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Waiting time prioritisation: evidence from England

Author

Listed:
  • Nils Gutacker

    (Centre for Health Economics, University of York, UK)

  • Richard Cookson

    (Centre for Health Economics, University of York, UK)

  • Luigi Siciliani

    (Centre for Health Economics and Department of Economics and Related Studies, University of York, UK)

Abstract

A number of OECD countries have introduced waiting time prioritisation policies which give explicit priority to severely ill patients with high marginal disutility of waiting. There is however little empirical evidence on how patients are actually prioritised. We exploit a unique opportunity to investigate this issue using a large national dataset with accurate measures of severity on over 200,000 patients. We link data from a national patient-reported outcome measures survey to administrative data on all patients waiting for a publicly funded hip and knee replacement in England during the years 2009-12. We find that patients suffering the most severe pain and immobility have shorter waits than those suffering the least, by about 29% for hip replacement and 9% for knee replacement, and that the association is approximately linear. These differentials are more closely associated with pain than immobility, and are larger in hospitals with longer average waiting times

Suggested Citation

  • Nils Gutacker & Richard Cookson & Luigi Siciliani, 2015. "Waiting time prioritisation: evidence from England," Working Papers 114cherp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:114cherp
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    References listed on IDEAS

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    Cited by:

    1. Moscelli, Giuseppe & Siciliani, Luigi & Gutacker, Nils & Cookson, Richard, 2018. "Socioeconomic inequality of access to healthcare: Does choice explain the gradient?," Journal of Health Economics, Elsevier, vol. 57(C), pages 290-314.
    2. Nicolai Fink Simonsen & Anne Sophie Oxholm & Søren Rud Kristensen & Luigi Siciliani, 2020. "What explains differences in waiting times for health care across socioeconomic status?," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1764-1785, December.
    3. Christine A. Yee & Aaron Legler & Michael Davies & Julia Prentice & Steven Pizer, 2020. "Priority access to health care: Evidence from an exogenous policy shock," Health Economics, John Wiley & Sons, Ltd., vol. 29(3), pages 306-323, March.
    4. Swami, Megha & Scott, Anthony, 2021. "Impact of rural workforce incentives on access to GP services in underserved areas: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 281(C).
    5. Joana Cima & Paulo Guimarães & Álvaro Almeida, 2018. "Explaining the gender gap in waiting times for scheduled surgery in the Portuguese National Health Service," FEP Working Papers 607, Universidade do Porto, Faculdade de Economia do Porto.
    6. Siciliani, L., 2016. "Waiting Time Policies in the Health Sector," Seminar Briefings 001724, Office of Health Economics.
    7. Nils Gutacker & Andrew Street, 2018. "Multidimensional performance assessment of public sector organisations using dominance criteria," Health Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 13-27, February.

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