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dc.contributor.authorAcuna J.A.
dc.contributor.authorZayas-Castro J.L.
dc.contributor.authorFeijoo F.
dc.contributor.authorSankaranarayanan S.
dc.contributor.authorMartinez R.
dc.contributor.authorMartinez D.A.
dc.date.accessioned2022-02-11T10:16:15Z
dc.date.available2022-02-11T10:16:15Z
dc.date.issued2021
dc.identifier.citationAcuna, J. A., Zayas-Castro, J. L., Feijoo, F., Sankaranarayanan, S., Martinez, R., & Martinez, D. A. (2021). The Waiting Game � How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists. Health Care Management Science. https://doi.org/10.1007/s10729-021-09577-x
dc.identifier.issn13869620
dc.identifier.urihttps://www.doi.org/10.1007/s10729-021-09577-x
dc.identifier.urihttp://hdl.handle.net/11718/25374
dc.description.abstractProlonged waiting to access health care is a primary concern for nations aiming for comprehensive effective care, due to its adverse effects on mortality, quality of life, and government approval. Here, we propose two novel bargaining frameworks to reduce waiting lists in two-tier health care systems with local and regional actors. In particular, we assess the impact of 1) trading patients on waiting lists among hospitals, the 2) introduction of the role of private hospitals in capturing unfulfilled demand, and the 3) hospitals' willingness to share capacity on the system performance. We calibrated our models with 2008�18 Chilean waiting list data. If hospitals trade unattended patients, our game-theoretic models indicate a potential reduction of waiting lists of up to 37%. However, when private hospitals are introduced into the system, we found a possible reduction of waiting lists of up to 60%. Further analyses revealed a trade-off between diagnosing unserved demand and the additional expense of using private hospitals as a back-up system. In summary, our game-theoretic frameworks of waiting list management in two-tier health systems suggest that public杙rivate cooperation can be an effective mechanism to reduce waiting lists. Further empirical and prospective evaluations are needed. � 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
dc.description.sponsorship80180112
dc.language.isoen_US
dc.publisherSpringer
dc.relation.ispartofHealth Care Management Science
dc.subjectGame theory
dc.subjectHealth care delivery
dc.subjectHealth economics
dc.subjectOperations research
dc.subjectUniversal health care
dc.subjectWaiting lists
dc.titleThe Waiting Game � How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists
dc.typeArticle
dc.rights.licenseCC BY
dc.contributor.affiliationIndustrial and Management Systems Engineering, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL 33620, United States
dc.contributor.affiliationSchool of Industrial Engineering, Pontificia Universidad Cat髄ica de Valpara韘o, Valpara韘o, Chile
dc.contributor.affiliationProduction and Quantitative Methods, Indian Institute of Management, Ahmedabad, India
dc.contributor.affiliationEscuela de Salud P鷅lica, Universidad de Chile, Santiago, Chile
dc.contributor.affiliationDepartment of Emergency Medicine, Johns Hopkins University, Baltimore, MD, United States
dc.contributor.institutionauthorAcuna, J.A., Industrial and Management Systems Engineering, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL 33620, United States
dc.contributor.institutionauthorZayas-Castro, J.L., Industrial and Management Systems Engineering, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL 33620, United States
dc.contributor.institutionauthorFeijoo, F., School of Industrial Engineering, Pontificia Universidad Cat髄ica de Valpara韘o, Valpara韘o, Chile
dc.contributor.institutionauthorSankaranarayanan, S., Production and Quantitative Methods, Indian Institute of Management, Ahmedabad, India
dc.contributor.institutionauthorMartinez, R., Escuela de Salud P鷅lica, Universidad de Chile, Santiago, Chile
dc.contributor.institutionauthorMartinez, D.A., School of Industrial Engineering, Pontificia Universidad Cat髄ica de Valpara韘o, Valpara韘o, Chile, Department of Emergency Medicine, Johns Hopkins University, Baltimore, MD, United States
dc.description.scopusid56926382300
dc.description.scopusid6603398926
dc.description.scopusid56024472300
dc.description.scopusid57197843403
dc.description.scopusid57198613754
dc.description.scopusid56900555000
dc.identifier.doi10.1007/s10729-021-09577-x


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