Google Answers Logo
View Question
 
Q: Relationship between healthcare capacity and healthcare demand, $25 bonus ( No Answer,   2 Comments )
Question  
Subject: Relationship between healthcare capacity and healthcare demand, $25 bonus
Category: Health > Medicine
Asked by: victorchua-ga
List Price: $40.00
Posted: 16 Dec 2004 11:36 PST
Expires: 15 Jan 2005 11:36 PST
Question ID: 443536
A $25 tip will be given for a reasonably good
answer.

I would like someone to look into the academic research into the
causal relationship between increased healthcare capacity, and
increased demand for healthcare, in European healthcare systems.  The
main source I expect would be academic papers.  Virtually all medical
papers are indexed by PubMed (medline on line) so I would expect most
of your time to be spent in:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi

Background

I am a medical doctor/consultant working in the United Kingdom.  It
has often seemed to me that healthcare demand is driven by the
healthcare available.  For example, when MRI scans first came out, we
doctors would only propose them to people with conditions we thought
were likely to be very serious (cancer, serious sports injuries, etc.)
 Now that MRI scanners are common and inexpensive, a lot of people
with simple headaches get them!

Healthcare in the UK is rationed by waiting lists.  If you are
diagnosed with a non-urgent surgical condition (eg. a knee problem),
you have to wait up to six months for arthroscopy to diagnose and
treat the problem.  In recent years the UK government has spent a
great deal more on healthcare (spending is up 30% in real terms in the
last 5 years).  However, because waiting lists are now shorter, we
doctors are more likely to put people on the waiting lists for more
minor conditions as the case for rationing health care isn't as great.

Another case is: in a clinic, there are three doctors.  When a new
doctor is appointed, one would logically expect that the three
doctors' workload reduces by 1/3.  In reality, while there may be a
short period in which this happens, soon all four doctors are working
as hard and as long as the three doctors did.
This is because doctors "autoregulate" the amount of care people get. 
The doctors may simply give patients more time, or may treat more
patients with less serious conditions.

I'm not very interested in papers based on clinical systems outside
Europe.  Ideally, they should be based on the UK medical system.
Answer  
There is no answer at this time.

Comments  
Subject: Re: Relationship between healthcare capacity and healthcare demand, $25 bonus
From: probonopublico-ga on 16 Dec 2004 22:34 PST
 
Interesting!

I also live in the UK where (understandably) costs have to be kept
under strict control, regardless of patient needs or the effectiveness
of the treatments.

Consequently, only the Royal Family, the Rich and the Powerful get the
standard of care that everyone believes to be his/her entitlement.

It's grossly unfair but that's the world we live in.

Judging the performance of the NHS on the length of Hospital Admission
Waiting Lists is, of course, a total nonsense.

It might be more helpful to quantify the MRSA stats per hospital.

Wow! THAT would reduce Waiting Lists for sure.

Let's do it!
Subject: Re: Relationship between healthcare capacity and healthcare demand, $25 bonus
From: neilzero-ga on 18 Dec 2004 14:13 PST
 
I suppose nearly all of us would like to be self employed. We still
have a few self employed health care workers in the USA, but various
forces are seeking to subjagate them. I think the process is nearly
complete in the UK and it is a lot like being in the army when it
comes to micro supervising health care workers. Like soldiers, the
doctors enjoy reduced work hours and reduced production numbers any
time they happen to be almost adequitly staffed. While socialism has a
few good points, motivating workers to quality and quantity is not a
good point of socialism.  Neil

Important Disclaimer: Answers and comments provided on Google Answers are general information, and are not intended to substitute for informed professional medical, psychiatric, psychological, tax, legal, investment, accounting, or other professional advice. Google does not endorse, and expressly disclaims liability for any product, manufacturer, distributor, service or service provider mentioned or any opinion expressed in answers or comments. Please read carefully the Google Answers Terms of Service.

If you feel that you have found inappropriate content, please let us know by emailing us at answers-support@google.com with the question ID listed above. Thank you.
Search Google Answers for
Google Answers  


Google Home - Answers FAQ - Terms of Service - Privacy Policy