医疗保健生产力：从诊断到行动.pdf

1、Healthcare productivity:from diagnosis to actionCharles Tallack,Director of Research and Analysis,The Health Foundation6 February 2025Why productivity mattersUK health spend has risen at an average of 3.6%paHealth spending has grown at a faster rate than GDPOver time,an increasing share of the UKs G

2、DP has been spent on health.The proportion has more than doubled over the lifetime of the NHS,from 3.6%in 1949/50 to 7.3%in 2018/19,and 8.2%in 2022/23.Source:IFS spending composition sheet,HM Treasury,Country and regional analysis 2023,HM Treasury,GDP deflators at market prices,and money GDP March 2

3、024But sluggish economic growth over the next 5 yearsSource:OBR Economic and Fiscal Outlook,Chart 2.7 Real GDP growthmakes the needed 3%+difficult to sustainImproved productivity would reduce cost pressuresPopulation growthAgeingIncrease in multimorbidityWages and pricesService intensityProductivity

4、1%2%Without lift in productivity,services will continue to underperformWhat is productivity?FundingInputsOutputsOutcomesProductivity Hospital attendances,appointments,procedures Buildings,equipment,staffHealthy life expectancy,experience of servicesCapital,revenueOutputInputProductivity=OutputInputP

5、roductivity=STRATEGY 1:ACHIEVE THE SAME OUTPUT WITH FEWER INPUTSe.g.Skill mix changeAutomation of healthcare tasksSOURCE:Agility:the missing ingredient for NHS productivityHealth Foundation,2021OutputInputProductivity=STRATEGY 1:ACHIEVE THE SAME OUTPUT WITH FEWER INPUTSSTRATEGY 2:USE THE SAME INPUTS

6、 TO GENERATE GREATER OUTPUTe.g.Improve flow Use technology to speed up processese.g.Skill mix changeAutomation of healthcare tasksSOURCE:Agility:the missing ingredient for NHS productivityHealth Foundation,2021OutputInputSTRATEGY 1:ACHIEVE THE SAME OUTPUT WITH FEWER INPUTSSTRATEGY 2:USE THE SAME INP