Health System Efficiency
Health System Efficiency

Author: Jonathan Cylus

Publisher: Health Policy

Published: 2016-12-15

Total Pages: 264

ISBN-13: 9789289050418

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In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

Progress in Making NHS Efficiency Savings
Progress in Making NHS Efficiency Savings

Author: Great Britain: National Audit Office

Publisher: The Stationery Office

Published: 2012-12-13

Total Pages: 52

ISBN-13: 9780102980547

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The Department of Health has reported that the NHS achieved £5.8 billion of savings in 2011-12, virtually all of the forecast total of £5.9 billion. Most of the savings were generated through the pay freeze for public sector staff, and reductions in the prices primary care trusts pay for healthcare. NHS bodies also made savings by cutting back-office costs. However, there is limited assurance that all the reported savings were achieved. The NAO substantiated a total of £3.4 billion of NHS efficiency savings. Although the savings made by NHS providers as a percentage of operating costs are increasing, it is not clear what level of savings is sustainable over time. Changes to transform services take time to implement and the Department has always expected that these savings will predominantly come in the latter half of the four-year period. The NHS is seeking to maintain the quality of, and access to, healthcare at the same time as making efficiency savings. In 2011-12, the NHS performed well against headline indicators of quality, including waiting times and healthcare associated infection rates. The indicators focus mainly on hospital care and the Department faces a significant challenge in monitoring quality across the NHS as a whole. The Department does not know whether the demand for healthcare is being managed in ways that inappropriately restrict patients' access to care. Reducing demand and redesigning care pathways to treat patients in the most appropriate setting are key ways of generating savings

Equity and excellence:
Equity and excellence:

Author: Great Britain: Department of Health

Publisher: The Stationery Office

Published: 2010-07-12

Total Pages: 64

ISBN-13: 9780101788120

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Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty

Cost Containment and Efficiency in National Health Systems
Cost Containment and Efficiency in National Health Systems

Author: John Rapoport

Publisher: John Wiley & Sons

Published: 2008-12-03

Total Pages: 247

ISBN-13: 3527622950

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Written by a local health economics expert, each of the eight chapters in this timely handbook and ready reference describes the national healthcare system of a different industrialized country. In each case, the 4-5 specific policies with the highest impact on that respective country over the past 20-30 years are identified. In addition, the economic characteristics of each policy are described and, where possible, its success evaluated, discussing the current policy agenda. A final chapter summarizes and synthesizes the major points of the analysis. While the main focus is on economics, this guide is written in non-technical language for an audience of health policy decision makers or students of health policy, making it an invaluable contribution to the current debate surrounding the control of rising healthcare-related costs in the developed world.

Efficiency and the NHS
Efficiency and the NHS

Author: Ray Robinson

Publisher:

Published: 1988-01

Total Pages: 40

ISBN-13: 9780255362511

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The author takes a detailed look at the scope for improving patient services offered through an internal market. The potential for more efficient use of beds and staff time; The possibility of lower costs resulting from more specialisation; the effects of competition on NHS wages and salaries; and the implications for patient choice are all subjected to critical examination. Moreover, the danger of greater competition leading to more unequal access to health care is also highlighted. The study concludes that the potential merits of an internal market need to be demonstrated rather thab asserted. There is unsufficient evidence to warrant the wholesale adoption of the idea throughout the NHS in a single move. But there is sufficient evidence to support the case for experiment involving trade between districts within a single trial region.

Competition, integration and incentives: The quest for efficiency in the English NHS
Competition, integration and incentives: The quest for efficiency in the English NHS

Author: Alan M Garber

Publisher: Lulu.com

Published: 2011

Total Pages: 72

ISBN-13: 1905030517

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The Government's NHS reforms pave the way for more competition and a more locally managed health service. They also take place at a time when the NHS in England is faced with saving an estimated £15 to £20 billion by 2015. Achieving savings of this level will require a radical overhaul of how services are designed and delivered. Critical to this is creating the right incentives for the NHS to develop, in ways that promote creativity and innovation.