Variations in appointment delays for physicians' services: Theory and empirical evidence

Journal Article (Journal Article)

Waiting times for physician appointments have been used in past studies as a measure of access to, or excess demand pressure on, local ambulatory care systems. This paper offers an alternative view-that short appointment delays are one of several types of amenities produced by physicians in combination with health services. Empirical evidence is presented that illuminates some previously unknown relationships between appointment delays, patient diagnosis, site of care, and family income. A model is developed with the capability of predicting short-run responses to changes in demand for physicians' services. The model and empirical evidence are used as the basis for interpreting recent experience in Canada with its system of national health insurance (NHI) and for predicting potential consequences regarding the production of amenities of NHI in the US. © 1978 Elsevier Scientific Publishing Company.

Full Text

Duke Authors

Cited Authors

  • Sloan, FA; Steinwald, B

Published Date

  • December 1, 1978

Published In

Volume / Issue

  • 10 / 2-3

Start / End Page

  • 89 - 104

Electronic International Standard Serial Number (EISSN)

  • 1573-0891

International Standard Serial Number (ISSN)

  • 0032-2687

Digital Object Identifier (DOI)

  • 10.1007/BF00136028

Citation Source

  • Scopus