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Explaining Waiting Times Variations for Elective Surgery Across OECD Countries

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  • Luigi Siciliani
  • Jeremy Hurst

Abstract

Waiting times for elective surgery are a significant health policy concern in approximately half of all OECD countries. The main objectives of the OECD Waiting Times project were to: i) review policy initiatives to reduce waiting times in 12 OECD countries; and ii) to investigate the causes of variations in waiting times for non-emergency surgery across countries. The first objective was addressed in an earlier report (Hurst and Siciliani, 2003; OECD Health Working paper, n.6).This report is devoted to the second objective. An interesting feature of OECD countries is that while some countries report significant waiting, others do not. Waiting times are a serious health policy issue in the 12 countries involved in this project (Australia, Canada, Denmark, Finland, Ireland, Italy, Netherlands, New Zealand, Norway, Spain, Sweden, and the United Kingdom). Waiting times are not recorded administratively in a second group of countries ... Dans près de la moitié des pays de l’OCDE, les délais d’attente pour les interventions chirurgicales non urgentes constituent un important sujet de préoccupation pour les responsables de la politique de la santé. Le projet de l’OCDE sur ce sujet vise principalement les objectifs suivants : i) examiner les initiatives prises par les pouvoirs publics en vue de réduire ces délais d’attente dans douze pays Membres ; ii) rechercher les causes des différences observées d’un pays à l’autre quant à ces délais. Un précédent rapport a été consacré au premier de ces objectifs (Hurst et Siciliani, 2003 ; document de travail de l’OCDE sur la santé, n°6).Le présent document porte sur le second objectif. Il est intéressant de noter que, si certains pays de l’OCDE font état de délais d’attente non négligeables, ce n’est pas le cas pour d’autres. Ces délais posent un épineux problème de fond en matière de santé dans les douze pays qui participent au projet ...

Suggested Citation

  • Luigi Siciliani & Jeremy Hurst, 2003. "Explaining Waiting Times Variations for Elective Surgery Across OECD Countries," OECD Health Working Papers 7, OECD Publishing.
  • Handle: RePEc:oec:elsaad:7-en
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    File URL: http://dx.doi.org/10.1787/406746186162
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    Cited by:

    1. Brekke, Kurt R. & Siciliani, Luigi & Straume, Odd Rune, 2008. "Competition and waiting times in hospital markets," Journal of Public Economics, Elsevier, vol. 92(7), pages 1607-1628, July.
    2. Gravelle, Hugh & Siciliani, Luigi, 2008. "Ramsey waits: Allocating public health service resources when there is rationing by waiting," Journal of Health Economics, Elsevier, vol. 27(5), pages 1143-1154, September.
    3. Jacqueline O'Reilly & Miriam M. Wiley, 2007. "The Public/Private Mix in Irish Acute Public Hospitals: Trends and Implications," Papers WP218, Economic and Social Research Institute (ESRI).
    4. Dixon, Huw & Siciliani, Luigi, 2009. "Waiting-time targets in the healthcare sector: How long are we waiting?," Journal of Health Economics, Elsevier, vol. 28(6), pages 1081-1098, December.
    5. Hugh Gravelle & Luigi Siciliani, 2008. "Is waiting-time prioritisation welfare improving?," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 167-184.
    6. Meliyanni Johar & Elizabeth Savage, 2010. "Do Private Patients have Shorter Waiting Times for Elective Surgery? Evidence from New South Wales Public Hospitals," Economic Papers, The Economic Society of Australia, vol. 29(2), pages 128-142, June.
    7. Viberg, Nina & Forsberg, Birger C. & Borowitz, Michael & Molin, Roger, 2013. "International comparisons of waiting times in health care – Limitations and prospects," Health Policy, Elsevier, vol. 112(1), pages 53-61.
    8. Kathrin Roll & Tom Stargardt & Jonas Schreyögg, 2012. "Effect of Type of Insurance and Income on Waiting Time for Outpatient Care," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 37(4), pages 609-632, October.
    9. Wagstaff, Adam & Culyer, Anthony J., 2012. "Four decades of health economics through a bibliometric lens," Journal of Health Economics, Elsevier, vol. 31(2), pages 406-439.
    10. Tom Stargardt, 2008. "Health service costs in Europe: cost and reimbursement of primary hip replacement in nine countries," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 9-20.
    11. Luigi Siciliani & Rossella Verzulli, 2009. "Waiting times and socioeconomic status among elderly Europeans: evidence from SHARE," Health Economics, John Wiley & Sons, Ltd., vol. 18(11), pages 1295-1306.
    12. Siciliani, Luigi & Hurst, Jeremy, 2005. "Tackling excessive waiting times for elective surgery: a comparative analysis of policies in 12 OECD countries," Health Policy, Elsevier, vol. 72(2), pages 201-215, May.
    13. Luigi Siciliani, 2008. "A note on the dynamic interaction between waiting times and waiting lists," Health Economics, John Wiley & Sons, Ltd., vol. 17(5), pages 639-647.
    14. Sofia Dimakou & David Parkin & Nancy Devlin & John Appleby, 2009. "Identifying the impact of government targets on waiting times in the NHS," Health Care Management Science, Springer, vol. 12(1), pages 1-10, March.
    15. Jacco Thijssen, 2007. "Ramsey Waits: A Computational Study on General Equilibrium Pricing of Derivative Securities," Discussion Papers 07/16, Department of Economics, University of York.
    16. Mariotti, Giuliano & Siciliani, Luigi & Rebba, Vincenzo & Fellini, Rita & Gentilini, Maria & Benea, Giorgio & Bertoli, Pierpaolo & Bistolfi, Lorenzo & Brugaletta, Salvatore & Camboa, Pierluigi & Casuc, 2014. "Waiting time prioritisation for specialist services in Italy: The homogeneous waiting time groups approach," Health Policy, Elsevier, vol. 117(1), pages 54-63.
    17. Sherry Glied, 2008. "Universal Public Health Insurance and Private Coverage: Externalities in Health Care Consumption," Canadian Public Policy, University of Toronto Press, vol. 34(3), pages 345-358, September.
    18. Fabbri, Daniele & Monfardini, Chiara, 2009. "Rationing the public provision of healthcare in the presence of private supplements: Evidence from the Italian NHS," Journal of Health Economics, Elsevier, vol. 28(2), pages 290-304, March.
    19. Stéphanie Boulenger & François Vaillancourt, 2013. "Temps d'attente dans le secteur public de la santé au Québec : mesure, conséquences et moyens pour les réduire," CIRANO Project Reports 2013rp-17, CIRANO.
    20. Siciliani, L., 2016. "Waiting Time Policies in the Health Sector," Seminar Briefings 001724, Office of Health Economics.
    21. Kjeld Møller Pedersen & Terkel Christiansen & Mickael Bech, 2005. "The Danish health care system: evolution - not revolution - in a decentralized system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 41-57.
    22. Merehau Cindy Mervin & Sukhan Jackson, 2009. "How can we improve waiting time for elective surgery in Australian public hospitals?," Discussion Papers Series 387, School of Economics, University of Queensland, Australia.
    23. Dacuycuy, Lawrence B., 2008. "The migration of health professionals," ILO Working Papers 994112253402676, International Labour Organization.

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