Document Detail


Waiting lists, waiting times and admissions: an empirical analysis at hospital and general practice level.
MedLine Citation:
PMID:  16127673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report an empirical analysis of the responses of the supply and demand for secondary care to waiting list size and waiting times. Whereas previous empirical analyses have used data aggregated to area level, our analysis focuses on the supply responses of a single hospital and the demand responses of the GP practices it serves, and distinguishes between first outpatient visits, inpatient admissions, day-case treatment and emergency admissions. The results are plausible and in line with the theoretical model. For example: the demand from practices for first outpatient visits is negatively affected by waiting times and distance to the hospital. Increases in waiting times and waiting lists lead to increases in supply; the supply of elective inpatient admissions is affected negatively by current emergency admissions and positively by lagged waiting list and waiting time. We use the empirical results to investigate the dynamic responses to one off policy measures to reduce waiting times and lists by increasing supply.
Authors:
Frank Windmeijer; Hugh Gravelle; Pierre Hoonhout
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Health economics     Volume:  14     ISSN:  1057-9230     ISO Abbreviation:  Health Econ     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-13     Completed Date:  2005-12-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9306780     Medline TA:  Health Econ     Country:  England    
Other Details:
Languages:  eng     Pagination:  971-85     Citation Subset:  IM    
Copyright Information:
(c) 2005 John Wiley & Sons, Ltd.
Affiliation:
Centre for Microdata Methods and Practice, Institute for Fiscal Studies, UK. f.windmeijer@ifs.org.uk
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MeSH Terms
Descriptor/Qualifier:
Health Services Needs and Demand / economics*,  organization & administration
Humans
Models, Econometric*
Patient Admission / economics*,  statistics & numerical data
Primary Health Care / economics*,  organization & administration
Waiting Lists*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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