Gaughan, James Michael orcid.org/0000-0002-8409-140X, Gutacker, Nils orcid.org/0000-0002-2833-0621, Grasic, Katja et al. (3 more authors) (2018) Paying for efficiency: Incentivising same-day discharges in the English NHS. Report. CHE Research Paper . Centre for Health Economics, University of York , York.
Abstract
We study a pay-for-efficiency scheme that encourages hospitals to admit and discharge patients on the same calendar day where clinically appropriate. Since 2010, hospitals in the English NHS receive a higher price for patients treated as same-day discharge than for overnight stays, despite the former being less costly. We analyse administrative data for patients treated for 191 conditions for which same-day discharge is clinically appropriate — of which 32 are incentivised — during 2006-2014. Using interrupted time series, differences-in-differences and synthetic control methods, we find that the policy generally had a positive effect on planned conditions with a statistically significant effect in about a third of conditions. The results are more mixed for emergency conditions. The median elasticity (across all 32 conditions) is 0.09 but above one for six conditions. Condition-specific design features explain some, but not all, of the differential responses.
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 the author. The full text of this report can be viewed free of charge from the Centre for Health Economics web site at: https://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP157_financial_incentives_hospital_discharges.pdf |
Keywords: | Pay for Performance,Best Practice Tariff,day surgery,same-day discharge, policy evaluation |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Economics and Related Studies (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 30 Aug 2018 08:20 |
Last Modified: | 25 Dec 2024 00:32 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Paper |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:135067 |
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