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Do waiting times affect health outcomes? Evidence from coronary bypass

Moscelli, Giuseppe, Siciliani, L and Tonei, V (2016) Do waiting times affect health outcomes? Evidence from coronary bypass Social Science and Medicine, 161. pp. 151-159.

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Long waiting times for non-emergency services are a feature of several publicly-funded health systems. A key policy concern is that long waiting times may worsen health outcomes: when patients receive treatment, their health condition may have deteriorated and health gains reduced. This study investigates whether patients in need of coronary bypass with longer waiting times are associated with poorer health outcomes in the English National Health Service over 2000e2010. Exploiting information from the Hospital Episode Statistics (HES), we measure health outcomes with in-hospital mortality and 28-day emergency readmission following discharge. Our results, obtained combining hospital fixed effects and instrumental variable methods, find no evidence of waiting times being associated with higher in-hospital mortality and weak association between waiting times and emergency readmission following a surgery. The results inform the debate on the relative merits of different types of rationing in healthcare systems. They are to some extent supportive of waiting times as an acceptable rationing mechanism, although further research is required to explore whether long waiting times affect other aspects of individuals’ life.

Item Type: Article
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
Siciliani, L
Tonei, V
Date : 30 May 2016
DOI : 10.1016/j.socscimed.2016.05.043
Copyright Disclaimer : © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
Uncontrolled Keywords : England Coronary bypass Health outcomes Hospitals Waiting times
Depositing User : Melanie Hughes
Date Deposited : 13 Mar 2018 10:37
Last Modified : 16 Jan 2019 19:08

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