A Different View of Queues in Ontario

Naylor, C. David

doi:10.1377/hlthaff.10.3.110

Cited by 69 publications

(27 citation statements)

References 13 publications

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“…Some countries have increased funding in the public sector, others have subsidized care in the private sector, while still others have developed priority-setting methods to determine which patients are in the greatest need. 1 Evaluations of these initiatives suggest that they have met with varying levels of success. 2 So far, nobody has investigated the preferences of patients who are actually on waiting lists.…”

mentioning

confidence: 99%

Willingness To Pay To Shorten Waiting Time for Cataract Surgery

Anderson

Black²,

Dunn³

et al. 1997

Health Affairs

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ABSTRACT:We interviewed persons who had recently been placed on a public waiting list for cataract surgery in Manitoba, Canada; Barcelona, Spain; and Denmark. The majority of the respondents were unwilling to pay higher taxes to reduce the length of the waiting list or to pay more out of pocket to have the surgery performed earlier in the private sector. Less than 2 percent actually had the surgery done in the private sector. We conclude that in spite of expressed public dissatisfaction with waiting lists in all three sites, a majority of the respondents did not support the actions that could have reduced their own wait.

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confidence: 99%

Willingness To Pay To Shorten Waiting Time for Cataract Surgery

Anderson

Black²,

Dunn³

et al. 1997

Health Affairs

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“…After the Ontario provincial government launched a programme to increase the capacity of open-heart surgery by 800 cases per year (12% of the annual caseload), both the total waiting list and the average wait for elective surgery declined. 1 On the other hand, Harley 20 failed to detect any relationships between waiting times for trauma and orthopaedic surgery and a number of district-level measures of resource availability in the UK NHS. This finding is in agreement with our earlier observation that hospital waiting lists seem to be invariant with swings in real funding for the NHS.…”

Section: Link Between Excess Demand and Waiting Listsmentioning

confidence: 99%

Global Budgets and Excess Demand for Hospital Care

Feldman

Lobo

1997

Health Econ.

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SUMMARYExcess demand is a pervasive feature of health care systems that use global budgets to pay for hospital care, regardless of the amount of money spent by those systems. This paper presents a theory that explains this feature of global budgets. The theory emphasizes that hospital administrators control the allocation of their budget, and that they choose quantity and resource intensity to maximize their own utility. The equilibrium quantity of care provided may be less than quantity demanded by consumers, leading to excess demand for admissions.

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“…The scheduling process used for clinic appointments determines the appointment date for any patient referred for consultation about an operation (Jun et al, 1999). Within a regional network of hospitals, a variety of methods may be used for scheduling surgical consultations, but a better understanding is needed of the implications of these different methods for access to elective surgery (Naylor, 1991).…”

Section: Introductionmentioning

confidence: 99%