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Improving productive efficiency in hospitals : findings from a review of the international evidence
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Rumbold, B. E. , Smith, J. A., Hurst, J., Charlesworth, A. and Clarke, Aileen (2015) Improving productive efficiency in hospitals : findings from a review of the international evidence. Health Economics, Policy and Law, Volume 10 (Number 1). pp. 21-43. doi:10.1017/S174413311400022X ISSN 1744-1331.
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Official URL: http://dx.doi.org/10.1017/S174413311400022X
Abstract
At present, health systems across Europe face the same challenges: a changing demographic profile, a rise in multi-morbidity and long-term conditions, increasing health care costs, large public debts and other legacies of an economic downturn. In light of these concerns, this article provides an overview of the international evidence on how to improve productive efficiency in secondary care settings. Updating and expanding upon a recent review of the literature by Hurst and Williams (2012), we set out evidence on potential interventions in the policy environment, hospital management, and operational processes. We conclude with five key lessons for policy makers and practitioners on how to improve productive efficiency within hospital settings, and identify several gaps in the existing evidence base.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Medical policy -- Europe, Hospital care -- Government policy, Hospitals -- Administration, Cost effectiveness -- Hospitals | ||||||
| Journal or Publication Title: | Health Economics, Policy and Law | ||||||
| Publisher: | Cambridge University Press | ||||||
| ISSN: | 1744-1331 | ||||||
| Official Date: | January 2015 | ||||||
| Dates: |
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| Volume: | Volume 10 | ||||||
| Number: | Number 1 | ||||||
| Page Range: | pp. 21-43 | ||||||
| DOI: | 10.1017/S174413311400022X | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Funder: | Nuffield Trust for Research and Policy Studies in Health Services, National Institute for Health Research (Great Britain) (NIHR) |
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