HSCI 305 Chapter Notes - Chapter wait time: Vancouver Coastal Health, Queueing Theory, Interior Health
24 Jan 2018
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2 major changes for better management of waitlists. Public sector wait times are longer when there is parallel for -profit health care delivery a. Private hospitals and clinics draw scarce out of the public system, lengthening wait times for patients who want to access public services. Cream-skimming of easy-to-treat-patients is common where there is parallel for-profit delivery a. b. If payments to the public system do not increase to reflect these higher costs, the public system becomes less sustainable. Care delivered in for-profit facilities is less safe a. b. A key reason for poorer quality of care and health outcomes in for-profit facilities is the lower number of skilled personnel employed. Higher death rate in for-profit hospitals/clinics than in non-for-profit ones. The international experience with private surgical facilities is that they tend to charge higher prices for the same surgery in a publicly-funded hospital.
