Do waiting times reduce hospital costs?

J Health Econ. 2009 Jul;28(4):771-80. doi: 10.1016/j.jhealeco.2009.04.002. Epub 2009 Apr 10.

Abstract

Using a sample of 137 hospitals over the period 1998-2002 in the English National Health Service, we estimate the elasticity of hospital costs with respect to waiting times. Our cross-sectional and panel-data results suggest that at the sample mean (103 days), waiting times have no significant effect on hospitals' costs or, at most, a positive one. If significant, the elasticity of cost with respect to waiting time from our cross-sectional estimates is in the range 0.4-1. The elasticity is still positive but lower in our fixed-effects specifications (0.2-0.4). In all specifications, the effect of waiting time on cost is non-linear, suggesting a U-shaped relationship between hospital costs and waiting times. However, the level of waiting time which minimises total costs is always below ten days.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cost-Benefit Analysis
  • Cross-Sectional Studies
  • Hospital Costs*
  • Humans
  • State Medicine / economics*
  • United Kingdom
  • Waiting Lists*