Enhancing Hospital Outcomes




Health Research Council of New Zealand


Peter Davis, Barry Milne, Karl Parker, Jessica McLay, Martin von Randow


Health Services Research Centre: Jaikishan Desai and Jacqueline Cumming

University of Otago: Phil Hider and Patrick Graham


Investment in health doubled in the first decade of the 21st Century, and much of that was absorbed in the hospital sector. Did we get value for that increase in investment, as judged by throughput, output and quality of care?

We investigated this using data from the New Zealand Health Information Service, and increasing its utility by electronically linking core hospital data to other sources. This study influenced health outcomes both directly – through the potential for improvement in the quality of care – and indirectly – by contributing hard evidence on the productivity and effectiveness of investment in hospital and related services.


Davis P, Milne B, Parker K, Hider P, Lay-Yee R, Cumming J, Graham P (2013). Efficiency, effectiveness, equity (E3). Evaluating hospital performance in three dimensions. Health Policy 112(1–2): 19–27, doi: 10.1016/j.healthpol.2013.02.008.

Hider P, Parker K, von Randow M, Milne B, Lay-Yee R, Davis P (2014). Can patient safety indicators monitor medical and surgical care at New Zealand public hospitals? New Zealand Medical Journal 127(1405): 32–44, PMID: 25399040.

Milne B, Parker K, McLay J, von Randow M, Lay-Yee R, Hider P, Cumming J, Davis P (2015). Primary Healthcare Access and Ambulatory Sensitive Hospitalisations in New Zealand. Journal of Ambulatory Care Management 38(2): 176–185,