Atkinson Review - Health

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Presentation transcript:

Atkinson Review - Health Eurostat workshop 27 May 2005 Presenters: Phillip Lee and Aileen Simkins

Health UK health system in brief Output measurement prior to Atkinson Review Review findings Developments during the Review Developments planned Measurement of change in quality of healthcare

The UK health system NHS: publicly funded, mainly publicly provided but some private providers limited private financing of healthcare devolved responsibility essentially free at point of use Co-payment required in limited cases prescriptions dental treatment

Health output measures prior to Atkinson Direct volume measure introduced in 1998, based on: NHS in England partial coverage of what NHS does household survey for primary care consultations activities rather than ‘treatments’ no allowance for change in quality

Review Findings #1 Potentially better sources for primary care (rec. 8.1) databases of primary care medical records data required as part of new general practice contract longitudinal element to design up-to-date weights Coverage (recommendations 8.2 and 8.3) all of UK, not just England all institutions all settings all activities

Review Findings #2 Whole courses of treatment (recommendation 8.4) as a better measure of health output NHS Quality (recommendation 8.5) more later from Aileen Remainder of recommendations: Improvements to deflators and matching weights (rec.8.6) Publication of health productivity articles (rec. 8.7) Satellite Accounts (recommendation 8.8)

Review Findings #3 Other findings: output of collective services can be valued at input cost range of expertise to include statisticians, economists, medical researchers, public health experts, accountants and so on private sector prices not appropriate proxy triangulation

Developments during the Review Improved method for Blue Book 2004 (Jun 2004) improved coverage greater disaggregation (1700 separate items) Article on whole courses of treatment (Sep 2004) including impact on output from innovation and substitution Health productivity article (Oct 2004) including triangulation excluding change in NHS quality

Developments planned Improved method for Blue Book 2005 (Jun 2005) improved coverage (more activities, Northern Ireland) Second productivity article (Oct 2005?) Link to planned DH paper on quality adjustment More analysis of inputs, deflators, triangulation