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Waiting Times and Waiting Lists: A Model of the Market for Elective Surgery

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Author Info
Hugh Gravelle
Peter C. Smith
Ana Xavier

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Abstract

We present a simple dynamic model of the demand and supply for elective surgery in the NHS and test it using a panel of quartely data for 123 English health authorities from the second quarter of 1987 to the first quarter of 1993. We find that supply is increasing in measures of the previous period's waiting time and that demand is decreasing in the previous period waiting time. The results imply that health care systems which are rationed by waiting do respond to indicators of waiting times and waiting lists. More generally, the paper adds to the small but consistent body of research which demonstrates that health care systems respond to the publication of high profile performance data.

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Paper provided by Department of Economics, University of York in its series Discussion Papers with number 00/27.

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Handle: RePEc:yor:yorken:00/27

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Related research
Keywords: Waiting times Rationing Elective surgery.

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Find related papers by JEL classification:
I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Croxson, B. & Propper, C. & Perkins, A., 2001. "Do doctors respond to financial incentives? UK family doctors and the GP fundholder scheme," Journal of Public Economics, Elsevier, vol. 79(2), pages 375-398, February. [Downloadable!] (restricted)
  2. Roy Carr-Hill & Geoffrey Hardman & Stephen Martin & Stuart Peacock & Trevor Sheldon & Peter Smith, 1994. "A formula for distributing NHS revenues based on small area use of hospital beds," Working Papers 022cheop, Centre for Health Economics, University of York. [Downloadable!]
  3. Martin, Stephen & Smith, Peter C., 1999. "Rationing by waiting lists: an empirical investigation," Journal of Public Economics, Elsevier, vol. 71(1), pages 141-164, January. [Downloadable!] (restricted)
  4. Lindsay, Cotton M & Feigenbaum, Bernard, 1984. "Rationing by Waiting Lists," American Economic Review, American Economic Association, vol. 74(3), pages 404-17, June. [Downloadable!] (restricted)
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Joan Costa & Jaume Garcia, 2003. "Demand for private health insurance: how important is the quality gap?," Health Economics, John Wiley & Sons, Ltd., vol. 12(7), pages 587-599. [Downloadable!]
  2. Simona GRASSI, 2006. "On the characteristics of a mixed system of provision of a private good. An application to health care," Departemental Working Papers 2006-14, Department of Economics University of Milan Italy. [Downloadable!]
  3. Antonia Morga & Ana Xavier, . "Hospital specialists' private practice and its impact on the number of NHS patients treated and on the delay for elective surgery," Discussion Papers 01/01, Department of Economics, University of York. [Downloadable!]
  4. Joan Costa & Jaume Garcia, 2001. "Demand for Private Health Insurance: Is there a Quality Gap?," Working Papers, Research Center on Health and Economics 531, Department of Economics and Business, Universitat Pompeu Fabra. [Downloadable!]
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  5. Hugh Gravelle & Matthew Sutton & Stephen Morris & Frank Windmeijer & Alastair Leyland & Chris Dibben & Mike Muirhead, 2003. "Modelling supply and demand influences on the use of health care: implications for deriving a needs-based capitation formula," Health Economics, John Wiley & Sons, Ltd., vol. 12(12), pages 985-1004. [Downloadable!]
  6. Mark Dusheiko & Hugh Gravelle & Rowena Jacobs, 2004. "The effect of practice budgets on patient waiting times: allowing for selection bias," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 941-958. [Downloadable!]
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