Geographic Differences in Hospital Waiting Times
AbstractAccess to elective surgery in Australian public hospitals is rationed using waiting lists. In this paper we undertake a DiNardo-Fortin-Lemieux reweighting approach to attribute variation in waiting time to clinical need or to discrimination. Using data from NSW public patients in 2004-2005, we find the discrimination effect dominates clinical need especially in the upper tail of the waiting time distribution. We find evidence of favourable treatment of patients who reside in remote areas and discrimination in favour of patients residing in particular Area Health Services. These findings have policy implications for the design of equitable quality targets for public hospitals.
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Bibliographic InfoPaper provided by Finance Discipline Group, UTS Business School, University of Technology, Sydney in its series Working Paper Series with number 166.
Date of creation: 01 Nov 2011
Date of revision:
Publication status: Published as: Johar, M., Jones, G., Keane, M., Savage, E. J. and Stavrunova, O., 2012, "Geographic Differences in Hospital Waiting Times", Economic Record, 88(281), 165-181.
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More information through EDIRC
Public hospital; waiting time; discrimination; decomposition analysis;
Other versions of this item:
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
- J7 - Labor and Demographic Economics - - Labor Discrimination
- H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
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