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Using a latent variable approach to measure the quality of English NHS hospitals

Papanicolas, Irene and McGuire, Alistair (2011) Using a latent variable approach to measure the quality of English NHS hospitals. LSE Health working papers, 21/2011. LSE Health, London School of Economics and Political Science, London, UK. ISBN 9780853284635

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Abstract

The provision of performance information is essential for ensuring and improving the performance of health care systems. However, the lack of reliable quality information is a key problem in evaluating and improving health care. This paper estimates the performance of English NHS Acute Trusts using Dr. Foster data from the years 1996 – 2008 to investigate health outcomes after elective treatment for Acute Myocardial Infarction (AMI) and Hip Replacement. A latent variable approach is used to calculate the hospital quality effect in determining short and long term mortality and readmission rates for each year. These measures are then used to compare current and past quality of care within and across NHS Acute Trusts. Our results support that this method is well suited to measuring provider quality of care. Using these quality measures we are able to investigate the performance of NHS Acute Trusts across this time period and identify hospitals where further scrutiny of low quality is required in the future.

Item Type: Monograph (Working Paper)
Official URL: http://www2.lse.ac.uk/LSEHealthAndSocialCare/LSEHe...
Additional Information: © 2011 The Authors
Library of Congress subject classification: R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Research centres and groups > LSE Health
Collections > LSE Health Working Paper Series in Health Policy and Economics
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Identification Number: 21/2011
Date Deposited: 13 Jun 2011 11:46
URL: http://eprints.lse.ac.uk/36671/

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