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

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• 作者：Emmanuel Thanassoulis^a ; Maria C.A. Silva Portela^b ; ^{csilva@porto.ucp.pt} ; Mike Graveney^c
• 关键词：Cost efficiency ; Price efficiency ; Data envelopment analysis ; Primary health care
• 刊名：European Journal of Operational Research
• 出版年：2012
• 期刊代码：58_03772217
• 类别：et
• 出版时间：1 September, 2012
• 卷：221
• 期：2
• 页码：432-444
• 文件大小：1835 K

摘要

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