Journal article

Do maximum waiting times guarantees change clinical priorities for elective treatment? Evidence from Scotland

Silviya Nikolova, Arthur Sinko, Matt Sutton

JOURNAL OF HEALTH ECONOMICS | ELSEVIER | Published : 2015

Abstract

The level and distribution of patient waiting times for elective treatment are a major concern in publicly funded health care systems. Strict targets, which have specified maximum waiting times, have been introduced in the NHS over the last decade and have been criticised for distorting existing clinical priorities in scheduling hospital treatment. We demonstrate the usefulness of conditional density estimation (CDE) in the evaluation of the reform using data for Scotland for 2002 and 2007. We develop a modified goodness of fit test to discriminate between models with different numbers of bins. We document a change in prioritisation between different patient groups with longer waiting patien..

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