How health policy shapes healthcare sector productivity? Evidence from Italy and UK

Atella, Vincenzo; Belotti, Federico; Bojke, Chris; Castelli, Adriana; Grasic, Katja; Kopinska, Joanna; Mortari, Andrea Piano; Street, Andrew

doi:10.1016/j.healthpol.2018.10.016

Cited by 29 publications

(21 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Rutkowska-Podołowska et al [91] found that policymakers in Europe are focusing on reducing healthcare spending without drastically reducing the scope of public health services. Such regularities also appeared in other studies [92][93][94][95]. Based on the authors' analyses, it can be concluded that these activities were ineffective because healthcare expenditure was systematically growing in almost all EU countries.…”

Section: Discussionsupporting

confidence: 56%

Differentiation in Healthcare Financing in EU Countries

2020

View full text Add to dashboard Cite

The main aim of this work was to identify and present the situation and changes in the level of expenditure on healthcare in the European Union in the years 2013–2017. This involved an analysis of the available literature on healthcare financing, data from the EUROSTAT database. For this work, the comparative method was used, dynamics indicators were used, the Gini concentration coefficient was calculated, and the degree of concentration was presented using the Lorenz curve. Pearson’s linear correlation coefficients were also used. A descriptive, tabular and graphic method was used to present the test results that were obtained. A high concentration of expenditure on healthcare was found in the EU countries with the largest population and that are the most economically developed. These results also relate to these expenses on a per capita basis. The main factor differentiating the level of healthcare financing was the level of economic development. This regularity was confirmed in the statement of expenditure per capita, the relationship between this expenditure and the value of GDP and the results obtained when calculating the correlation between expenditure and economic development. In addition to the economic situation, an important factor determining the amount of expenditure on healthcare was the percentage of the country’s population that are older people.

show abstract

Section: Discussionsupporting

confidence: 56%

Differentiation in Healthcare Financing in EU Countries

2020

View full text Add to dashboard Cite

show abstract

“…Second, we also deal with the fact that, in some Italian regions, region-specific recovery plans, called “ Piani di Rientro ”, have been implemented since 2007 in order to recover from the budget deficit related to health care expenditures. 13 Although part of the literature agrees on the fact that being included in such plans helps to contained costs (Atella et al, 2019 ), the consequences in terms of health outcomes are less clear. 14 A dummy variable is therefore included: 1 if the hospital is located in a region included in the recovery plan ( Recovery Plans ), and 0 otherwise.…”

Section: Datamentioning

confidence: 99%

Exploring hospital efficiency within and between Italian regions: new empirical evidence

2022

View full text Add to dashboard Cite

This paper investigates the efficiency of Italian hospitals and how their performances have changed over the years 2007–2016, characterized by the great economic recession and budget constraints. We apply the Benefit of Doubt (BoD) approach to determine a composite index that considers the multi-dimensionality of the hospital outcome to be used as main output in a metafrontier production function based on a stochastic frontier framework. The efficiency score distribution is then used to construct a Theil index in order to compare, over time, the inequality of the estimated efficiency between hospitals, both within and between regions. The main findings show that the primary source of inefficiency comes from managerial inefficiency especially for hospitals located in southern regions. A clear and persistent North-South gap in efficiency performances of hospitals has been found along with an increase in the inequality in terms of efficiency between the areas of the country mostly determined by between region inequality.

show abstract

“…Furthermore, as organisations, both the NHS and SSN were founded based on key principles. These include the provision of health services that are predominantly free at the point of use, access to healthcare based on need, irrespective of socioeconomic background, and universal coverage [21].…”

Section: Application To a Uk Based Health Systemmentioning

confidence: 99%

Cost-Utility Analysis of Antibiotic Therapy versus Appendicectomy for Acute Uncomplicated Appendicitis

Ali

Mobarak

Al-Jumaily

et al. 2021

IJERPH

View full text Add to dashboard Cite

Background: Current UK National Health Service (NHS) guidelines recommend appendicectomy as gold standard treatment for acute uncomplicated appendicitis. However, an alternative non-surgical management involves administrating antibiotic-only therapy with significantly lower costs. Therefore, a UK-based cost-utility analysis (CUA) was performed to compare appendicectomy with an antibiotic-only treatment from an NHS perspective. Methods: This economic evaluation modelled health-outcome data using the ACTUAA (2021) prospective multicentre trial. The non-randomised control trial followed 318 patients given either antibiotic therapy or appendicectomy, with quality of life (QOL) assessed using the SF-12 questionnaires administered 1-year post-treatment. A CUA was conducted over a 1-year time horizon, measuring benefits in quality adjusted life years (QALYs) and costs in pound sterling using a propensity score-matched approach to control for selection based on observable factors. Results: The CUA produced an incremental cost-effectiveness ratio (ICER) of −GBP 23,278.51 (−EUR 27,227.80) per QALY. Therefore, for each QALY gained using antibiotic-only treatment instead of appendicectomy, an extra GBP 23,278.51 was saved. Additionally, two sensitivity analyses were conducted to account for post-operative or post-treatment complications. The antibiotic-only option remained dominant in both scenarios. Conclusion: While the results do not rely on a randomized sample, the analysis based on a 1-year follow-up suggested that antibiotics were largely more cost-effective than appendicectomy and led to improved QOL outcomes for patients. The ICER value of −GBP 23,278.51 demonstrates that the NHS must give further consideration to the current gold standard treatment in acute uncomplicated appendicitis.

show abstract

How health policy shapes healthcare sector productivity? Evidence from Italy and UK

Cited by 29 publications

References 12 publications

Differentiation in Healthcare Financing in EU Countries

Differentiation in Healthcare Financing in EU Countries

Exploring hospital efficiency within and between Italian regions: new empirical evidence

Cost-Utility Analysis of Antibiotic Therapy versus Appendicectomy for Acute Uncomplicated Appendicitis

Contact Info

Product

Resources

About