The Law and Policy of Healthcare Financing
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The Law and Policy of Healthcare Financing

An International Comparison of Models and Outcomes

Edited by Wolf Sauter, Jos Boertjens, Johan van Manen and Misja Mikkers

Examining the ways and extent to which systemic factors affect health outcomes with regard to quality, affordability and access to curative healthcare, this explorative book compares tax-funded Beveridge systems and insurance-based Bismarck systems. Containing contributions from national experts, The Law and Policy of Healthcare Financing charts and compares the merits of healthcare systems throughout 11 countries, from the UK to Colombia.
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Chapter 4: A theoretical model of the determinants of waiting lists: an application to the Spanish national health system

Ana Rodríguez-Álvarez and Maria J. Perez-Villadoniga


In health care systems such as Spain where patients do not pay the full price for health care services, waiting lists may be used as a rationing mechanism. The authors describe a theoretical model of the demand for and the supply of health care. They derive a waiting list function from the theoretical model that implies that waiting lists will increase as a result of increases in demand or reductions in supply. Then the authors estimate the obtained waiting list function. The results of the empirical estimation confirm the predictions of the theoretical model. Notably the recent recession has led to significant reductions in public expenditure of health care and caused longer waiting lists.

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