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

Emmanuel Thanassoulis, Maria Silva and Mike Graveney

European Journal of Operational Research, 2012, vol. 221, issue 2, 432-444

Abstract: 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 (£15.74m 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 (£10.61m savings were identified, representing 4.3% of total expenditure); (iii) seeking a different profile of referral and drug unit costs (£11.81m savings were identified, representing 4.8% of total expenditure).

Keywords: Cost efficiency; Price efficiency; Data envelopment analysis; Primary health care (search for similar items in EconPapers)
Date: 2012
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Citations: View citations in EconPapers (6)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:ejores:v:221:y:2012:i:2:p:432-444

DOI: 10.1016/j.ejor.2012.03.035

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