Against All Odds: The Contribution of the Healthcare Sector to Productivity. Evidence from Italy and UK from 2004 to 2011

Vincenzo Atella, Federico Belotti, Chris Bojke (), Adriana Castelli, Katja Grašic (), Joanna Kopinska, Andrea Piano Mortari and Andrew Street
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Chris Bojke: Centre for Health Economics, University of York
Katja Grašic: Centre for Health Economics, University of York

No 418, CEIS Research Paper from Tor Vergata University, CEIS

Abstract: We assess the productivity growth of the English and Italian healthcare systems over the period from 2004 to 2011. The English (NHS) and the Italian (SSN) healthcare systems share many similar features, facilitating comparison: basic founding principles, financing, organization, management, and size. We measure productivity growth as the rate of change in outputs over the rate of change in inputs. We find that the overall NHS productivity growth index increased by 10% over the whole period, at an average of 1.39% per year, while SSN productivity increased overall by 5%, at an average of 0.73% per year. Differential growth reflects different policy objectives. In England, the NHS focused on increasing activity, reducing waiting times and improving quality. Italy focused more on cost containment and rationalized provision, in the hope that this would reduce unjustified and inappropriate provision of services.

Keywords: Health system productivity; output growth; input growth (search for similar items in EconPapers)
JEL-codes: C43 D24 I11 I18 (search for similar items in EconPapers)
Pages: 39 pages
Date: 2017-12-12, Revised 2017-12-12
New Economics Papers: this item is included in nep-eff, nep-eur and nep-hea
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