Publications
310 results found
Smith P, Street A, 2006, Concepts and challenges in measuring the performance of health care organisations, The Elgar Companion to Health Economics, Editors: Jones, Publisher: Edward Elgar Pub, ISBN: 9781847203373
Smith P, 2006, Quantitative approaches towards assessing organizational performance, Public service performance: perspectives on measurement and management, Editors: Boyne, Publisher: Cambridge Univ Pr, ISBN: 9780521859912
An important contribution to the debate about how to improve the performance of public organizations.
Jacobs R, Goddard M, Smith PC, 2005, How robust are hospital ranks based on composite performance measures?, MEDICAL CARE, Vol: 43, Pages: 1177-1184, ISSN: 0025-7079
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- Citations: 74
Martin S, Smith PC, 2005, Multiple public service performance indicators: Toward an integrated statistical approach, JOURNAL OF PUBLIC ADMINISTRATION RESEARCH AND THEORY, Vol: 15, Pages: 599-613, ISSN: 1053-1858
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- Citations: 60
Smith PC, 2005, User charges and priority setting in health care: balancing equity and efficiency, JOURNAL OF HEALTH ECONOMICS, Vol: 24, Pages: 1018-1029, ISSN: 0167-6296
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- Citations: 18
Smith PC, 2005, Performance measurement in health care: History, challenges and prospects, PUBLIC MONEY & MANAGEMENT, Vol: 25, Pages: 213-220, ISSN: 0954-0962
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- Citations: 40
Mason A, Smith P, 2005, Description of the Benefit Catalogue England
The NHS embodies the statutory package of health care services and is subject to a considerablequantity of legislation, regulation and guidance. We provide an overview of the benefit basket inEngland, clarifying the actors and decision making framework involved by describing the principlesunderpinning the NHS, legislation on and the regulatory framework for health care, the regulation ofclinicians and the key health care policies that impact upon patient ‘entitlement’ to services. We alsodescribe services excluded from the basket. A table summarising the findings is presented in theAppendix (Table 9).
Dawson D, Gravelle H, Jacobs R, et al., 2005, The effects on waiting times of expanding provider choice:evidence from a policy experiment
Long waiting times for inpatient treatment in the UK National Health Service have long been asource of great popular and political concern, and therefore a target for policy initiatives. Onesuch is the London Patient Choice Project, under which patients at risk of breaching inpatientwaiting time targets were offered the choice of an alternative hospital with a guaranteedshorter wait. This paper uses a difference in difference econometric methodology to infer theimpact of the choice project on ophthalmology waiting times. In line with our theoreticalpredictions, it finds that the project led to lower average waiting times in the London regionand a convergence in waiting times amongst London hospitals.
Smith PC, 2005, Performance measurement in health care: History, challenges and prospects, Public Money and Management, Vol: 25, Pages: 213-220, ISSN: 0954-0962
A confluence of forces has resulted in massive changes to the collection and use of performance data in the UK health system over the past 25 years. Performance measurement offers major potential benefits for clinical professionals, managers, regulators, politicians, researchers, patients and citizens. However, uncritical reliance on performance data can lead to a number of unintended and adverse consequences. The National Health Service has pioneered the assembly and dissemination of performance data from the early 1980s. This article summarizes the history of performance measurement in the NHS, assesses its effectiveness to date, discusses the major challenges in deploying performance measures, and highlights priorities for policy-makers. © CIPFA, 2005.
Smith P, Witter S, 2005, Risk pooling and purchasing, Spending wisely, Editors: Preker, Langenbrunner, Publisher: World Bank Publications, ISBN: 9780821359181
This publication examines how public spending on health care can be made more efficient and equitable in developing countries, focusing on strategic purchasing ...
Smith P, Preker A, Richard S, et al., 2005, Role of markets and competition, Purchasing to improve health systems performance, Editors: Figueras, Robinson, Jakubowski, Publisher: Open Univ Pr, ISBN: 9780335213672
This book addresses this gap and provides: A comprehensive account of the theory and practice of purchasing for health services across Europe An up-to-date ...
Smith PC, Ginnelly L, Sculpher MJ, 2005, Health policy and economics, Publisher: Open Univ Pr, ISBN: 9780335215751
This book describes those successes, but it also looks forward to the majorcontributions that health economics can bring to bear on emerging policy issues in ...
Smith PC, Street A, 2005, Measuring the efficiency of public services: the limits of analysis, JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES A-STATISTICS IN SOCIETY, Vol: 168, Pages: 401-417, ISSN: 0964-1998
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- Citations: 75
Castelli A, Smith P, 2005, Circulatory Disease in the NHS: Measuring Trends in Hospital Costs and Output
Following the publication of the Atkinson Review of the measurement of government outputs inthe National Accounts, there has been great interest in measuring the productivity growth of theNational Health Service. Such macro measures of productivity are important when deciding howmuch public money to devote to the NHS, and in holding the NHS to account. However, it is alsoimportant to gain an understanding of the productivity of individual programmes of care, so as toensure that resources are allocated efficiently within the NHS. Hitherto, such information has notbeen available. This report is an exploratory study of the feasibility and usefulness of developingmeasures of growth in outputs, costs and productivity of a single programme of care within the NHS: hospital treatment of circulatory diseases.
Hauck K, Smith P, Goddard M, 2005, What should be purchased? Priority setting in health care, Spending wisely: improving health services for the poor, Editors: Preker, Langenbrunner, Publisher: World Bank Publications, ISBN: 9780821359181
This publication examines how public spending on health care can be made more efficient and equitable in developing countries, focusing on strategic purchasing ...
Bird SM, Cox D, Farewell VT, et al., 2005, Performance indicators: Good, bad, and ugly, JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES A-STATISTICS IN SOCIETY, Vol: 168, Pages: 1-27, ISSN: 0964-1998
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- Citations: 166
Mogyorosy Z, Smith P, 2005, The main methodological issues in costing health care services: A literature review
The Healthbasket project seeks to offer evidence on the basket of servicesoffered by the health system in nine member states, and the costs and pricesassociated with those services. A specific objective of the project is “toidentify what are the existing possibilities for and limitation to [cost]comparison and recommend the minimum data required to furnish meaningfulinternational comparison in the future.” To that end, work programme WP7assesses the costing methodologies for inpatient and outpatient health servicesat the micro-level.The aim of the WP7 subproject is to provide a comprehensive review bestpractice in cost assessment by examining the scientific literature onmethodologies for calculating health service costs. This review examinespublished scientific literature about the methodologies used to estimate thecosts associated with the delivery of a particular service at the micro-level inboth in-patient and out-patient settings. In addition, the review summarises thescientific literature on methodologies used in international comparative studiesof health service costs at the micro-level, including in-patient and outpatientsettings.
Smith PC, York N, 2004, Quality incentives: The case of UK general practitioners, HEALTH AFFAIRS, Vol: 23, Pages: 112-118, ISSN: 0278-2715
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- Citations: 57
Smith PC, 2004, Incentives for quality: the challenges for research and policy., J Health Serv Res Policy, Vol: 9, Pages: 65-66, ISSN: 1355-8196
Jacobs R, Smith P, 2004, A descriptive analysis of general acute Trust star ratings
This paper examines the relationship between acute NHS Trust star ratings in England (generated by the Department of Health) in 2000/01 and 2001/02 with various other Trust characteristics and performance indicators from a Trust level database maintained by the Centre for Health Economics. The Trust star ratings system is a composite performance measure which places Trusts into one of four categories: from three stars, awarded to Trusts with the highest levels of performance to zero stars, awarded to Trusts showing the poorest levels of performance. We examine the descriptive statistics for the various variables in the dataset over the two years, according to each star rating as well as one-way Analysis of Variance (ANOVA) using zero star Trusts as the reference category and then least squares to fit a linear model to each of the variables in the dataset.Although zero star Trusts appear to perform better in terms of clinical outcomes such as death rates and readmissions, this is not statistically significant. However, zero star Trusts do worse than other Trusts across various patient satisfaction measures and financial and efficiency measures. Three star Trusts outperform others on two grounds fairly consistently: waiting times and financial balance suggesting either more efficient management or fewer capacity constraints. The labour market for consultants and nurses also appear to be utilised in different ways across the groups of Trusts. One hypothesis is that the different groups of Trusts focus on different elements of performance. The extent to which differences are due to exogenous factors or internal factors is a question for future research.
Goddard M, Mannion R, Smith P, 2004, Enhancing performance in health care: a theoretical perspective on agency and the role of information, Studying the Organisation and Delivery of Health Services: A Reader, Pages: 199-206, ISBN: 9780415340717
In the 1997 White Paper, The New NHS: Modern, Dependable (Department of Health 1997) (and its Scottish and Welsh equivalents) the UK government set out a new framework for managing and assessing the performance of the National Health Service. The Performance Framework (NHS Executive 1998) will focus on six key areas of activity and outcome: health improvement, fair access, effectiveness, efficiency, patient/carer experience, and the health outcomes of NHS care.
Dawson D, Jacobs R, Martin S, et al., 2004, Is patient choice an effective mechanism to reduce waiting times?, Appl Health Econ Health Policy, Vol: 3, Pages: 195-203
In many countries, patient choice is a routine part of the normal healthcare system. However, many choice initiatives in secondary care are part of policies aimed at reducing waiting times. This article provides evidence on the effectiveness of patient choice as a mechanism to reduce waiting times within a metropolitan area. The London Patient Choice Project was a large-scale pilot offering patients on hospital waiting lists a choice of alternative hospitals with shorter waiting times. A total of 22 500 patients were offered choice and 15 000 accepted. The acceptance rate of 66% was very high by international standards. In this article we address two questions. First, did the introduction of choice significantly reduce waiting times in London relative to the rest of the country where there was no choice? Second, how were the waiting times of London patients not offered choice affected by the choice regime? We examine the evidence on these issues for one specialty, orthopaedics. A difference-in-difference analysis is used to compare waiting times for hospitals within London before and after the introduction of choice. Although there was a small but significant reduction in waiting times in London relative to other areas where there was no patient choice, the main effect of the choice regime was to produce convergence of mean waiting times within London. Convergence was achieved by bringing down waiting times at the hospitals with high waiting times to the levels that prevailed in hospitals with low waiting times. This represented a clear improvement in equity of access, an important objective of the English National Health Service.
Marshall M, Smith P, 2003, Rewarding results: using financial incentives to improve quality, QUALITY & SAFETY IN HEALTH CARE, Vol: 12, Pages: 397-398, ISSN: 1475-3898
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- Citations: 18
Hollingsworth B, Smith P, 2003, Use of ratios in data envelopment analysis, APPLIED ECONOMICS LETTERS, Vol: 10, Pages: 733-735, ISSN: 1350-4851
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- Citations: 148
Smith PC, 2003, Formula funding of public services: An economic analysis, OXFORD REVIEW OF ECONOMIC POLICY, Vol: 19, Pages: 301-322, ISSN: 0266-903X
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- Citations: 24
Marshall MN, Shekelle PG, Davies HTO, et al., 2003, Public Reporting On Quality In The United States And The United Kingdom, Health Affairs, Vol: 22, Pages: 134-148, ISSN: 0278-2715
Martin S, Smith PC, 2003, Increase in resources should lead to reduced waiting times, BRITISH MEDICAL JOURNAL, Vol: 326, Pages: 763-764, ISSN: 0959-535X
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- Citations: 3
Jiménez JS, Chaparro FP, Smith PC, 2003, Evaluating the introduction of a quasi-market in community care, Socio-Economic Planning Sciences, Vol: 37, Pages: 1-13, ISSN: 0038-0121
It is often the case that only routinely collected, highly aggregate administrative data are available for the purposes of evaluating major public policy initiatives. Such data clearly fall short of the information advocated by statisticians and economists for the purposes of policy evaluation. This paper examines the extent to which methodologies developed in the productivity literature can nevertheless extract useful evaluative information from administrative data. A non-parametric Malmquist Index approach is used that seeks to decompose changes in efficiency into technical efficiency changes, scale effects and technological change. The study applies the methods to the system of "community care" introduced in 1993 for people affected by problems associated with ageing, mental illness, learning disability or physical disability. Nonparametric methods are used to estimate productivity changes amongst 39 English county councils over a four-year period from 1992 to 1995. The results suggest a steady annual increase in productivity of about 1.4% per annum over the period under investigation, but it is not possible to determine the extent to which this progress can be attributed to the introduction of community care. The paper nevertheless concludes that the methods deployed can exploit readily available datasets at low cost, and are a valuable form of exploratory data analysis, if interpreted with discretion. © 2002 Elsevier Science Ltd. All rights reserved.
Gravelle H, Smith P, Xavier A, 2003, Performance signals in the public sector: the case of health care, OXFORD ECONOMIC PAPERS-NEW SERIES, Vol: 55, Pages: 81-103, ISSN: 0030-7653
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- Citations: 35
Martin S, Smith PC, 2003, Using panel methods to model waiting times for National Health Service surgery, JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES A-STATISTICS IN SOCIETY, Vol: 166, Pages: 369-387, ISSN: 0964-1998
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- Citations: 29
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