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Impacts of congestion on healthcare outcomes: an empirical observation in China

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Listed:
  • Haiyue Yu
  • Panpan Wang
  • Huan Zheng
  • Jifeng Luo
  • Jun Liu

Abstract

Many studies have shown that healthcare quality such as mortality rate exhibits U-shaped curves for congestion. These studies usually focus on how the congestion rate affects the overall hospitals’ mortality rate. Our study investigates the impact of congestion on two subcategories: surgical and non-surgical inpatients, using the records of 27,575 patients from a public hospital in China. We confirm that the overall mortality rate exhibits a U-shaped curve. We further show that the mortality rate of surgical patients first decreases and then almost stays unchanged as congestion level increases, while the curve for the mortality rate of non-surgical patients remains U-shaped. The initial decrease partly results from the combination of decreasing mortality and increasing peak occupancy with time. The increase is in accordance with the overwork, but the condition requirement and high standard protocols of care may cause the mortality of surgical patients to be less affected by congestion.

Suggested Citation

  • Haiyue Yu & Panpan Wang & Huan Zheng & Jifeng Luo & Jun Liu, 2020. "Impacts of congestion on healthcare outcomes: an empirical observation in China," Journal of Management Analytics, Taylor & Francis Journals, vol. 7(3), pages 344-366, July.
  • Handle: RePEc:taf:tjmaxx:v:7:y:2020:i:3:p:344-366
    DOI: 10.1080/23270012.2020.1731720
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    Cited by:

    1. Yu Sun & Ling Li & Hui Shi & Dazhi Chong, 2020. "The transformation and upgrade of China's manufacturing industry in Industry 4.0 era," Systems Research and Behavioral Science, Wiley Blackwell, vol. 37(4), pages 734-740, July.
    2. Runping Guo & Xingqun Lv & Yuan Wang & Peggy E. Chaudhry & Sohail S. Chaudhry, 2020. "Decision‐making logics and high‐tech entrepreneurial opportunity identification: The mediating role of strategic knowledge integration," Systems Research and Behavioral Science, Wiley Blackwell, vol. 37(4), pages 719-733, July.
    3. Qiang Ma & Xueling Li & Peggy E. Chaudhry & Sohail S. Chaudhry, 2020. "Public relations and legitimacy: A study of new ventures on the corporate life cycle," Systems Research and Behavioral Science, Wiley Blackwell, vol. 37(4), pages 699-710, July.

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