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Hospital Bed Scarcity

An Analysis of the Effects of Inter-Regional Differences

Bibliographic Data

ID9727092
AuthorsMartin S Feldstein, Martin Feldstein (corresponding author)
Year1965
Volume32
Issue128
Pages393
Publication date1965-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueEconomica (JOURNAL)
Journal identifiersISSN: 0013-0427 • E-ISSN: 1468-0335
PublisherJSTOR (PUBLISHER)
DOI10.2307/2552767
OpenAlexW1987118673
LanguageEN
Citations received4

Economic analysis is becoming a powerful tool for the efficient administration of public programmes. Techniques of public expenditure evaluation have already been widely applied to problems of water resource development, defence and transport. Econometric investigations are being used in studies of urban areas and transport services. This article is an example of the use of economic analysis in studying the operation of health care systems. Since its inception in 1948, the National Health Service (N.H.S.) has tried to achieve not only a more just distribution of medical services but also a more efficient use of the nation's health care resources. Although the early years of the service saw the latter aim overshadowed by the attempt to curtail spending and reduce costs, the Ministry of Health has more recently shown a renewed interest in improving the service's efficiency.2 A previous article reviewed this growing interest and discussed the contribution that economic analysis could make in providing a conceptual framework for choosing among competing potential uses of health care resources.3 In the present study we examine the effects of area differences in the scarcity of hospital beds on the way in which these beds are used. We show the surprising result that the number of cases treated per 1,000 population is more responsive to bed scarcity than is the average duration of stay per case. We then discuss the responsiveness to bed scarcity of patients in different age-sex groups and diagnostic categories. These findings are not only interesting in themselves to anyone concerned with the operation of the N.H.S., but also suggest some policy consequences. In addition, they illustrate the way in which analysis of this kind can improve understanding and uncover previously unrecognized problems. DATA

Actuarial science · Business · Christian ministry · Economic growth · Economics · Economy · Environmental health · Health care · Microeconomics · Political science · Population · Public economics · Public health · Resource (disambiguation) · Resource allocation · Resource distribution · Scarcity · Service (business) · Fiscal Policy and Economic Growth · Global Health Care Issues · Medicine · Nursing

  • Marginal Met Need And Geographical Equity In Health Care

    Open Access•Robert Steele•Scottish Journal of Political…•1981

  • The Regional Allocation of Health Care Resources in the U.K. and France

    Open Access•Anne Ludbrook, Alan Maynard•Social Policy and Administration•1983

  • Inequalities in psychiatric care in England and Wales

    Open Access•Alan Maynard•Social Science & Medicine (1967•1972

  • Budget Allocation in the National Health Service

    Open Access•Alan Maynard, Anne Ludbrook•Journal of Social Policy•1980

Unique citing works4
Citations per year0,07
Citation span1972 - 1983 (12)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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