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Targets for maximum waiting times and patient prioritisaton: evidence from England

Author

Listed:
  • Arthur Sinko

    (Economics, School of Social Sciences,University of Manchester, Manchester, U.K.)

  • Silviya Nikolova

    (Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds)

  • Matt Sutton

    (Manchester Centre for Health Economics, Institute of Population Health, University of Manchester, Manchester, U.K.)

Abstract

This paper develops a model for managing hospital waiting lists with two types of patients. The model focuses on answering how hospital priorities change following the introduction of targets for maximum waiting times and how uncertainty about future queue streams impact on this decision making. The paper shows that the main mechanism for meeting the target is reducing the waiting times for long-waiting patients at the expense of short-waiting patients. We test the model using administrative hospital data for the English NHS. We detect statistically significant changes in prioritisation between different groups of patients.

Suggested Citation

  • Arthur Sinko & Silviya Nikolova & Matt Sutton, 2015. "Targets for maximum waiting times and patient prioritisaton: evidence from England," Working Papers 1508, Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds.
    • Handle: RePEc:lee:wpaper:1508
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    Download full text from publisher

    File URL: http://medhealth.leeds.ac.uk/downloads/file/2444/working_paper_15-08
    File Function: First version, 2015
    Download Restriction: no
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    More about this item

    Keywords

    managing waiting times; maximum waiting time targets; conditional density estimation;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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