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Hospital benchmarking analysis and the derivation of cost indices
Author(s)Neil Söderlund, Rowena van der Merwe
Corporate AuthorCentre for Health Economics, University of York; Centre for Health Policy, University of Witwatersrand
PublisherUniversity of York, York, 1999
Pages34 pp (Centre for Health Economics Discussion paper 174)
SourcePublications Centre, Centre for Health Economics, University of York YO1 5DD.
KeywordsHospital services ; Performance ; Costs [care] ; Econometrics ; Cost effectiveness ; Efficiency.
AnnotationWork undertaken for the Department of Health (DoH) exploring approaches to measuring and comparing hospital productivity is reported. The purpose of the cost indices produced in this paper has been to use them to derive productivity scores of English NHS Trusts, in order to benchmark them against one another to help identify poorer performers. This work describes the derivation of three cost indices (CCI, 2CCI and 3CCI), each with increasing adjustment in terms of case mix, factor prices and environmental factors. The paper is divided into three sections. The first, on methods, describes the data, the construction of the deterministic cost index, the regression and derivation of the statistically adjusted indices, the functional form chosen, and some estimation issues. The results section describes the regression results and the productivity indices derived from the regressions. The paper concludes with discussion of issues concerning the methodology chosen, the results obtained, and future avenues for research. (RH).
Accession NumberCPA-000218204 B
ClassmarkLD: 5H: QDC: WE: WEC: 5HA

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