Gaughan, James Michael orcid.org/0000-0002-8409-140X, Gutacker, Nils orcid.org/0000-0002-2833-0621, Grasic, Katja et al. (3 more authors) (2019) Paying for Efficiency:Incentivising same-day discharge in the English NHS. Journal of health economics. ISSN 0167-6296
Abstract
We study a pay-for-efficiency scheme that encourages hospitals to admit and discharge patients on the same calendar day when clinically appropriate. Since 2010, hospitals in the English NHS are incentivised by 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 during 2006-2014 for 191 conditions for which same-day discharge is clinically appropriate – of which 32 are incentivised. Using difference-in-difference and synthetic control methods, we find that the policy had generally a positive impact with a statistically significant effect in 14 out of the 32 conditions. The median elasticity is 0.24 for planned and 0.01 for emergency conditions. Condition-specific design features explain some, but not all, of the differential responses.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © Authors, 2019. |
Keywords: | Pay for Performance; prospective payment systems; activity based funding; hospital incentives; DRGs; synthetic control method; 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) |
Depositing User: | Pure (York) |
Date Deposited: | 27 Aug 2019 10:40 |
Last Modified: | 16 Dec 2024 00:10 |
Published Version: | https://doi.org/10.1016/j.jhealeco.2019.102226 |
Status: | Published online |
Refereed: | Yes |
Identification Number: | 10.1016/j.jhealeco.2019.102226 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:150121 |