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Windmeijer(2008) “Did ‘Targets and Terror’ ReduceWaiting Timesin England for Hospital Care?,”The B.E. Journal of Economic Analysis & Policy: Vol. 8: Iss. 2 (Contributions), Article 5. Did ‘Targets and Terror’ Reduce Waiting Times in England for Hospital Care?∗ Carol Propper, Matt Sutton, Carolyn Whitnall, and Frank Windmeijer Abstract Waiting times have been a central concern in the English NHS, where care is provided free at the point of delivery and is rationed by waiting time. Pro-market reforms introduced in the NHS in the 1990s were not accompanied by large drops in

The B.E. Journal of Economic Analysis & Policy Contributions Volume 7, Issue 1 2007 Article 40 Optimal Contracts for Health Services in the Presence of Waiting Times andAsymmetric Information Luigi Siciliani∗ ∗University of York,UK, ls24@york.ac.uk RecommendedCitation Luigi Siciliani (2007) “Optimal Contracts for Health Services in the Presence of Waiting Times and Asymmetric Information,” The B.E. Journal of Economic Analysis & Policy: Vol. 7: Iss. 1 (Contributions), Article 40. Optimal Contracts for Health Services in the Presence of Waiting Times and

1 Introduction Long waiting times for medical treatment are a major concern in many public health care systems ( Cullis et al. 2000 ; Siciliani and Hurst 2005 ; Siciliani and Verzulli 2009 ). They are inefficient and therefore an undesirable form of rationing, because they diminish utility gains from consultation and treatment ( Lindsay and Feigenbaum 1984 ) and they put costs on patients without providing benefits for providers ( Siciliani and Hurst 2005 ). Over the past decades many countries devised administrative measures to reduce waiting times. The

1 Introduction Chronic pain is a debilitating condition affecting millions of patients in Canada and the United States [ 1 , 2 ]. In order to effectively manage chronic pain, patients require prompt access to care. If delivered in a timely manner, appropriate pain therapy can substantially improve quality of life [ 3 ], whereas increased pain intensity and emotional distress become significant after as little as three months of waiting for chronic pain treatment [ 4 ]. In order to mitigate the negative effects of prolonged wait times, the Canadian Anesthesiology

C H A P T E R VIII STABILITY OF WAITING TIMES IN A Q U E U I N G SYSTEM In this chapter, we consider the stability problem for a Markov chain X related to waiting times'in a queuing system G I / G I / 1 under the assumption that pertur- bations of the chain are of the same structure. We obtain estimates obtained for stability of finite-time and ergodic distributions that have maximal, and namely, first order of accuracy with respect to perturbations of a control sequence. Corre- sponding asymptotic expansions are also given. Consider a Markov chain with

Appealing Wait Times Within A One-Tier System 477 Section 7 ‘Safety Valves’: Appealing Wait Times Within A One-Tier System CAROLINE PITFIELD AND COLLEEN M. FLOOD Introduction In Chaoulli,1 a majority of the Supreme Court struck down provisions in Quebec’s health and hospital insurance legislation prohibiting private insurance for otherwise publicly funded health care services. Seven rather than the usual nine judges sat on this case, and by a majority of 4:3 concluded that the Quebec insurance provisions unjustifiably vio- lated rights to life and security of the

Probabilistic Methods in Discrete Mathematics, pp. 155 - 185 V. F. Kolchin et al. (Eds.) 1993 T V P / V S P ASYMPTOTIC BEHAVIOUR OF WAITING TIMES IN A SCHEME OF PARTICLE ALLOCATION N. J. ENATSKAYA and E. R. KHAKIMULLIN Moscow Institute of Electronic Engineering, B. Vuzovskii per. 3/12, 109028 Moscow, Russia A B S T R A C T We consider N cells divided into k + 1 groups. Let N{ be the number of cells in the ith group, M = Ni < N, i = 1,... ,k. The problem concerns a sequential allocation of particles into the cells, first we allocate m particles into

Abstract

An approach to intermittent systems based on renewal processes is reviewed. The Waiting Times (WTs) between events are the main variables of interest in intermittent systems. A crucial role is played by the class of critical events, characterized by Non-Poisson statistics and non-exponential WT distribution. A particular important case is given by WT distributions with power tail. Critical events play a crucial role in the behavior of a property known as Renewal Aging. Focusing on the role of critical events, the relation between superstatistics and non-homogeneous Poisson processes is discussed, and the role of Renewal Aging is illustrated by comparing a Non-Poisson model with a Poisson one, both of them modulated by a periodic forcing. It is shown that the analysis of Renewal Aging is sensitive to the presence of critical events and that this property can be exploited to detect Non-Poisson statistics in a time series. As a consequence, it is claimed that, apart from the characterization of superstatistical features such as the distribution of the intensive parameter or the separation of the time scales, the Renewal Aging property can give some effort to better determine the role of Non-Poisson critical events in intermittent systems.

Abstract

Background: Process mapping (a patient-centred method) and recording the medical, nursing and administrative staff’s views involved in the provision of care help us understand patients’ experience regarding the constraints, delays and bottlenecks of healthcare service processes and identify areas of improvement.

Patients and Methods: Time information and data were collected through time and motion study with regard to the path patients with breast cancer follow in two public hospitals (sample of 86 patients) and a semi-structured questionnaire was administered to medical, nursing and administrative staff (sample of 14 employees).

Results: The amount of time required in total for the prescription process was increased up to seve7 times compared to the beneficial amount of time, and the longest delays in patients’ waiting time were observed with regard to the process of chemotherapy (more than 2 hours and 40 minutes, in some cases). About 92.3% of the staff of the two hospitals prioritized the malfunctioning of theCcentralIinformationSsystem as the most important factor and more than 75% of the study participants mentioned that several administrative and technical aspects have a negative and significant effect on the time required to prescribe the necessary medicines for the treatment of patients.

Conclusions: The lack of understanding of the hospital’s processes and spatial infrastructure by most patients, the lack of an electronic patient record system and central information system are highlighted as the main issues that contribute decisively to the increase in the non-beneficial time that patients with breast cances have to spend nowadays in hospitals of the NHS in Greece.

, Laura Potts, Surendra Bir Adhikari, Nicholas Martt, Sanford Starr, and Theresa Porter Patel Abstract Ohio is currently in the midst of an opiate epidemic. Persons seeking treatment for opiate addiction are now inundating treatment centers in every region of the state. To understand further the capacity of Ohio’s treatment system to address the needs of opiate abusing and dependent clients, the Ohio Department of Alcohol and Drug Addiction Services (ODADAS) surveyed all treatment providers regarding service wait times and treatment barriers. Nearly 80 percent of