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A regional supply and demand model for inpatient hospital care

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  • J A Bikker
  • A F de Vos

Abstract

In this paper a regional supply and demand model for hospital admissions is developed which can be used for policymaking and planning purposes. It incorporates spatial factors such as travel-time costs into a model of market equilibrium in which waiting time acts implicitly as the equilibrating device. By distinguishing travel-time costs or distances it is shown that both supply and demand within local markets strongly influence admissions in a way which cannot be observed on aggregated levels: the tension between supply and demand is cushioned by a strong redistribution of patients. The model encompasses several well-known models for patient flows and hospital utilization originating in regional economics.

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Bibliographic Info

Article provided by Pion Ltd, London in its journal Environment and Planning A.

Volume (Year): 24 (1992)
Issue (Month): 8 (August)
Pages: 1097-1116

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Handle: RePEc:pio:envira:v:24:y:1992:i:8:p:1097-1116

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Web page: http://www.pion.co.uk

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Cited by:
  1. J.A. Bikker, 2009. "An extended gravity model with substitution applied to international trade," Working Papers, Utrecht School of Economics 09-17, Utrecht School of Economics.
  2. Jacob J. de Vries & Peter Nijkamp & Piet Rietveld, 2000. "Alonso's General Theory of Movement: Advances in Spatial Interaction Modeling," Tinbergen Institute Discussion Papers, Tinbergen Institute 00-062/3, Tinbergen Institute.
  3. Butter, F.A.G. den, 1993. "Supply of social security as a cause of low labour participation in the Netherlands : a cliometric analysis," Serie Research Memoranda, VU University Amsterdam, Faculty of Economics, Business Administration and Econometrics 0056, VU University Amsterdam, Faculty of Economics, Business Administration and Econometrics.

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