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Estimating the scope for savings in referrals and drug prescription costs in the general Practice units of a UK primary care trust

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dc.contributor.authorThanassoulis, Emmanuel
dc.contributor.authorPortela, Maria C.A. Silva
dc.contributor.authorGraveney, Mike
dc.date.accessioned2013-06-20T11:49:31Z
dc.date.available2013-06-20T11:49:31Z
dc.date.issued2012
dc.description.abstractThis 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).por
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.citationTHANASSOULIS, 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. 432–444por
dc.identifier.doi10.1016/j.ejor.2012.03.035
dc.identifier.eissn1872-6860
dc.identifier.issn0377-2217
dc.identifier.urihttp://hdl.handle.net/10400.14/11497
dc.identifier.wosWOS:000304849700017
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.subjectCost efficiencypor
dc.subjectPrice efficiencypor
dc.subjectData envelopment analysispor
dc.subjectPrimary health carepor
dc.titleEstimating the scope for savings in referrals and drug prescription costs in the general Practice units of a UK primary care trustpor
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/3599-PPCDT/PTDC%2FEGE-GES%2F112232%2F2009/PT
oaire.citation.endPage444
oaire.citation.issue2
oaire.citation.startPage432
oaire.citation.titleEuropean Journal of Operational Research
oaire.citation.volume221
oaire.fundingStream3599-PPCDT
person.familyNameThanassoulis
person.familyNameSilva
person.givenNameEmmanuel
person.givenNameMaria
person.identifier.ciencia-idD012-79F9-34BC
person.identifier.orcid0000-0002-3769-5374
person.identifier.orcid0000-0002-3525-2393
person.identifier.scopus-author-id7003390444
person.identifier.scopus-author-id55663172600
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor
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