haku: @author Gravelle, H. / yhteensä: 2
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| Tekijä: | Gravelle, H. Smith, P. Xavier, A. |
| Otsikko: | Performance signals in the public sector: The case of health care |
| Lehti: | Oxford Economic Papers
2003 : JAN, VOL. 55:1, p. 81-103 |
| Asiasana: | Public sector Health service Health economics Supply and demand Economic theory Models United Kingdom Europe |
| Kieli: | eng |
| Tiivistelmä: | Although there are no traditional markets and money prices in the public sector, consumers and providers may respond to signals of organisational performance. This paper presents a simple dynamic model of the demand and supply for elective surgery in the U.K. National Health Service (NHS). In the model waiting time acts as a prime indicator of performance. The model is tested using a panel of quarterly data for 123 English health authorities over an 8-year period. It is found that supply is increasing and demand is decreasing in measures of the previous period waiting time. The results imply that health care systems which are rationed by waiting do respond to indicators of waiting times. The paper adds to the small but consistent body of research which demonstrates that public sector systems respond to important aspects of reported performance. |
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