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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

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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
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:
DateEvent
January 2015Published
7 August 2014Available
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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