H Gravelle
Biographic Data
| ID | 970959 |
|---|---|
| NAME | H Gravelle |
| GIVEN NAMES | H |
| FAMILY NAME | Gravelle |
| SIGNATURE | GRAVELLE H |
| AFFILIATIONS | University of York |
| ORCID | 0000-0002-7753-4233 |
| VERIFIED | Yes |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 145 |
| AUTHOR COUNT | 26 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1976 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 7 |
Availability of primary care and avoidable attendance at English emergency departments: A regression analysis
Hospital closure in urban and rural areas and patients’ welfare
The hospital sector is frequently subject to reconfigurations, with some departments closing and new ones opening. Using a conditional logit model based on observed patient choices, we quantify the effects of a hospital department closure on the welfare of elective hip replacement patients in England. We simulate eight separate closures of the provider with lowest quality, as measured by one of four quality measures: revisions, emergency readmiss…
Measuring the overall performance of mental healthcare providers
To date there have been no attempts to construct composite measures of healthcare provider performance which reflect preferences for health and non-health benefits, as well as costs. Health and non-health benefits matter to patients, healthcare providers and the general public. We develop a novel provider performance measurement framework that combines health gain, non-health benefit, and cost and illustrate it with an application to 54 English m…
The impact of Covid-19 on mental health service utilisation in England
The COVID-19 pandemic has had a significant impact on population mental health and the need for mental health services in many countries, while also disrupting critical mental health services and capacity, as a response to the pandemic. Mental health providers were asked to reconfigure wards to accommodate patients with COVID-19, thereby reducing capacity to provide mental health services. This is likely to have widened the existing mismatch betw…
How do clinical quality and patient satisfaction vary with provider size in primary care? Evidence from English general practice panel data
Do small hospitals have lower quality? Evidence from the English NHS
We investigate the extent to which small hospitals are associated with lower quality. We first take a patient perspective, and test if, controlling for casemix, patients admitted to small hospitals receive lower quality than those admitted to larger hospitals. We then investigate if differences in quality between large and small hospitals can be explained by hospital characteristics such as hospital type and staffing. We use a range of quality me…
Heterogeneous effects of patient choice and hospital competition on mortality
Do rural incentives payments affect entries and exits of general practitioners
Does Quality Affect Patients’ Choice of Doctor? Evidence from England
Reforms giving users of public services choice of provider aim to improve quality. But such reforms will work only if quality affects choice of provider. We test this crucial prerequisite in the English health care market by examining the choice of 3.4 million individuals of family doctor. Family doctor practices provide primary care and control access to non-emergency hospital care, the quality of their clinical care is measured and published an…
Doctor Behaviour under a Pay for Performance Contract: Treating, Cheating and Case Finding
The UK National Health Service introduced a pay for performance scheme for primary care providers in 2004/5. The scheme rewarded providers for the proportion of eligible patients who received appropriate treatment. Eligible patients were those who had been reported by the provider as having the relevant disease minus those they exception reported as not suitable for treatment. Using rich provider level data, we find that differences in reported d…
Inequity and inequality in the use of health care in England: An Empirical Investigation
Efficient Deterrence does not Require that the Wealthy should be Able to Buy Justice
It has been argued that it is inefficient to restrict the ability of the rich to buy better legal defense than the poor because such restrictions lead to overdeterrence of the wealthy, who have a higher opportunity cost of imprisonment. We show that the ability of the rich to buy a lower conviction probability can never lead to the expected sanction for a crime being the same at all income levels. Thus whilst a restriction on legal defense expend…
Income related inequalities in self assessed health in Britain: 1979–1995
Study objective: To measure and decompose income related inequalities in self assessed health in England, Scotland, and Wales, 1979–1995. Design: The relation between individual health and a non-linear transformation of equivalised income, allowing for sex, age, country, and year effects, was estimated by multiple regression. The share of health attributable to transformed income and the Gini coefficient for transformed income were calculated. In…
Income, income inequality and health: What Can We Learn From Aggregate Data
Relation between income inequality and mortality: Empirical demonstration Diminishing returns to aggregate level studies Two pathways, but how much do they diverge?
Objective: To assess the extent to which observed associations at population level between income inequality and mortality are statistical artefacts. Design: Indirect “what if” simulation by using observed risks of mortality at individual level as a function of income to construct hypothetical state level mortality specific for age and sex as if the statistical artefact argument were 100% correct. Setting: Data from the 1990 census for the 50 US …
Do measures of self-reported morbidity bias the estimation of the determinants of health care utilisation
How much of the relation between population mortality and unequal distribution of income is a statistical artefact?
How much of the relation between population mortality and unequal distribution of income is a statistical artefact?
No Win, No Fee: Some Economics of Contingent Legal Fees
Journal Article No Win, No Fee: Some Economics of Contingent Legal Fees Get access Hugh Gravelle, Hugh Gravelle Queen Mary and Westfield College, University of London Search for other works by this author on: Oxford Academic Google Scholar Michael Waterson Michael Waterson University of Warwick Search for other works by this author on: Oxford Academic Google Scholar The Economic Journal, Volume 103, Issue 420, 1 September 1993, Pages 1205–1220, h…
Will a breast screening programme change the workload and referral practice of general practitioners
STUDY OBJECTIVE--The aim of the study was to consider possible changes in the clinical activities of general practitioners whose patients are registered in a breast cancer screening programme. DESIGN--The study was a survey based on completion of forms recording breast consultations carried out by participating general practitioners during a four week period. SETTING--One of three intervention centres and one of three comparison centres in the na…
The Three Consumer Surpluses as Individual Welfare Measures
This paper shows the extremely strong restrictions on individual preferences and social-value judgments that are necessary for the three conventional surplus concepts (equiv alent variation, compensating variation, and Marshallian surplus) to be measures of an individual's welfare change. If the surpluses are t o be cardinal welfare measures then individual preferences must be ei ther homothetic (CV, MS) or quasi-homothetic (EV), the welfare func…
Public Enterprise Economics: Theory and Application
International cross-section analysis of the determination of mortality
Economic analysis of health service professions: A survey
Determinants of Health Levels in Developing Countries
Journal Article Determinants of Health Levels in Developing Countries Get access Determinants of Health Levels in Developing Countries. By G. E. CUMPER. (Letchworth: Research Studies Press, 1984. Distributed by John Wiley, Chichester. Pp. vii + 152. £19.50). Hugh Gravelle Hugh Gravelle Queen Mary College, London Search for other works by this author on: Oxford Academic Google Scholar The Economic Journal, Volume 94, Issue 376, 1 December 1984, Pa…
Microeconomics
Income, income inequality and health: What Can We Learn From Aggregate Data
Inequity and inequality in the use of health care in England: An Empirical Investigation
Doctor Behaviour under a Pay for Performance Contract: Treating, Cheating and Case Finding
The UK National Health Service introduced a pay for performance scheme for primary care providers in 2004/5. The scheme rewarded providers for the proportion of eligible patients who received appropriate treatment. Eligible patients were those who had been reported by the provider as having the relevant disease minus those they exception reported as not suitable for treatment. Using rich provider level data, we find that differences in reported d…
Income related inequalities in self assessed health in Britain: 1979–1995
Study objective: To measure and decompose income related inequalities in self assessed health in England, Scotland, and Wales, 1979–1995. Design: The relation between individual health and a non-linear transformation of equivalised income, allowing for sex, age, country, and year effects, was estimated by multiple regression. The share of health attributable to transformed income and the Gini coefficient for transformed income were calculated. In…
Do measures of self-reported morbidity bias the estimation of the determinants of health care utilisation
Do rural incentives payments affect entries and exits of general practitioners
Does Quality Affect Patients’ Choice of Doctor? Evidence from England
Reforms giving users of public services choice of provider aim to improve quality. But such reforms will work only if quality affects choice of provider. We test this crucial prerequisite in the English health care market by examining the choice of 3.4 million individuals of family doctor. Family doctor practices provide primary care and control access to non-emergency hospital care, the quality of their clinical care is measured and published an…
No Win, No Fee: Some Economics of Contingent Legal Fees
Journal Article No Win, No Fee: Some Economics of Contingent Legal Fees Get access Hugh Gravelle, Hugh Gravelle Queen Mary and Westfield College, University of London Search for other works by this author on: Oxford Academic Google Scholar Michael Waterson Michael Waterson University of Warwick Search for other works by this author on: Oxford Academic Google Scholar The Economic Journal, Volume 103, Issue 420, 1 September 1993, Pages 1205–1220, h…
Determinants of Health Levels in Developing Countries
Journal Article Determinants of Health Levels in Developing Countries Get access Determinants of Health Levels in Developing Countries. By G. E. CUMPER. (Letchworth: Research Studies Press, 1984. Distributed by John Wiley, Chichester. Pp. vii + 152. £19.50). Hugh Gravelle Hugh Gravelle Queen Mary College, London Search for other works by this author on: Oxford Academic Google Scholar The Economic Journal, Volume 94, Issue 376, 1 December 1984, Pa…
International cross-section analysis of the determination of mortality
Heterogeneous effects of patient choice and hospital competition on mortality
Will a breast screening programme change the workload and referral practice of general practitioners
STUDY OBJECTIVE--The aim of the study was to consider possible changes in the clinical activities of general practitioners whose patients are registered in a breast cancer screening programme. DESIGN--The study was a survey based on completion of forms recording breast consultations carried out by participating general practitioners during a four week period. SETTING--One of three intervention centres and one of three comparison centres in the na…
The Peak Load Problem with Feasible Storage
Journal Article The Peak Load Problem with Feasible Storage Get access H. S. E. Gravelle H. S. E. Gravelle Queen Mary College, University of London Search for other works by this author on: Oxford Academic Google Scholar The Economic Journal, Volume 86, Issue 342, 1 June 1976, Pages 256–277, https://doi.org/10.2307/2230746 Published: 01 June 1976
Do small hospitals have lower quality? Evidence from the English NHS
We investigate the extent to which small hospitals are associated with lower quality. We first take a patient perspective, and test if, controlling for casemix, patients admitted to small hospitals receive lower quality than those admitted to larger hospitals. We then investigate if differences in quality between large and small hospitals can be explained by hospital characteristics such as hospital type and staffing. We use a range of quality me…
Economic analysis of health service professions: A survey
The Peak Load Problem with Feasible Storage
Journal Article The Peak Load Problem with Feasible Storage Get access H. S. E. Gravelle H. S. E. Gravelle Queen Mary College, University of London Search for other works by this author on: Oxford Academic Google Scholar The Economic Journal, Volume 86, Issue 342, 1 June 1976, Pages 256–277, https://doi.org/10.2307/2230746 Published: 01 June 1976
Microeconomics
Determinants of Health Levels in Developing Countries
Journal Article Determinants of Health Levels in Developing Countries Get access Determinants of Health Levels in Developing Countries. By G. E. CUMPER. (Letchworth: Research Studies Press, 1984. Distributed by John Wiley, Chichester. Pp. vii + 152. £19.50). Hugh Gravelle Hugh Gravelle Queen Mary College, London Search for other works by this author on: Oxford Academic Google Scholar The Economic Journal, Volume 94, Issue 376, 1 December 1984, Pa…
Economic analysis of health service professions: A survey
The Three Consumer Surpluses as Individual Welfare Measures
This paper shows the extremely strong restrictions on individual preferences and social-value judgments that are necessary for the three conventional surplus concepts (equiv alent variation, compensating variation, and Marshallian surplus) to be measures of an individual's welfare change. If the surpluses are t o be cardinal welfare measures then individual preferences must be ei ther homothetic (CV, MS) or quasi-homothetic (EV), the welfare func…
Public Enterprise Economics: Theory and Application
International cross-section analysis of the determination of mortality
Will a breast screening programme change the workload and referral practice of general practitioners
STUDY OBJECTIVE--The aim of the study was to consider possible changes in the clinical activities of general practitioners whose patients are registered in a breast cancer screening programme. DESIGN--The study was a survey based on completion of forms recording breast consultations carried out by participating general practitioners during a four week period. SETTING--One of three intervention centres and one of three comparison centres in the na…
No Win, No Fee: Some Economics of Contingent Legal Fees
Journal Article No Win, No Fee: Some Economics of Contingent Legal Fees Get access Hugh Gravelle, Hugh Gravelle Queen Mary and Westfield College, University of London Search for other works by this author on: Oxford Academic Google Scholar Michael Waterson Michael Waterson University of Warwick Search for other works by this author on: Oxford Academic Google Scholar The Economic Journal, Volume 103, Issue 420, 1 September 1993, Pages 1205–1220, h…
How much of the relation between population mortality and unequal distribution of income is a statistical artefact?
How much of the relation between population mortality and unequal distribution of income is a statistical artefact?
Relation between income inequality and mortality: Empirical demonstration Diminishing returns to aggregate level studies Two pathways, but how much do they diverge?
Objective: To assess the extent to which observed associations at population level between income inequality and mortality are statistical artefacts. Design: Indirect “what if” simulation by using observed risks of mortality at individual level as a function of income to construct hypothetical state level mortality specific for age and sex as if the statistical artefact argument were 100% correct. Setting: Data from the 1990 census for the 50 US …
Do measures of self-reported morbidity bias the estimation of the determinants of health care utilisation
Income, income inequality and health: What Can We Learn From Aggregate Data
Efficient Deterrence does not Require that the Wealthy should be Able to Buy Justice
It has been argued that it is inefficient to restrict the ability of the rich to buy better legal defense than the poor because such restrictions lead to overdeterrence of the wealthy, who have a higher opportunity cost of imprisonment. We show that the ability of the rich to buy a lower conviction probability can never lead to the expected sanction for a crime being the same at all income levels. Thus whilst a restriction on legal defense expend…
Income related inequalities in self assessed health in Britain: 1979–1995
Study objective: To measure and decompose income related inequalities in self assessed health in England, Scotland, and Wales, 1979–1995. Design: The relation between individual health and a non-linear transformation of equivalised income, allowing for sex, age, country, and year effects, was estimated by multiple regression. The share of health attributable to transformed income and the Gini coefficient for transformed income were calculated. In…
Inequity and inequality in the use of health care in England: An Empirical Investigation
Doctor Behaviour under a Pay for Performance Contract: Treating, Cheating and Case Finding
The UK National Health Service introduced a pay for performance scheme for primary care providers in 2004/5. The scheme rewarded providers for the proportion of eligible patients who received appropriate treatment. Eligible patients were those who had been reported by the provider as having the relevant disease minus those they exception reported as not suitable for treatment. Using rich provider level data, we find that differences in reported d…
Does Quality Affect Patients’ Choice of Doctor? Evidence from England
Reforms giving users of public services choice of provider aim to improve quality. But such reforms will work only if quality affects choice of provider. We test this crucial prerequisite in the English health care market by examining the choice of 3.4 million individuals of family doctor. Family doctor practices provide primary care and control access to non-emergency hospital care, the quality of their clinical care is measured and published an…
Heterogeneous effects of patient choice and hospital competition on mortality
Do rural incentives payments affect entries and exits of general practitioners
Do small hospitals have lower quality? Evidence from the English NHS
We investigate the extent to which small hospitals are associated with lower quality. We first take a patient perspective, and test if, controlling for casemix, patients admitted to small hospitals receive lower quality than those admitted to larger hospitals. We then investigate if differences in quality between large and small hospitals can be explained by hospital characteristics such as hospital type and staffing. We use a range of quality me…
How do clinical quality and patient satisfaction vary with provider size in primary care? Evidence from English general practice panel data
The impact of Covid-19 on mental health service utilisation in England
The COVID-19 pandemic has had a significant impact on population mental health and the need for mental health services in many countries, while also disrupting critical mental health services and capacity, as a response to the pandemic. Mental health providers were asked to reconfigure wards to accommodate patients with COVID-19, thereby reducing capacity to provide mental health services. This is likely to have widened the existing mismatch betw…
Hospital closure in urban and rural areas and patients’ welfare
The hospital sector is frequently subject to reconfigurations, with some departments closing and new ones opening. Using a conditional logit model based on observed patient choices, we quantify the effects of a hospital department closure on the welfare of elective hip replacement patients in England. We simulate eight separate closures of the provider with lowest quality, as measured by one of four quality measures: revisions, emergency readmiss…
Measuring the overall performance of mental healthcare providers
To date there have been no attempts to construct composite measures of healthcare provider performance which reflect preferences for health and non-health benefits, as well as costs. Health and non-health benefits matter to patients, healthcare providers and the general public. We develop a novel provider performance measurement framework that combines health gain, non-health benefit, and cost and illustrate it with an application to 54 English m…
Economics (18 works) · Medicine (14 works) · Healthcare Policy and Management (12 works) · Global Health Care Issues (11 works) · Sociology (11 works) · Population (8 works) · Health care (7 works) · Mathematics (7 works) · Political science (7 works) · Economic growth (6 works)