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Siciliani L, (2005)
‘Does More Choice Reduce Waiting Times?’
Health Economics 14: 17–23
- Models the effect of increased patient choice on the supply of elective
hospital treatment in a duopolistic market structure. It is shown that
increasing patient choice may actually increase waiting times.
- The intuition
is as follows: if a hospital reduces waiting times (by
increasing supply) when patients have a lot of choice, it attracts more
patients from other hospitals. The higher demand generates upward pressure
on waiting
times that eliminates the benefit from higher supply.
- This result is found
to be robust to different funding mechanisms. It is most pronounced when
hospitals are given a fixed budget, and diminished
slightly by activity-based funding.
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