truly inefficient or providing better quality of care? Analysing the relationship between risk-adjusted hospital costs and patients' health outcomes', Health Economics, vol. 22, no. 8, pp. 931-947. https://doi.org/10.1002/hec.2871

APA

Gutacker, N., Bojke, C., Daidone, S., Devlin, N. J., Parkin, D., & Street, A. (2013). Truly inefficient or providing better quality of care? Analysing the relationship between risk-adjusted hospital costs and patients' health outcomes. Health Economics, 22(8), 931-947. https://doi.org/10.1002/hec.2871

Vancouver

Gutacker N, Bojke C, Daidone S, Devlin NJ, Parkin D, Street A. Truly inefficient or providing better quality of care? Analysing the relationship between risk-adjusted hospital costs and patients' health outcomes. Health Economics. 2013 Aug;22(8):931-947. https://doi.org/10.1002/hec.2871

Author

Gutacker, Nils ; Bojke, Chris ; Daidone, Silvio ; Devlin, Nancy J. ; Parkin, David ; Street, Andrew. / Truly inefficient or providing better quality of care? Analysing the relationship between risk-adjusted hospital costs and patients' health outcomes. In: Health Economics. 2013 ; Vol. 22, No. 8. pp. 931-947.

Bibtex - Download

@article{ca1cf112745a4a509211e72a417e6f82,
title = "Truly inefficient or providing better quality of care?: Analysing the relationship between risk-adjusted hospital costs and patients' health outcomes",
abstract = "Observed variation in hospital costs may be attributable to differences in patients' health outcomes. Previous studies have resorted to inherently incomplete outcome measures such as mortality or re-admission rates to assess this claim. This study makes use of a novel dataset of routinely collected patient-reported outcome measures (PROMs) linked to inpatient records to (i) access the degree to which cost variation is associated with variation in patients' health gain and (ii) explore how far judgement about hospital cost performance changes when health outcomes are accounted for. We use multilevel modelling to address the clustering of patients in providers and isolate unexplained cost variation. We find some evidence of a U-shaped relationship between risk-adjusted costs and outcomes for hip replacement surgery. For three other procedures (knee replacement, varicose vein and groin hernia surgery), the estimated relationship is sensitive to the choice of PROM instrument. We do not observe substantial changes in cost performance estimates when outcomes are explicitly accounted for.",
keywords = "cost-quality relationship, efficiency, hospital costs, patient-reported outcomes (PRO)",
author = "Nils Gutacker and Chris Bojke and Silvio Daidone and Devlin, {Nancy J.} and David Parkin and Andrew Street",
year = "2013",
month = "8",
doi = "10.1002/hec.2871",
language = "English",
volume = "22",
pages = "931--947",
journal = "Health Economics",
issn = "1057-9230",
publisher = "John Wiley and Sons Ltd",
number = "8",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Truly inefficient or providing better quality of care?

T2 - Analysing the relationship between risk-adjusted hospital costs and patients' health outcomes

AU - Gutacker, Nils

AU - Bojke, Chris

AU - Daidone, Silvio

AU - Devlin, Nancy J.

AU - Parkin, David

AU - Street, Andrew

PY - 2013/8

Y1 - 2013/8

N2 - Observed variation in hospital costs may be attributable to differences in patients' health outcomes. Previous studies have resorted to inherently incomplete outcome measures such as mortality or re-admission rates to assess this claim. This study makes use of a novel dataset of routinely collected patient-reported outcome measures (PROMs) linked to inpatient records to (i) access the degree to which cost variation is associated with variation in patients' health gain and (ii) explore how far judgement about hospital cost performance changes when health outcomes are accounted for. We use multilevel modelling to address the clustering of patients in providers and isolate unexplained cost variation. We find some evidence of a U-shaped relationship between risk-adjusted costs and outcomes for hip replacement surgery. For three other procedures (knee replacement, varicose vein and groin hernia surgery), the estimated relationship is sensitive to the choice of PROM instrument. We do not observe substantial changes in cost performance estimates when outcomes are explicitly accounted for.

AB - Observed variation in hospital costs may be attributable to differences in patients' health outcomes. Previous studies have resorted to inherently incomplete outcome measures such as mortality or re-admission rates to assess this claim. This study makes use of a novel dataset of routinely collected patient-reported outcome measures (PROMs) linked to inpatient records to (i) access the degree to which cost variation is associated with variation in patients' health gain and (ii) explore how far judgement about hospital cost performance changes when health outcomes are accounted for. We use multilevel modelling to address the clustering of patients in providers and isolate unexplained cost variation. We find some evidence of a U-shaped relationship between risk-adjusted costs and outcomes for hip replacement surgery. For three other procedures (knee replacement, varicose vein and groin hernia surgery), the estimated relationship is sensitive to the choice of PROM instrument. We do not observe substantial changes in cost performance estimates when outcomes are explicitly accounted for.

KW - cost-quality relationship

KW - efficiency

KW - hospital costs

KW - patient-reported outcomes (PRO)

UR - http://www.scopus.com/inward/record.url?scp=84880133661&partnerID=8YFLogxK

U2 - 10.1002/hec.2871

DO - 10.1002/hec.2871

M3 - Article

VL - 22

SP - 931

EP - 947

JO - Health Economics

JF - Health Economics

SN - 1057-9230

IS - 8

ER -