Profile

Biography

Hugh Gravelle was previously in the economics department at Queen Mary College, University of London.

Research

Overview

Hugh Gravelle's research interests include:

• Equity
• Measurement of performance
• Incentives for quality
• Budgets for general practices
• Geographical distribution of GPs
• Rationing by waiting time
  

Research group(s)

• Health Policy Team

Publications

Full publications list

2013

• Gravelle H, Santos R, Siciliani L. Does a hospital's quality depend on the quality of other hospitals? a spatial econometrics approach to investigating hospital quality competition. Centre for Health Economics, University of York, CHE Research Paper 82 (PDF , 624kb) 2013.

2012

• Gravelle H, Santos R, Siciliani L, Goudie R. Hospital quality competition under fixed prices: Centre for Health Economics, University of York, CHE Research Paper 80 (PDF , 1,256kb) 2012.
• Kontopantelis E, Doran T, Gravelle H, Siciliani L, Sutton M, Goudie R. Pay-for-performance and influenza immunization: the impact of raising the bar in the UK Quality and Outcomes Framework. Health Services Research 2012;47(3, part 1):1117-36.

2011

• Brilleman SL, Gravelle H, Hollinghurst S, Purdy S, Salisbury C, Windmeijer F. Keep it simple? predicting primary health care costs with measures of morbidity and multimorbidity: Centre for Health Economics, University of York, CHE Research Paper 72 (PDF , 227kb)‌‎ 2011.
• Claxton K, Paulden M, Gravelle H, Brouwer W, Culyer AJ. Discounting and decision making in the economic evaluation of health care technologies. Health Economics 2011;20:2-15. Download from Wiley interscience
• Dixon J, Smith PC, Gravelle H, Martin S, Bardsley M, Rice N, Georghiou T, Dusheiko M, Billings J, De Lorenzo M, Sanderson C. A person based formula for allocating commissioning funds to general practices in England: development of a statistical model. British Medical Journal 2011;DOI:10.1136/bmj.d6608.
• Dusheiko M, Doran T, Gravelle H, Fullwood C, Roland M. Does higher quality of diabetes management in family practice reduce unplanned hospital admissions? Health Services Research 2011;46(1):27-46.
• Dusheiko M, Gravelle H, Martin S, Rice N, Smith PC. Does better disease management in primary care reduce hospital costs? Centre for Health Economics, University of York; CHE Research Paper 65 (PDF , 315kb)‌‎ 2011.
• Dusheiko M, Gravelle H, Martin S, Rice N, Smith PC. Does disease management in primary care reduce hospital costs? Evidence from English primary care. Journal of Health Economics 2011;30(5):919-32.
• Gravelle H, Dusheiko M, Martin S, Smith P, Rice N, Dixon J. Modelling individual patient hospital expenditure for general practice budgets. Centre for Health Economics, University of York; CHE Research Paper 73 (PDF , 358kb)‌‎2011.
• Gravelle H, Hole AR, Santos R. Measuring and testing for gender discrimination in physician pay: English family doctors. Journal of Health Economics 2011;30(4):660-74.
• Morris S, Goudie R, Sutton M, Gravelle H, Elliott R, Hole A, Ma A, Sibbald B, Skatun D. Determinants of general practitioners’ wages in England. Health Economics 2011;20:147-60.

2010

• Goddard M, Gravelle H, Hole A, Marini G. Where did all the GPs go? Increasing supply and geographical equity in England and Scotland. Journal of Health Services Research and Policy 2010;15(1):28-35.
• Gravelle H, Sutton M, Ma A. Doctor behaviour under a pay for performance contract: treating, cheating and case finding? Economic Journal 2010;120:F129-F56.
• Gravelle H, Sivey P. Imperfect quality information in a quality-competitive hospital market. Journal of Health Economics 2010. doi:10.1016/j.jhealeco.2010.04.003.

2009

• Dixon J, Asaria P, Georghiou T, Billings J, Gravelle H, Martin S, Rice N, Smith P, Wennberg D, DeLorenzo M, Siegal M, Russell R, Filipova N. Developing a person based resource allocation formula for general practices in England. Report to the Department of Health; October 2009.
• Gravelle H, Sivey P. Imperfect quality information in a quality-competitive hospital market. Department of Economics and Related Studies (DERS), University of York Discussion Paper 2009;09/09.
• Gravelle H, Sutton M. Income, relative income, and self-reported health in Britain 1979-2000. Health Economics 2009;18(2):125-45.
• Hann M, Goudie R, Sutton M, Gravelle H, Sibbald B. The Fifth National GP Worklife Survey. Final Report to Department of Health; June 2009.
• Martin S, Dusheiko M, Gravelle H, Rice N. Estimating Needs for Programme Budget Areas. Report to the Department of Health; December 2009.
• Siciliani L, Gravelle H. Third degree waiting time discrimination: optimal allocation of a public sector healthcare treatment under rationing by waiting. Health Economics. 2009;18(8):977-86.

2008

• Doran T, Fullwood C, Gravelle H, Reeves D, Roland M. Should physicians be allowed to exclude individual patients from pay for performance targets? Analysis of exception reporting in the UK pay for performance scheme. New England Journal of Medicine. 2008;359;274-284.
• Dusheiko M, Goddard M, Gravelle H, Jacobs R. Explaining trends in concentration of health care commissioning in the English NHS. Health Economics 2008;17(8):907-26.
• Goddard M, Gravelle H, Hole A, Marini G. Fairness in Primary Care Procurement.  Trends in Inequality of GP Distribution and Determinants of PCT GP Supply. Second Report to Department of Health; November 2008.
• Gravelle H, Hole A. Measuring and testing for gender discrimination in professions: the case of English GPs.  Department of Economics and Related Studies (DERS), University of York Discussion Paper 08/28 2008.
• Gravelle H, Hole A, Hussein I. Response bias in job satisfaction surveys: the case of English GP. Department of Economics and Related Studies (DERS), University of York Discussion Paper 08/24 July 2008.
• Gravelle H, Morris S, Sutton M. Are family physicians good for your health? Endogenous supply and health. Health Services Research. 2008;published on line 31 January 2008 doi: 10.1111/j.1475-6773.2007.00823.x.
• Gravelle H, Siciliani L. Optimal quality, waits and charges in health insurance. J ournal of Health Economics. 2008;27(3):663-74.
• Gravelle H, Siciliani L. Ramsey waits: allocating public health service resources when there is rationing by waiting. Journal of Health Economics. 2008;27(5):1143-54.
• Gravelle H, Siciliani L. Is waiting-time prioritisation welfare improving? Health Economics. 2008;17:167-85.
• Gravelle H, Sutton M, Ma A. Doctor behaviour under a pay for performance contract: Further evidence from the quality and outcomes framework. Centre for Health Economics, University of York; CHE Research Paper 34 (PDF , 314kb)‌‎ 2008.
• Hole A, Marini G, Goddard M, Gravelle H. Fairness in primary care procurement measures of under-doctoredness: sensitivity analysis and trends. Centre for Health Economics, University of York; CHE Research Paper 35 (PDF , 2,021kb)‌‎ , 2008.
• Morris S, Gravelle H. GP supply and obesity. Journal of Health Economics 2008;27(5):1357-67.
• Morris S, Sutton A, Gravelle H, Elliott B, Hole A, Ma A, et al. Determinants of general practitioners' wages in England. Centre for Health Economics, University of York; CHE Research Paper 36 (PDF , 252kb)‌‎ 2008.
• Whalley D, Gravelle H, Sibbald B. Impact of the new general medical services contract on general practitioners' job satisfaction and perceptions of quality of care in the UK. British Journal of General Practice. 2008;58:8-14.

2007

• 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
• Castelli A, Dawson D, Gravelle H, Street A. Improving the measurement of health system output growth. Health Economics. 2007;16(10):1091-107.
• Dawson D, Gravelle H, Jacobs R, Martin S, Smith PC. The effects on waiting times of expanding patient choice: evidence from a policy experiment. Health Economics. 2007;16:113-28.
• Dixon J, Asaria P, Georghiou T, Billings J, Gravelle H, Martin S, Rice N, Smith P, Wennberg D, DeLorenzo M, Siegal M, Russell R, Filipova N. Person Based Resource Allocation: Developing a resource allocation formula at a general practice level based on individual patient characteristics. Report to the department of Health. November 2007.
• Dusheiko M, Gravelle H, Campbell S, Ning Y. The effect of budgets for gatekeeping physicians on patient satisfaction: evidence from fundholding. Journal of Health Economics. 2007;26:242-62.
• Gravelle H, Brouwer W, Niessen L, Postma M, Rutten F. Discounting in economic evalutations: stepping forward to optimal decision rules. Health Economics 2007;16:307-17.
• Gravelle H, Dusheiko M, Sheaff R, Sargent P, Boaden R, Pickard S, et al. Impact of case managment (Evercare) on frail elderly patients: controlled before and after analysis of quantitative outcome data. British Medical Journal. 2007;334(31).
• Gravelle H, Hole A. The work hours of general practitioners' workload: survey of English GPs. British Journal of General Practice. 2007;57:96-100.
• Gravelle H, Siciliani L. Optimal waits and charges in health insurance. February 2007; Department of Economics Discussion Paper 07/02.
• Gravelle H, Sutton M, Ma A. Doctor behaviour under a pay for performance contract: Evidence from the quality and outcomes framework. Centre for Health Economics,University of York; CHE Research Paper 28 (PDF , 234kb)‌‎ , 2007.

2006

• 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)‌‎
• Doran T, Fullwood C, Gravelle H, Reeves D, Kontopantelis E, Hiroeh U, et al. Family practice performance in the first year of the UK's new 'pay for performance' scheme: good clinical practice or gaming? New England Journal of Medicine. 2006;355:375-84.
• Dusheiko M, Goddard M, Gravelle H, Jacobs R. Trends in health care commissioning in the English NHS: an empirical analysis. Centre for Health Economics, University of York; CHE Research Paper 11 (PDF , 195kb)‌‎ , 2006.
• Dusheiko M, Gravelle H, Jacobs R, Smith PC. The effect of budgets on doctor behaviour: evidence from a natural experiment. J Health Econ. 2006;25:449-78.
• Gravelle H, Morris S, Sutton, M. Are General Practitioners good for you? Endogenous supply and health. Centre for Health Economics, University of York; CHE Research Paper 20 (PDF , 605kb)‌‎ , 2006.
• Gravelle H, Morris S, Sutton M. Economic Studies of equity in the consumption of health care. In: Jones AM, editor. Elgar companion to health economics: Edward Elgar; 2006. p. 193-204.
• Gravelle H, Rees R. Microeconomics: Solutions manual and workbook. London: Prentice Hall; 2006.
• Gravelle H, Siciliani L. Is waiting time prioritisation welfare improving? Department of Economics Discussion Paper. 2006;06/13.
• Gravelle H, Sutton M. Income, relative income, and self-reported health in Britain 1979-2000. Centre for Health Economics, University of York; CHE Research Paper 10 (PDF , 254kb)‌‎ , 2006.
• Jacobs R, Martin S, Goddard M, Gravelle H, Smith PC. Exploring the determinants of NHS performance ratings: lessons for performance assessment systems. Journal of Health Services Research and Policy. 2006;11(4):211-7.    
• Morris S, Gravelle H. GP supply and obesity. Centre for Health Economics, University of York; CHE Research Paper 13 (PDF , 451kb)‌‎ , 2006.
• Scott A, Gravelle H, Simeon S, Sibbald B, Bojke C. Job satisfaction and quitting intentions: a structural model of British general practitioners British Journal of Industrial Relations 2006;44:519-40.
• Street A, Castelli A, Dawson D, Gravelle H, (on behalf of CHE/NIESR productivity project research team). Challenges in measuring and valuing health service output. Revista Espanola de Economi e la Salud 2006;5(6):335-342.
• Whalley D, Bojke C, Gravelle H, Sibbald B. Morale of the GP workforce in the light of reform: a national survey of job satisfaction. British Journal of General Practice 2006;56:87-92.

2005

• Dawson D, Gravelle H, Jacobs R, Martin S, Smith PC. The effects on waiting times of expanding provider choice: evidence from a policy experiment: Centre for Health Economics, University of University of York; CHE Research Paper 1 (PDF , 342kb)‌‎ , 2005.
• 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.
• Morris S, Sutton M, Gravelle H. Inequity and inequality in the use of health care in England: an empirical investigation. Social Science and Medicine 2005;60(6):1251-66.
• Richardson G, Gravelle H, Weatherly H, Ritchie G. Cost-effectiveness of interventions to support self-care: a systematic review. International Journal of Technology Assessment in Health Care. 2005;21(4):423-32.
• Roland M, Dusheiko M, Gravelle H, Parker S. Follow up of people aged 65 and over with a history of emergency admissions: analysis of routine admission data. BMJ 2005;330(7486):289-92.
• Windmeijer F, Gravelle H, Hoonhout P. Waiting lists, waiting times and admissions: an empirical analysis. Health Economics 2005;14(9):971-85.

2004

• Ashworth M, Lea R, Gray H, Rowlands G, Gravelle H, Majeed A. How are primary care organisations using financial incentives to influence prescribing? Journal of Public Health Medicine 2004;26(1):48-51.
• Bojke C, Gravelle H, Hassell K, Whittington Z. Increasing patient choice in primary care: the management of minor ailments. Health Economics 2004;13:73-86.
• Dawson D, Gravelle H, Kind P, O'Mahoney M, Street A. Data requirements for the measurement of NHS productivity. Memorandum to Department of Health; 2004 October.
• Dawson D, Gravelle H, Kind P, O'Mahony M, Street A, Weale M with the assistance of Castelli A. Hennessy S, Jacobs R, Macran S, Quinn C, Stevens P, Stokes L. Developing new approaches to measuring NHS outputs and productivity: data for productivity estimates. Technical paper 34: York: Centre for Health Economics; 2004.
• Dawson D, Gravelle H, Kind P, O'Mahony M, Street A, Weale M with the assistance of Castelli A. Jacobs R, Macran S, Quinn C, Stevens P, Stokes L. Developing new approaches to measuring NHS outputs and productivity: First Interim Report. Technical paper 31: York: Centre for Health Economics; 2004.
• Dusheiko M, Gravelle H, Jacobs R. The effect of practice budgets on patient waiting times: allowing for selection bias. Health Economics 2004;13(10):941-958.
• Gravelle H, Rees R. Microeconomics. 3rd ed. London: Prentice Hall; 2004. Details here 
• Hann M, Gravelle H. The maldistribution of general practitioners in England and Wales: 1974-2003. British Journal of General Practice 2004;54:894-898.
• Richardson G, Godfrey L, Gravelle H, Watt I. Cost-effectiveness of implementing new guidelines for treatment of hypertension in general practice. British Journal of General Practice 2004;54(507):765-771.

External activities

Invited talks and conferences

• Gravelle H. Effect of P4P on ambulatory care sensitive conditions. Melbourne Institute,  University of Melbourne, February 2011.
• Gravelle H. Connecting health and economics.  CHE seminar, York, April 2011.
• Gravelle H. GP gender and pay.  Manchester University Economics and Health seminar,  June 2011.
• Gravelle H. Multimorbidity and general practice costs. Health Economists Study Group, Bangor,  July 2011.