Andrew Street
Professor

Profile

Biography

Andrew Street is a Professor of Health Economics and Director of the Health Policy team in the Centre for Health Economics and Director of the Economics of Social and Health Care Research Unit (ESHCRU), a joint collaboration with the Personal Social Services Research Unit (PSSRU) at the London School of Economics and the University of Kent. He is an editor of the Journal of Health Economics and he currently serves as a committee member for the Department of Health's analytical sub-group for Payment by Results and board member of the NIHR Health Services and Delivery Research programme http://www.netscc.ac.uk/hsdr/hsrboard.html.

Andrew's research covers measurement of health system productivity, evaluation of activity based funding mechanisms, analysis of organisational efficiency, and critical appraisal of health policy. He is currently working on the 'EuroDRG' project, which is funded under the 7th EU Framework programme.

He has a MSc in Health Economics (1990), a MA in Public Administration and Public Policy (2000) and a PhD in Economics (2002), all awarded by the University of York. After completing his MSc, Andrew spent three years in Australia working at the National Centre for Health Program Evaluation, Monash University and the Victorian Department of Health and Community Services. This was followed by a five-year spell with the York Health Economics Consortium. He joined the Centre for Health Economics in April 1999. From 1999-2003 he held a special training fellowship awarded by the Medical Research Council and Northern and Yorkshire Region. In 2005 he worked part time in the Delivery Analytical Team in the English Department of Health.

Curriculum vitae

Research

Overview

  • Measurement of health system productivity
  • Analysis of organisational efficiency
  • Evaluation of activity based funding mechanisms including Payment by Results
  • Evaluation of the use and construction of Diagnosis Related Groups across Europe, on the 'EuroDRG' project, which is funded under the 7th EU Framework programme

Research group(s)

Grants

  • Department of Health
    programme of health policy research for 2006-2011
  • European Union EuropAid
    Health Sector Modernisation Programme, Syrian Arab Republic (lead: Liverpool School of Tropical Medicine)
  • NHS Service Delivery and Organisation R&D Programme
    investigating the governance of Foundation Trusts (lead: London School of Hygiene and Tropical Medicine)
  • Department of Health
    measuring productivity in the NHS
  • Department of Health
    PROMs analysis of hospital production and efficiency, with Office of Health Economics
  • European Union 7th Framework
    EuroDRGs: Evaluation of Diagnosis Related Groups across Europe (lead Technical University Berlin)
  • National Institute for Health Research     
    Combining routinely collected data and patient outcomes to measure the outcome/cost ratios of hospital procedures and identify variation across providers

Supervision

Students currently supervised by Andrew Street:
  • Nils Gutacker
    University of York, Department of Economics and Related Studies
  • Rupa Chilvers
    London School of Hygiene and Tropical Medicine

Publications

Full publications list

2012

  • Allen P, Keen J, Wright J, Dempster PG, Townsend J, Hutchings A, Street A, Verzulli R. Investigating the governance of autonomous public hospitals in England: multi-site case study of NHS Foundation Trusts. Journal of Health Services Research and Policy 2012;DOI:10.1258/jhsrp.2011.011046. Download from rsmjournals
  • Bojke C, Castelli A, Goudie R, Street A, Ward P. Productivity of the English National Health Service 2003-4 to 2009-10. Centre for Health Economics, University of York; CHE Research Paper 76 (PDF , 847kb) 2012.
  • Bojke C, Castelli A, Laudicella M, Street A, Ward P. Regional variation in the productivity of the English National Health Service. Health Economics 2012;DOI:10.1002/hec.2794.
  • Gaughan J, Kobel C, Linhart C, Mason A, Street A, Ward P. Why do patients having coronary artery bypass grafts have different costs or length of stay? An analysis across ten European countries. Health Economics 2012;In press.
  • Gutacker N, Bojke C, Daidone S, Devlin N, Street A. Analysing hospital variation in health outcome at the level of EQ-5D dimensions: Centre for Health Economics, University of York; CHE Research Paper 74 (PDF , 521kb) 2012.
  • Mason A, Or Z, Renaud T, Street A, Thuilliez J, Ward P. How well do DRGs for appendectomy explain variations in resource use? An analysis of patient-level data from 10 European countries. Health Economics 2012;In press.  
  • O'Reilly J, Busse R, Häkkinen U, Or Z, Street A, Wiley M. Paying for hospital care: the experience with implementing activity-based funding in five European countries. Health Economics Policy and Law 2012;7(1):73-101. 
  • Siciliani L, Sivey P, Street A. Differences in length of stay for hip replacement between public hospitals, specialised treatment centres and private providers: selection or efficiency? Health Economics 2012;DOI:10.1002/hec.1826.
  • Smith PC, Street A. Concepts and challenges in measuring the performance of health care organizations. In: Jones A, editor. Elgar Companion to Health Economics: Second Edition: Edward Elgar, Cheltenham; 2012. p.341-49. Further details
  • Smith PC, Street A. Using patient reported outcome measures. Health Economics 2012;DOI:10.1002/hec.2793.

2011

  • Burgess J, Street A. Measuring organisational performance. In: Smith PC, Glied SA, editors. The Oxford handbook of health economics. Oxford: Oxford University Press;2011. 
  • Castelli A, Laudicella M, Street A, Ward P. Getting out what we put in: productivity of the English NHS. Health Economics, Policy and Law 2011;6:313-335. Download from Cambridge Journals ©Cambridge Journals.
  • Daidone S, Street A. Estimating the costs of specialised care: updated analysis using data for 2009/10. Centre for Health Economics, University of York; CHE Research Paper 71 (PDF , 325kb) 2011.
  • Daidone S, Street A. Estimating the costs of specialised care. Centre for Health Economics, University of York; CHE Research Paper 61 (PDF , 342kb) 2011.
  • Gutacker N, Bojke C, Daidone S, Devlin N, Parkin D, Street A. Truly inefficient or providing better quality of care? analysing the relationship between risk-adjusted hospital costs and patients’ health outcomes. Centre for Health Economics, University of York; CHE Research Paper 68 (PDF , 381kb) , 2011.
  • Hvenegaard A, Nielsen Arendt J, Street A, Gyrd-Hansen D. Exploring the relationship between costs and quality: Does the joint evaluation of costs and quality alter the ranking of Danish hospital departments? European Journal of Health Economics 2011;12:541-51.
  • Mason A, Ward P, Street A. England: the Healthcare Resource Group system. In: Busse R, Geissler A, Quentin W, Wiley M, editors. Diagnosis related groups in Europe: moving towards transparency, efficiency and quality in hospitals. Berkshire, England: Open University Press;2011;p197-220.
  • Maynard A, Street A, Hunter R. Using ‘payment by results’ to fund the treatment of dependent drug users-proceed with care! Addiction 2011;106(10):1715-1882.
  • Miraldo M, Siciliani L, Street A. Price adjustment in the hospital sector. Journal of Health Economics 2011;30(1):112-125.
  • Olsen KR, Gyrd-Hansen D, Højmark TB, Kristensen T, Vedsted P, Street A. Organisational determinants of production and efficiency in General Practice. A population based study. European Journal of Health Economics 2011;DOI:10.1007/s10198-011-0368-1.
  • Street A, O'Reilly J, Ward P, Mason A. DRG-based hospital payment and efficiency: theory, evidence, and challenges. In: Busse R, Geissler A, Quentin W, Wiley M, editors. Diagnosis Related Groups in Europe: moving towards transparency, efficiency and quality in hospitals. Berkshire, England:Open University Press;2011:p93-114.

2010

  • Bojke C, Castelli A, Laudicella M, Street A, Ward P. Regional variation in the productivity of the English National Health Service. Centre for Health Economics, University of York; CHE Research Paper 57 (PDF , 581kb) , 2010.
  • Kristensen T, Laudicella M, Ejersted C, Street A. Cost variation in diabetes care delivered in English hospitals. Diabetic Medicine 2010;27(8):949-57.
  • Laudicella M, Olsen KR, Street A. Examining cost variation across hospital departments - a two-stage multilevel approach using patient level data. Social Science and Medicine 2010;71(10)1872-81.
  • Mason A, Street A, Verzulli R. Private sector treatment centres are treating less complex patients than the NHS. Journal of the Royal Society of Medicine 2010;103:322-31.
  • Scheller-Kreinsen D, Geissler EA, Street A, Busse R. Leistungsbewertung von deutschen Krankenhäusern - Stärken, Schwächen und Vergleichbarkeit der bekannten Methoden. Gesundh ökon Qual manag 2010;15:1-11.
  • Street A. Letter in response to articles on Choice and Competition. Health Economics, Policy and Law 2010;5(2):247.
  • Street A, Scheller-Kreinsen D, Geissler A, Busse R. Determinants of hospital costs and performance variation: Methods, models and variables for the EuroDRG project. Working Papers in Health Policy and Management 2010;Vol.3 May:Berlin: Universitätsverlag der TU Berlin. Download from eurodrg
  • Street A, Sivey P, Mason A, Miraldo M, Siciliani L. Are English treatment centres treating less complex patients? Health Policy 2010;94(2):150-57.

  • Vitikainen K, Linna M, Street A. Substituting inpatient for outpatient care: what is the impact on hospital costs and efficiency? European Journal of Health Economics 2010;11(4):395-404. Download from springerlink

2009

  • Castelli A, Laudicella M, Street A, Ward P. Getting out what we put in: how productive is the NHS in England? Paper presented at the Health Economic Study Group Meeting. Sheffield 22-24 July 2009. Getting out what we put in (PDF , 224kb)  
  • Hvenegaard A, Street A, Sørensen TH, Gyrd-Hansen D. Comparing hospital costs: what is gained by accounting for more than a case-mix index? Social Science & Medicine 2009;69:640-47.
  • Laudicella M, Olsen KR, Street A. What explains variation in the costs of treating patients in English obstetrics specialties? Centre for Health Economics, University of York; CHE Research Paper 49 (PDF , 615kb) 2009.  
  • Mannion R, Street A. Managing activity and expenditure in the new NHS market: evidence from South Yorkshire. Public Money and Management. 2007; 29(1):27-34.  Managing activity and expenditure in the new NHS market (PDF , 60kb)
  • Mason A, Street A, Miraldo M, Siciliani L. Should prospective payments be differentiated for public and private healthcare providers? Health Economics, Policy and Law 2009;4(4):383-403. Should prospective payments be differentiated (PDF , 124kb)
  • Street A, Hakkinen U. Health system productivity and efficiency. In: Smith PC, Mossialos E, Leatherman S, Papanicolas IN, editors. Performance measurement for health system improvement: experiences, challenges and prospects: World Health Organisation; 2009.
  • Street A, Laudicella M. Identifying inefficiency: Why do costs differ from one hospital to another? Policy Briefing, Centre for Health Economics, University of York; 2009. Identifying inefficiency (PDF , 415kb)  
  • Street A, Ward P. NHS input and productivity growth 2003/4 - 2007/8. Centre for Health Economics, University of York; CHE Research Paper 47 (PDF , 559kb)  2009.  
  • Vitikainen K, Street A, Linna M. Estimation of hospital efficiency - do different definitions and casemix measures for hospital output affect the results? Health Policy 2009;89:149-59.

2008

  • Carr-Hill R, Street A. Economic analysis of cost-effectiveness of community engagement to improve health. Centre for Health Economics, University of York; CHE Research Paper 33 (PDF , 216kb) 2008. 
  • Castelli A, Laudicella M, Street A. Measuring NHS output growth. Centre for Health Economics, University of York; CHE Research Paper 43 (PDF , 1,095kb) , 2008.
  • Longo R, Miraldo M, Street A. Price regulation of pluralistic markets subject to provider collusion. Centre for Health Economics, University of York; CHE Research Paper 45 (PDF , 383kb) , 2008. 
  • Mannion R, Marini G, Street A. Implementing payment by results in the English NHS: changing incentives and the role of information. Journal of Health Organization and Management.2008;22(1):79-88.
  • Mason A, Carr-Hill R, Myers L, Street A. Establishing the economics of engaging communities in health promotion: what is desirable, what is feasible? Critical Public Health. 2008;18(3):285-97.
  • Mason A, Miraldo M, Siciliani L, Sivey P, Street A. Establishing a fair playing field for payment by results. Centre for Health Economics, University of York; CHE Research Paper 39 (PDF , 1,178kb) , 2008. 
  • Miraldo M, Siciliani L, Street A. Price adjustment in the hospital sector. Centre for Health Economics, University of York; CHE Research Paper 41 (PDF , 610kb) 2008. 
  • Olsen KR, Street A. The analysis of efficiency among a small number of organisations (PDF , 237kb) : how inferences can be improved by exploiting patient-level data. Health Economics. 2008;17(6):671-81.

2007

  • Castelli A, Dawson D, Gravelle H, Street A. Improving the measurement of health system output growth. Health Economics. 2007;16(10):1091-107.
  • Castelli A, Dawson D, Gravelle H, Jacobs R, Kind P, Loveridge P, Street A, et al. A new approach to measuring health system output growth and productivity. National Institute Economic Review 200 (April) 105-117; 2007. Download from Sage Journals Online 
  • Hauck K, Street A. Do targets matter? A comparison of English and Welsh national health priorities. Health Economics. 2007;16:275-90.
  • Marini G, Street A. A transactions costs analysis of changing contractual relations in the English NHS. Health Policy. 2007;83(1):17-26.
  • Smith PC, Street A. The measurement of non-market output in education and health. Economic and Labour Market Review. 2007;1(6):46-52.
  • Smith PC, Street A. Measurement of non-market output in education and health. Centre for Health Economics, University of York; CHE Research Paper 23 (PDF , 158kb) , 2007. 
  • Street A. Does information technology improve the productivity of the health care system? Revista Espanola de Economia de la Salud. 2007;6(5):282-6. Does information technology improve the productivity (PDF , 87kb)
  • Street A. Should GPs hold budgets to purchase hospital services? Revista Espanola de Economia de la Salud. 2007;6(2):88-92. Download from Economia de la Salud
  • Street A. The contribution of ICT to health care system productivity and efficiency: what do we know? Organisation for Economic and Community Development, Paris. March 2007.
  • Street A, Maynard A. Activity Based Financing in England: the Need for continual Refinement of Payment by Results. Health Economics, Policy and Law. 2007;2(4):419-27. Activity based financing in England (PDF , 102kb)
  • Street A, Maynard A. Payment by Results: qualified ambition? Health Economics, Policy and Law. 2007;2(4):445-8. Payment by results (PDF , 41kb)
  • Street A, Miraldo M. The impact of the reform of hospital funding in England. Paper presented at: Evaluating Health Policy: New Evidence from administrative Data. University of York 2007. The impact of the reform of hospital funding in England (PDF , 246kb)
  • Street A, Vitikainen K, Bjorvatn A, Hvenegaard A. Introducing Activity-Based Financing: A Review of Experience in Australia, Denmark, Norway and Sweden. Centre for Health Economics, University of York; CHE Research Paper 30 (PDF , 358kb) 2007. 

2006

Measuring Efficiency in Health Care

Measuring efficiency in health care: analytic techniques and health policy

  • Castelli A, Dawson D, Gravelle H, Street A. Knowing the cost of everything, the value of nothing? Challenges in measuring NHS output growth. Paper presented at the 2nd British-French CES-HESG meeting on health economics, City University London January 2006. Knowing the cost of everything (PDF , 277kb)
  • Hauck K, Street A. Performance assessment in the context of multiple objectives: A multivariate multilevel analysis. Journal of Health Economics. 2006; 25:1029-48. Dowload from Science Direct
  • Hollingsworth B, Street A. The market for efficiency analysis of health care organisations. Health Economics 2006;15:1055-9.
  • Jacobs R, Smith PC and Street A . Measuring efficiency in health care: analytic techniques and health policy: Cambridge University Press June 2006.
  • Marini G, Street A. The administrative costs of payment by results. Centre for Health Economics, University of York; CHE Research Paper 17 (PDF , 527kb) 2006. 
  • Mason A, Street A. Publishing outcomes data: is it an effective approach? Journal of Evaluation in Clinical Practice 2006;12(1):37-48
  • Mannion R, Marini G, Street A. Demand management and administrative costs under payment by results, Health Policy Matters 2006:12:1-8. Download from Science Direct
  • Mannion R, Street A. Managing activity and expenditure in the new NHS market: evidence from South Yorkshire. Centre for Health Economics, University of York; CHE Research Paper 14 (PDF , 561kb) 2006. 
  • Maynard A, Street A. Seven years of feast, seven years of famine: from boom to bust in the NHS. British Medical Journal. 2006;332:906-8. Download from BMJ
  • Olsen KR, Street A, Svenning AR, Hvenegaard AR, Søgaard J. Usikkerade forbundet med opgørelse af relative produktivitet i sygehussektoren – et casestudie af danske sygehuse i perioden 2003-4. Nationaløkonomisk Tidsskrift. (Danish Economic Journal), 2006;144:353-361.
  • Smith PC, Street A. Concepts and challenges in measuring the performance of health care organisations. In: Jones AM, editor. The Elgar companion to health economics. Cheltenham: Edward Elgar; 2006.
  • Smith PC, Street A. Analysis of secondary school efficiency, Research Report 788. Department for Education and Skills. London 2006. Download from Department for Education and Skills
  • Street A. The future of quality measurement in the NHS. Expert Reviews of Pharmacoeconomics and Outcomes Research. 2006;6(3):245-8. The future of quality measurement (PDF , 83kb)
  • Street A. Reforma de la financicion hospitalaria e introduccion de mecanismos de eleccion en el sistema sanitario britanico NHS. Revista Espanola de Economia de la Salud.2006;5(2):97-102. Reforma de la financicion hospitalaria (PDF , 705kb) (in Spanish) Reform of hospital funding (PDF , 189kb)
  • Street A, Castelli A, Dawson D, Gravelle H. Retos en le medición y valoración de los rendimientos del sistema de salud [Challenges in measuring and valuing health service output].Revista Española de Economía de la Salud, 2006;5(6)335-360. Download from Economía de la Saludetos

2005

  • Castelli A, Dawson D, Gravelle H, Street A. The challenges of measuring government output in the health care sector. Social Policy Review 2005;17:183-202.
  • Dawson D, Gravelle H, O'Mahony M, Street A, Weale M, Castelli A, Jacobs R, Kind P, Loveridge P, Martin S, Stevens P and Stokes L. Developing new approaches to measuring NHS outputs and productivity. Centre for Health Economics, University of York; CHE Research Paper 6 (PDF , 1,306kb) , 2005. 
  • Dawson D, Gravelle H, O'Mahony M, Street A. Weale M, et al. Developing new approaches to measuring NHS outputs and productivity. Final report to the Department of Health: Centre for Health Economics, University of York; 2005 October.
  • Dawson D, Gravelle H, O'Mahoney M, Street A, Weale M, with the assistance of Castelli, A., Jacobs, R., Martin, S., Stevens, P. and Stokes, L. Improving estimates of NHS output growth: experimental quality adjustments 91. York: Centre for Health Economics; 2005.
  • Jacobs R, Street A. Efficiency measurement in health care: recent developments, current practice and future research. In: Smith PC, Ginnelly L, Sculpher M, editors. Health policy and economics: opportunities and challenges: Maidenhead: Open University Press; 2005. pp. 148-172.
  • Mason A, Street A. To publish or not? Experience and evidence about publishing hospital outcomes data: London: Office of Health Economics; 2005.
  • Smith P, Street A. Measuring the efficiency of public services: the limits of analysis. Journal of the Royal Statistical Society, Series A 2005;168:401-417.

Teaching

Postgraduate

External activities

Memberships

Editorial duties

Presentations 2011

Conferences and seminars

  • Daidone S, Street A. How much should be paid for specialised treatment? Paper presented at the Health Economic Study Group Meeting, York 5-7 January 2011.
  • Street A. Private sector provision in a National Health Service: lessons from the English experience. Invited presentation at the Spanish Health Economics Conference, Palma de Mallorca, 3-6 May 2011.
  • Gutacker N, Bojke C, Daidone S, Devlin N, Parkin D, Street A. Measuring variations in hospital cost while accounting for differences in patient-reported health outcomes: a multilevel approach. Paper presented at the Health Economic Study Group Meeting, Bangor 29 June-1 July 2011.
  • Street A. The EuroDRG project: comparing European casemix systems. Patient Classification Systems International Conference, Montreal, Canada, 19-21 October 2011.
  • Street A. The ability of DRG systems to explain variations in resource consumption. EuroDRG conference, Berlin, Germany 17 November 2011.
  • Street A. The EuroDRG project: comparing European casemix systems. Economic and Social Research Institute, Dublin 26 January 2011.
  • Street A. Meeting the Nicholson challenge - An assessment of NHS productivity & efficiency: past, present and future.  School of Health and Related Research, University of Sheffield 17 February 2011.
  • Street A. The future of Payment by Results. Nuffield Health Summit, 3 March 2011.
  • Street A. Comparing and benchmarking hospital performance. European Health Management Association, Brussels 16 March 2011.
  • Street A. Meeting the Nicholson challenge - An assessment of NHS productivity & efficiency: past, present and future Health Economics Seminar Series University of Birmingham, 24 March 2011.
  • Street A. How much should be paid for specialised treatment? Presentation to Department of Health and Specialist Children’s Hospitals, Leeds, 25 May 2011.
  • Street A, Measuring NHS Productivity. Royal College of Physicians, London 26 July 2011.

Workshops

  • Street A. Course tutor on Patient Classification Systems International Winter School, Dublin 24-28 January 2011.
  • Jacobs R, Laudicella M, Street A. Four-day workshop on An Introduction to Measuring Efficiency in Public Sector Organisations: analytical techniques, 8-11 March 2011.
  • Street A. Health Policy and Politics - Role of Government and Politics in Health Policy. Swiss School of Public Health. International doctoral programme in health economics and policy, Lugano, Switzerland, 16-20 May 2011.
  • Bojke C, Dushieko M, Laudicella M, Santos R, Street A, Verzulli R. Two-day workshop. Analysing patient data using hospital episode statistics, University of York, 14-15 June 2011.

Media coverage

 
Staff Photo for Andrew Street

Contact details

Andrew Street
Professor
Centre for Health Economics