等待时间优先排序能否改善福利?

Is waiting‐time prioritisation welfare improving?

Health Economics · 2007
被引 53
人大 A-

中文导读

研究在医疗系统中按等待时间分配资源时,对患者进行优先排序(如让高可观测收益者少等)能否提高社会福利,给出了福利改善的条件。

Abstract

Rationing by waiting time is commonly used in health care systems with zero or low money prices. Some systems prioritise particular types of patient and offer them lower waiting times. We investigate whether prioritisation is welfare improving when the benefit from treatment is the sum of two components, one of which is not observed by providers. We show that positive prioritisation (shorter waits for patients with higher observable benefit) is welfare improving if the mean observable benefit of the patients who are indifferent about receiving the treatment is smaller than the mean observable benefit of the patients who receive the treatment. This is true (a) if the distribution of the unobservable benefit is uniform for any distribution of the observable benefit; or (b) if the distribution of the observable benefit is uniform and the distribution of the unobservable benefit is log-concave. We also show that prioritisation is never welfare increasing if and only if the distribution of unobservable benefit is negative exponential.

等待时间优先排序福利改善可观察收益不可观察收益