Rotstein Dalia L, Alter David A
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Soc Sci Med. 2006 Jun;62(12):3157-60. doi: 10.1016/j.socscimed.2005.11.030. Epub 2005 Dec 22.
Waiting for medical care is the by-product of system rationing, where demand exceeds supply. In this short report we expand on the conventional concept of the queue, by focusing on the regulation of demand and by incorporating a funnel and spout analogy. Real-world examples are used to illustrate the infancy of funnel or demand-side reform initiatives targeting the queue, and the suggestion is made that policy needs to address the concept of 'waiting' much earlier in the treatment cycle.
等待医疗服务是系统配给的副产品，即需求超过供给的情况。在本简短报告中，我们通过关注需求调节并引入漏斗与壶嘴的类比，对排队的传统概念进行了拓展。运用实际案例来说明针对排队现象的漏斗式或需求侧改革举措尚处于初期阶段，并建议政策需要在治疗周期中更早地应对“等待”这一概念。
