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Explaining Waiting Times Variations for Elective Surgery Across OECD Countries

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Author Info
Luigi Siciliani
Jeremy Hurst ()

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Abstract

  1. Waiting times for elective surgery are a significant health policy concern in approximately half of all OECD countries. The main objectives of the OECD Waiting Times project were to: i) review policy initiatives to reduce waiting times in 12 OECD countries; and ii) to investigate the causes of variations in waiting times for non-emergency surgery across countries. The first objective was addressed in an earlier report (Hurst and Siciliani, 2003; OECD Health Working paper, n.6).
  2. This report is devoted to the second objective. An interesting feature of OECD countries is that while some countries report significant waiting, others do not. Waiting times are a serious health policy issue in the 12 countries involved in this project (Australia, Canada, Denmark, Finland, Ireland, Italy, Netherlands, New Zealand, Norway, Spain, Sweden, and the United Kingdom). Waiting times are not recorded administratively in a second group of countries ...


  1. Dans près de la moitié des pays de l’OCDE, les délais d’attente pour les interventions chirurgicales non urgentes constituent un important sujet de préoccupation pour les responsables de la politique de la santé. Le projet de l’OCDE sur ce sujet vise principalement les objectifs suivants : i) examiner les initiatives prises par les pouvoirs publics en vue de réduire ces délais d’attente dans douze pays Membres ; ii) rechercher les causes des différences observées d’un pays à l’autre quant à ces délais. Un précédent rapport a été consacré au premier de ces objectifs (Hurst et Siciliani, 2003 ; document de travail de l’OCDE sur la santé, n°6).
  2. Le présent document porte sur le second objectif. Il est intéressant de noter que, si certains pays de l’OCDE font état de délais d’attente non négligeables, ce n’est pas le cas pour d’autres. Ces délais posent un épineux problème de fond en matière de santé dans les douze pays qui participent au projet ...

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Paper provided by OECD Directorate for Employment, Labour and Social Affairs in its series OECD Health Working Papers with number 7.

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Date of creation: 07 Oct 2003
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Handle: RePEc:oec:elsaad:7-en

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  1. Hugh Gravelle & Luigi Siciliani, 2007. "Ramsey Waits: Allocating Public Health Service Resources when there is Rationing by Waiting," Discussion Papers 07/15, Department of Economics, University of York. [Downloadable!]
    Other versions:
  2. Tom Stargardt, 2008. "Health service costs in Europe: cost and reimbursement of primary hip replacement in nine countries," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages S9-S20. [Downloadable!]
  3. Jacco Thijssen, 2007. "Ramsey Waits: A Computational Study on General Equilibrium Pricing of Derivative Securities," Discussion Papers 07/16, Department of Economics, University of York. [Downloadable!]
  4. Brekke, Kurt Richard & Siciliani, Luigi & Straume, Odd Rune, 2007. "Competition and Waiting Times in Hospital Markets," CEPR Discussion Papers 6285, C.E.P.R. Discussion Papers. [Downloadable!] (restricted)
    Other versions:
  5. Kjeld Møller Pedersen & Terkel Christiansen & Mickael Bech, 2005. "The Danish health care system: evolution - not revolution - in a decentralized system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages S41-S57. [Downloadable!]
  6. Daniele Fabbri & Chiara Monfardini, 2006. "Rationing The Public Provision Of Healthcare In The Presence Of Private Supplements: Evidence From The Italian Nhs," CHILD Working Papers wp21_06, CHILD - Centre for Household, Income, Labour and Demographic economics - ITALY. [Downloadable!]
    Other versions:
  7. Luigi Siciliani, 2007. "Optimal Contracts for Health Services in the Presence of Waiting Times and Asymmetric Information," Contributions to Economic Analysis & Policy, Berkeley Electronic Press, vol. 7(1), pages 1661-1661. [Downloadable!] (restricted)
  8. Joe O'Doherty & Seán Lyons & Richard S.J. Tol, 2007. "Determinants of Water Connection Type and Ownership of Water-Using Appliances in Ireland," Papers WP216, Economic and Social Research Institute (ESRI). [Downloadable!]
  9. Jacqueline O'Reilly & Miriam M. Wiley, 2007. "The Public/Private Mix in Irish Acute Public Hospitals: Trends and Implications," Papers WP218, Economic and Social Research Institute (ESRI). [Downloadable!]
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