Using a multidimensional model and a dominance criteria they show us that there are a significance correlation between them.
- Hospitals with shorter LOS also realise better post operative health status (the fast track or enhanced recovery).
- Hospitals that have a lower proportion of patients waiting more than 18 weeks to be admitted also have a shorter LOS
- Hospitals with better post OHS also tend to have a lower proportion of patients waiting for more 18 weeks
- The emergency readmission within 28 days has a negative impact on health status
- Volume outcome are not important in explaining overall performance differences between them.
- Dominant providers operates in a more competitive markets (in a quality competition in-price regulated market).
- Dominant providers have economies of scope. Good overall performance is associated with more concentrated delivery system.
- ISTCs don't cherry pick healthier cases to treat or “dump” complex cases back into the NHS.
Access to the article (pdf): Multidimensional performance assessment of public sector organisations using dominance criteria (Health Economics 2017)
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