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The Waiting Game – How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists

Prolonged waiting to access health care is a primary concern for nations aiming for comprehensive effective care, due to its adverse effects on mortality, quality of life, and government approval. Here, we propose two novel bargaining frameworks to reduce waiting lists in two-tier health care system...

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Detalles Bibliográficos
Autores principales: Acuna, Jorge A., Zayas-Castro, José L., Feijoo, Felipe, Sankaranarayanan, Sriram, Martinez, Rodrigo, Martinez, Diego A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367652/
https://www.ncbi.nlm.nih.gov/pubmed/34401992
http://dx.doi.org/10.1007/s10729-021-09577-x
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author Acuna, Jorge A.
Zayas-Castro, José L.
Feijoo, Felipe
Sankaranarayanan, Sriram
Martinez, Rodrigo
Martinez, Diego A.
author_facet Acuna, Jorge A.
Zayas-Castro, José L.
Feijoo, Felipe
Sankaranarayanan, Sriram
Martinez, Rodrigo
Martinez, Diego A.
author_sort Acuna, Jorge A.
collection PubMed
description Prolonged waiting to access health care is a primary concern for nations aiming for comprehensive effective care, due to its adverse effects on mortality, quality of life, and government approval. Here, we propose two novel bargaining frameworks to reduce waiting lists in two-tier health care systems with local and regional actors. In particular, we assess the impact of 1) trading patients on waiting lists among hospitals, the 2) introduction of the role of private hospitals in capturing unfulfilled demand, and the 3) hospitals’ willingness to share capacity on the system performance. We calibrated our models with 2008–2018 Chilean waiting list data. If hospitals trade unattended patients, our game-theoretic models indicate a potential reduction of waiting lists of up to 37%. However, when private hospitals are introduced into the system, we found a possible reduction of waiting lists of up to 60%. Further analyses revealed a trade-off between diagnosing unserved demand and the additional expense of using private hospitals as a back-up system. In summary, our game-theoretic frameworks of waiting list management in two-tier health systems suggest that public–private cooperation can be an effective mechanism to reduce waiting lists. Further empirical and prospective evaluations are needed.
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spelling pubmed-83676522021-08-17 The Waiting Game – How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists Acuna, Jorge A. Zayas-Castro, José L. Feijoo, Felipe Sankaranarayanan, Sriram Martinez, Rodrigo Martinez, Diego A. Health Care Manag Sci Article Prolonged waiting to access health care is a primary concern for nations aiming for comprehensive effective care, due to its adverse effects on mortality, quality of life, and government approval. Here, we propose two novel bargaining frameworks to reduce waiting lists in two-tier health care systems with local and regional actors. In particular, we assess the impact of 1) trading patients on waiting lists among hospitals, the 2) introduction of the role of private hospitals in capturing unfulfilled demand, and the 3) hospitals’ willingness to share capacity on the system performance. We calibrated our models with 2008–2018 Chilean waiting list data. If hospitals trade unattended patients, our game-theoretic models indicate a potential reduction of waiting lists of up to 37%. However, when private hospitals are introduced into the system, we found a possible reduction of waiting lists of up to 60%. Further analyses revealed a trade-off between diagnosing unserved demand and the additional expense of using private hospitals as a back-up system. In summary, our game-theoretic frameworks of waiting list management in two-tier health systems suggest that public–private cooperation can be an effective mechanism to reduce waiting lists. Further empirical and prospective evaluations are needed. Springer US 2021-08-17 2022 /pmc/articles/PMC8367652/ /pubmed/34401992 http://dx.doi.org/10.1007/s10729-021-09577-x Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Acuna, Jorge A.
Zayas-Castro, José L.
Feijoo, Felipe
Sankaranarayanan, Sriram
Martinez, Rodrigo
Martinez, Diego A.
The Waiting Game – How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists
title The Waiting Game – How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists
title_full The Waiting Game – How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists
title_fullStr The Waiting Game – How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists
title_full_unstemmed The Waiting Game – How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists
title_short The Waiting Game – How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists
title_sort waiting game – how cooperation between public and private hospitals can help reduce waiting lists
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367652/
https://www.ncbi.nlm.nih.gov/pubmed/34401992
http://dx.doi.org/10.1007/s10729-021-09577-x
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