• Health policy · Feb 2008

    What's in a wait? Contrasting management science and economic perspectives on waiting for emergency care.

    • Alec Morton and Gwyn Bevan.
    • Operational Research Group, Department of Management, London School of Economics and Political Science, London , United Kingdom. a.morton@lse.ac.uk
    • Health Policy. 2008 Feb 1;85(2):207-17.

    AbstractThe current paper reviews and contrasts a management science view of waiting for healthcare, which centres on queues as devices for buffering demand, with an economic view, which stresses the role of the incentive structure, in the context of English Accident and Emergency Departments. We demonstrate that the management science view provides insight into waiting time performance within a single facility but is limited in its ability to shed light on variations in performance across facilities. We argue, with reference to supporting data, that such variations may be explainable by a proper understanding of the incentive structure in A&E Departments.

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