The impact of different prioritisation policies on waiting times: Case studies of Norway and Scotland |
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| Affiliation: | 1. Health Economics Bergen, Bergen, Norway;2. Department of Economics, University of Bergen, Norway;3. Uni Research/Rokkansenteret, Bergen, Norway;4. Health Economics, Health Methodology Research Group, University of Manchester, UK;1. Government of Chile Ministry of Health, Santiago 8320064, Chile;1. Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, 201 – 2206 East Mall, Vancouver, BC, Canada;2. The Children''s Research Institute of the Children''s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA;3. Vancouver Coastal Health Authority, Vancouver, Canada;4. VA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indiana University School of Medicine, Department of Medicine, Regenstrief Institute, Inc., Indianapolis, IN, USA;1. Anaesthesia and Intensive Care Medicine, School of Medicine, and Regenerative Medicine Institute at the CURAM Centre for Medical Devices, National University of Ireland, Galway, Ireland;2. Nottingham University Hospitals NHS Trust, Nottingham, UK;3. Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK;4. School of Engineering, University of Warwick, UK |
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| Abstract: | We investigate the distributional consequences of two different waiting times initiatives, one in Norway, and one in Scotland. The primary focus of Scotland's recent waiting time reforms, introduced in 2003, and modified in 2005 and 2007, has been on reducing maximum waiting times through the imposition of high profile national targets accompanied by increases in resources. In Norway, the focus of the reform introduced in September 2004, has been on assigning patients referred to hospital a maximum waiting time based on disease severity, the expected benefit and the cost-effectiveness of the treatment. We use large, national administrative datasets from before and after each of these reforms and assign priority groups based on the maximum waiting times stipulated in medical guidelines. The analysis shows that the lowest priority patients benefited most from both reforms. This was at the cost of longer waiting times for patients that should have been given higher priority in Norway, while Scotland's high priority patients remained unaffected. |
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| Keywords: | Waiting times Prioritisation Norway Scotland |
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