NESCOP (Including: Watson, Samuel I., Arulampalam, Wiji and Petrou, Stavros). (2017) The effect of health care expenditure on patient outcomes : evidence from English neonatal care. Health Economics, 26 (12). e274-e284. doi:10.1002/hec.3503 ISSN 1057-9230.
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Abstract
The relationship between health care expenditure and health outcomes has been the subject of recent academic inquiry in order to inform cost-effectiveness thresholds for health technology assessment agencies. Previous studies in public health systems have relied upon data aggregated at the national or regional level; however, there remains debate about whether the supply side effect of changes to expenditure are identifiable using data at this level of aggregation. We use detailed patient data derived from electronic neonatal records across England along with routinely available cost data to estimate the effect of changes to patient expenditure on clinical health outcomes in a well-defined patient population. A panel of 32 neonatal intensive care units for the period 2009–2013 was constructed. Accounting for the potential endogeneity of expenditure a £100 increase in the cost per intensive care cot day (sample average cost: £1,127) is estimated to reduce the risk of mortality of 0.38 percentage points (sample average mortality: 11.0%) in neonatal intensive care. This translates into a cost per life saved in neonatal intensive care of approximately £420,000.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Cell & Developmental Biology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences Faculty of Social Sciences > Economics Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Neonatal intensive care -- Cost effectiveness -- England |
| Journal or Publication Title: | Health Economics |
| Publisher: | John Wiley & Sons Ltd. |
| ISSN: | 1057-9230 |
| Official Date: | December 2017 |
| Dates: | Date Event December 2017 Published 12 May 2017 Available 15 February 2017 Accepted |
| Volume: | 26 |
| Number: | 12 |
| Page Range: | e274-e284 |
| DOI: | 10.1002/hec.3503 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Date of first compliant deposit: | 22 February 2017 |
| Date of first compliant Open Access: | 12 May 2018 |
| Funder: | National Institute for Health Research (Great Britain). Applied Research Programme (ARP NIHR), Collaborations for Leadership in Applied Health Research and Care (CLAHRC), Great Britain. Department of Health (DoH), Groupe Danone, AbbVie (Firm), Abbott International, University of Warwick. Department of Economics |
| Grant number: | RP-PG-0707-10010 (ARP NIHR) |
| URI: | https://wrap.warwick.ac.uk/86128/ |
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