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Related Experiment Videos

Waiting for care. Queuing and resource allocation.

B S Bloom, A M Fendrick

    Medical Care
    |February 1, 1987
    PubMed
    Summary
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    Long waits for medical care in England are not as widespread as commonly believed. While some patients face delays, particularly for elective specialty care, most receive prompt attention, especially for general practitioner services.

    Area of Science:

    • Health Services Research
    • Healthcare Management
    • Public Health Policy

    Background:

    • Queues are common in healthcare systems lacking robust market mechanisms or facing resource constraints.
    • Access to medical services is often determined by factors other than direct payment in many countries.
    • Previous perceptions suggested a majority of hospitalized patients in Britain experience prolonged waits for care.

    Purpose of the Study:

    • To investigate the actual duration of patient waits for various types of medical care in England.
    • To challenge the misconception of widespread long waiting times in the British healthcare system.
    • To analyze the distribution of waiting times across different healthcare services.

    Main Methods:

    • Analysis of estimated total wait times for non-emergency care leading to hospitalization.
    Keywords:
    Empirical ApproachHealth Care and Public HealthNational Health Service

    Related Experiment Videos

  • Categorization of patient admission timelines (waiting list, immediate, booked/transferred).
  • Examination of average wait times for elective ambulatory specialty care.

    • Main Results:

    • An estimated 96 days total wait for non-emergency care leading to hospitalization for one quarter of patients on waiting lists.
    • Half of the remaining hospitalized population admitted immediately, another quarter booked or transferred.
    • Average wait time for elective ambulatory specialty care was approximately 8 weeks.
    • Minimal mortality associated with waiting times, but impact on quality of life is noted.

    Conclusions:

    • The notion that most hospitalized patients in Britain wait excessively long is inaccurate.
    • Primary ambulatory care access is generally immediate, with minimal waits for general practitioner services.
    • While mortality is not a primary concern, waiting for elective specialty care can affect patient convenience and quality of life.