Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.14/11497
Título: Estimating the scope for savings in referrals and drug prescription costs in the general Practice units of a UK primary care trust
Autor: Thanassoulis, Emmanuel
Portela, Maria
Graveney, Mike
Palavras-chave: Cost efficiency
Price efficiency
Data envelopment analysis
Primary health care
Data: 2012
Editora: Elsevier
Citação: THANASSOULIS, Emmanuel ; PORTELA, Maria; GRAVENEY, Mike - Estimating the scope for savings in referrals and drug prescription costs in the general Practice units of a UK primary care trust. European Journal of Operational Research. ISSN 0377-2217. Vol. 221, n.º 2 (2012), p. 432–444
Resumo: This paper explores the potential for cost savings in the general Practice units of a Primary Care Trust (PCT) in the UK. We have used Data Envelopment Analysis (DEA) to identify benchmark Practices, which offer the lowest aggregate referral and drugs costs controlling for the number, age, gender, and deprivation level of the patients registered with each Practice. For the remaining, non-benchmark Practices, estimates of the potential for savings on referral and drug costs were obtained. Such savings could be delivered through a combination of the following actions: (i) reducing the levels of referrals and prescriptions without affecting their mix (£15.74 m savings were identified, representing 6.4% of total expenditure); (ii) switching between inpatient and outpatient referrals and/or drug treatment to exploit differences in their unit costs (£10.61 m savings were identified, representing 4.3% of total expenditure); (iii) seeking a different profile of referral and drug unit costs (£11.81 m savings were identified, representing 4.8% of total expenditure).
Peer review: yes
URI: http://hdl.handle.net/10400.14/11497
Aparece nas colecções:FEG - Artigos em revistas internacionais com Arbitragem / Papers in international journals with Peer-review



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