Siciliani Luigi
Department of Economics and Related Studies, University of York, Heslington, York YO10 5DD, UK.
J Health Econ. 2006 Sep;25(5):891-907. doi: 10.1016/j.jhealeco.2005.12.002. Epub 2006 Feb 2.
This paper analyses hospitals' decisions regarding the supply of elective surgery in a dynamic model in the presence of waiting times and waiting lists. We show that periods of increasing (decreasing) supply and increasing (decreasing) waiting list may be optimal paths towards the steady state. We also analyse the hospitals' response to exogenous shocks on the demand and the supply. For example, an increase in the marginal tariff for the provider generates overshooting in the supply: supply jumps upwards when the shock is introduced and then slowly reduces towards the steady-state value.
本文在存在等待时间和等候名单的动态模型中分析了医院关于选择性手术供应的决策。我们表明,供应增加(减少)且等候名单增加(减少)的时期可能是通向稳态的最优路径。我们还分析了医院对需求和供应方面外部冲击的反应。例如,提供者边际收费的增加会导致供应出现超调:当引入冲击时供应向上跃升,然后朝着稳态值缓慢下降。