北大经院 | 讲座预告（6.11）

摘要：Adriana Castelli is a Senior Research Fellow at the Centre for Health Economics (CHE), University of York, which she joined in 200

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北大经院工作坊第1128场

Do Surgical Hubs Improve NHS Hospitals Productivity? Evidence from a Diff-in-Diff Analysis

经院-全健院

“健康与劳动经济学”工作坊

主讲人:

Adriana Castelli（PhD, Senior Research Fellow in Health and Social Care Policy at CHE in University of York）

主持人:

（北大经院）秦雪征

参与老师：

（北大经院）施新政、石菊、姚奕、袁野、王耀璟、梁远宁、庄晨

（北大全健院）刘国恩、黄成、孙宇、杨佳楠、崔知涵、潘聿航、林淑君、林昊翔、蒋少翔

时间：

2025年6月11日（周三）

10:00-11:30

形式:

Zoom会议

Adriana Castelli is a Senior Research Fellow at the Centre for Health Economics (CHE), University of York, which she joined in 2004. Adriana leads the Efficiency & Productivity policy research area in CHE and has an extensive experience in the measurement of health care system productivity, in which she has gained both national and international recognition as a leading expert. She has collaborated with both UK and international partners. Adriana is also an active member of the WHO Health Labour Market Analysis (HMLA) hub, has given seminars to WHO technical officers and economists from Ministries of Health across the globe. Adriana has lead and leads several research project in the measurement of productivity of health systems, health economies, health providers, for both physical and mental health, and has published widely in health economics, health policy and social science journals.

Nationally, her work on the National and Trusts level Productivity of the NHS has had a major policy impact on the Atkinson review of government output; and its results used by the Department of Health and Social Care in reporting to the House of Commons, Health Select Committees, the Public Accounts Committee and Public Expenditure Inquiries and informed the 2013 Spending Review. Adriana has provided expert support to the 2023 Public Service Productivity review led by the Office for National Statistics.

Adriana’s research interests include health policy reforms evaluation, health system performance with a particular focus on the development of productivity measures of healthcare goods and services, quality of health care, digital health technology and its impact on health system performance. She has experience on health systems of both high, and low and middle-income countries.

摘要:

The COVID-19 pandemic led to widespread surgery cancellations, creating a significant backlog of elective procedures in the UK. Recently, NHS England (NHSE) launched the High Volume, Low Complexity (HVLC) surgical hubs programme as part of the elective recovery plan. HVLC hubs were designed to separate elective surgery from other hospital activities, protecting procedures from emergency care disruptions. There are three types of hubs: standalone, integrated, and ring-fenced. We test whether implementing surgical hubs improves consultant productivity among NHS trusts. We find that productivity was declining even before COVID-19. While overall productivity still fell after hub rollout, surgical hubs slowed this decline, preventing a sharper drop.