THIRD DEGREE WAITING TIME DISCRIMINATION: OPTIMAL ALLOCATION OF A PUBLIC SECTOR HEALTHCARE TREATMENT UNDER RATIONING BY WAITING
THIRD DEGREE WAITING TIME DISCRIMINATION: OPTIMAL ALLOCATION OF A PUBLIC SECTOR HEALTHCARE TREATMENT UNDER RATIONING BY WAITING
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DOI：
10.1002/hec.1423
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发表时间：
2009-08-01
期刊：
影响因子：
2.1
通讯作者：
Siciliani, Luigi
中科院分区：
文献类型：
--
作者：
Gravelle, Hugh;Siciliani, Luigi
在许多公共医疗系统中，治疗是按等待时间定量的。我们研究了不同患者群体之间给定治疗的固定供应的最优分配。即使在没有任何分配目标的情况下，福利也会因第三级等待时间歧视而增加：为等待同样治疗的不同群体规定不同的等待时间。由于等待时间会使病人的体重减少，因此应向边际等待时间成本较高和治疗需求弹性较小的群体提供较短的等待时间。版权所有（C）2008约翰威利父子有限公司
In many public healthcare systems treatments are rationed by waiting time. We examine the optimal allocation of a fixed Supply of a given treatment between different groups of patients. Even in the absence of any distributional aims, welfare is increased by third degree waiting time discrimination: setting different waiting times for different groups waiting for the same treatment. Because waiting time imposes dead weight losses on patients, lower waiting times should be offered to groups with higher marginal waiting time costs and with less elastic demand for the treatment. Copyright (C) 2008 John Wiley & Sons, Ltd.