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等待是值得的:政府资金对医院急诊等待时间的影响。

Worth the wait: The impact of government funding on hospital emergency waiting times.

作者信息

McQuestin Dana, Noguchi Masayoshi

机构信息

Tokyo Metropolitan University, 1 Chome-1 Minamiosawa, Hachioji, Tokyo, 192-0397, Japan; University of Technology Sydney, 15 Broadway, Ultimo NSW 2007, Australia.

Tokyo Metropolitan University, 1 Chome-1 Minamiosawa, Hachioji, Tokyo, 192-0397, Japan.

出版信息

Health Policy. 2020 Dec;124(12):1340-1344. doi: 10.1016/j.healthpol.2020.09.008. Epub 2020 Sep 25.

Abstract

In the absence of a price mechanism, emergency department waiting times act as a rationing device to equate demand for treatment with available supply. Sustained increases to demand stemming from population growth, aging populations, and rising comorbidities has caused waiting times internationally to rise. This has resulted in increased calls for higher funding from governments and commitments from both state and national governments to address excessive waiting times. This paper aims to determine the effectiveness of government funding for improving the median waiting times for treatment and the proportion of patients seen within clinically recommended waiting times. For this purpose, an econometric analysis was conducted on a panel of data on Victorian local health networks over the period 2015-2018. This is supplemented with a discussion of the alternative measures which governments might take to both address demand for emergency treatment, and also ensure that waiting time reductions can be maintained over the long-term.

摘要

在缺乏价格机制的情况下,急诊科候诊时间充当了一种配给手段,以使治疗需求与可用供给相平衡。人口增长、人口老龄化和共病率上升导致需求持续增加,使得全球范围内的候诊时间都有所延长。这导致政府面临更多增加资金投入的呼声,同时州政府和联邦政府也承诺解决候诊时间过长的问题。本文旨在确定政府资金投入在改善治疗中位候诊时间以及在临床推荐候诊时间内就诊患者比例方面的有效性。为此,对2015 - 2018年维多利亚州地方卫生网络的一组数据进行了计量经济学分析。此外,还讨论了政府为应对急诊治疗需求以及确保候诊时间能够长期维持在较低水平可能采取的其他措施。

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Why are there long waits at English emergency departments?为什么英国的急诊部门要排长队?
Eur J Health Econ. 2020 Mar;21(2):209-218. doi: 10.1007/s10198-019-01121-7. Epub 2019 Oct 24.
9
A Theory of Waiting Time Reporting and Quality Signaling.等待时间报告与质量信号理论
Health Econ. 2016 Nov;25(11):1355-1371. doi: 10.1002/hec.3222. Epub 2015 Aug 10.

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