ArticleInternational journal of health care finance and economics2003
Hospital competition, GP fundholders and waiting times in the UK internal market: the case of elective surgery.
Article in International journal of health care finance and economics, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Machine learning in patient flow: a review.Progress in biomedical engineering (Bristol, England) · 2021Review
- Inter-regional competition and quality in hospital care.The European journal of health economics : HEPAC : health economics in prevention and care · 2013Article
- Privatization of local public hospitals: effect on budget, medical service quality, and social welfare.International journal of health care finance and economics · 2010Article
- Specialization and competition in healthcare delivery networks.Health care management science · 2009Article
- Why do patients bypass the nearest hospital? An empirical analysis for orthopaedic care and neurosurgery in the Netherlands.The European journal of health economics : HEPAC : health economics in prevention and care · 2007Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In this paper I model the demand for and supply of elective surgery using a modified Hotelling framework in which time, money, and distance are determinants of the demand for hospital care. Hospitals compete with each other in terms of the waiting time and consequently treat a certain number of patients. The basic model of hospital competition is then extended to incorporate the general practitioner (GP) fundholding scheme whereby the GPs are allocated a budget with which to buy care for their patients. Waiting time increases when production of care becomes more expensive, when the benefit obtained from treatment increases, when the unit cost of distance decreases, and when the importance given to time as a performance indicator decreases. The higher the money price the lower the waiting time. Finally, the money price paid by the GP fundholders is greater than that paid by the Health Authorities and greater than the hospitals marginal cost of production. As a consequence, fundholding patients pay a zero time price while non-fundholding patients experiment a positive waiting time.
Indexed as
Identifiers
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Registered trials
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