Gravelle, Hugh Stanley Emrys orcid.org/0000-0002-7753-4233 and Schroyen, Fred (2016) Optimal hospital payment rules under rationing by random waiting. Discussion Paper. CHE Research Paper . Centre for Health Economics, University of York , York, UK.
Abstract
We derive optimal rules for paying hospitals in a public health care system in which providers can choose quality and random patient demand is rationed by waiting time. Since waiting time imposes real costs on patients hospital payment rules should take account of their effect on waiting time as well as on quality and the number of patients treated. We develop a general stochastic model of rationing by waiting and use it to derive welfare maximising payment to hospitals linked to output, expected waiting times, quality, hospital capacity and length of stay. We show that, although prospective output pricing gives hospitals an incentive to attract patients by raising quality and reducing waiting times, it must be supplemented by prices attached to other hospital decisions and outcomes except under very strong assumptions about the welfare function, patient preferences, and whether patients lose income whilst waiting
Metadata
Item Type: | Monograph |
---|---|
Authors/Creators: |
|
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 19 Sep 2018 09:50 |
Last Modified: | 07 Feb 2025 00:04 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Paper |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:135811 |
Download
Filename: CHERP130_rationing_waiting_prospective_payment_queues_hospitals.pdf
Description: CHERP130_rationing_waiting_prospective_payment_queues_hospitals