The demand for elective surgery in a public system: time and money prices in the UK National Health Service

H. Gravelle, M. Dusheiko, Matthew Adam Sutton

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    39 Citations (Scopus)

    Abstract

    We construct a model of the admission process for patients from general practices for elective surgery in the UK National Health Service. Public patients face a positive waiting time, but a zero money price. Fundholding practices faced a positive money price for each patient admitted. The model is tested with data on general practice admission rates for cataract procedures in an English Health Authority. Admission rates are negatively related to waiting times and distance to hospital. Practices respond to financial incentives as predicted by the model: fundholding practices have lower admission rates than non-fundholders and respond differently to changes in waiting times and patient characteristics. (C) 2002 Elsevier Science B.V. All rights reserved.

    Original languageEnglish
    Pages (from-to)423-449
    Number of pages26
    JournalJournal of Health Economics
    Volume21
    Issue number3
    DOIs
    Publication statusPublished - May 2002

    Keywords

    • fundholding
    • waiting times
    • distance
    • admission rates
    • general practice
    • GENERAL-PRACTITIONERS
    • OUTPATIENT REFERRALS
    • WAITING LISTS
    • DEPRIVATION
    • RATES
    • CATARACT
    • DOCTORS
    • ENGLAND
    • PEOPLE

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