Morton Alec, Bevan Gwyn
Operational Research Group, Department of Management, London School of Economics and Political Science, London , United Kingdom.
Health Policy. 2008 Feb;85(2):207-17. doi: 10.1016/j.healthpol.2007.07.014. Epub 2007 Sep 7.
The current paper reviews and contrasts a management science view of waiting for healthcare, which centres on queues as devices for buffering demand, with an economic view, which stresses the role of the incentive structure, in the context of English Accident and Emergency Departments. We demonstrate that the management science view provides insight into waiting time performance within a single facility but is limited in its ability to shed light on variations in performance across facilities. We argue, with reference to supporting data, that such variations may be explainable by a proper understanding of the incentive structure in A&E Departments.
本文回顾并对比了在英国急诊部门背景下，关于等待医疗服务的管理科学观点与经济学观点。管理科学观点以队列作为缓冲需求的手段为核心，而经济学观点则强调激励结构的作用。我们证明，管理科学观点有助于深入了解单个机构内的等待时间表现，但在解释不同机构间表现差异方面能力有限。我们结合支持数据表明，通过恰当理解急诊部门的激励结构，这种差异或许可以得到解释。
