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Cancelled procedures in the English NHS: Evidence from the 2010 tariff reform

Cookson, Graham, Jones, and Laliotis, Ioannis (2017) Cancelled procedures in the English NHS: Evidence from the 2010 tariff reform Health Economics.

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Abstract

This paper explores the role of incentives in the English NHS. Until financial year 2009/10, elective procedures that were cancelled after admission received a fixed reimbursement associated with a specific healthcare resource group code. We in- vestigate whether this induced trusts to admit and then cancel, rather than cancel before admission and/or to cancel low fee over high fee work. As the tariff was ended in April 2010 we conduct an interrupted time series analysis to examine if their behaviour was affected after the tariff removal. The results indicate a small, yet statistically significant, decline in the probability of a last minute cancellation in the post-tariff period, especially for certain types of patients and diagnoses.

Item Type: Article
Subjects : Economics
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
NameEmailORCID
Cookson, Grahamg.cookson@surrey.ac.ukUNSPECIFIED
Jones, UNSPECIFIEDUNSPECIFIED
Laliotis, Ioannisi.laliotis@surrey.ac.ukUNSPECIFIED
Date : 16 February 2017
Identification Number : 10.1002/hec.3486
Copyright Disclaimer : This is the peer reviewed version of the following article: Cookson, G, Jones, S, and Laliotis, I, Cancelled procedures in the English NHS: Evidence from the 2010 tariff reform, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1002/hec.3486/full This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Uncontrolled Keywords : Cancelled procedures; English NHS; Reforms; Incentives
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 03 Jan 2017 15:24
Last Modified : 19 Jul 2017 07:28
URI: http://epubs.surrey.ac.uk/id/eprint/813185

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