Are hospital waiting lists self-regulating?

D. P. Smethurst () and H. C. Williams
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D. P. Smethurst: Centre of Evidence-Based Dermatology, Queen's Medical Centre, University Hospital
H. C. Williams: Centre of Evidence-Based Dermatology, Queen's Medical Centre, University Hospital

Nature, 2001, vol. 410, issue 6829, 652-653

Abstract: Abstract We have discovered that waiting lists to see hospital consultants are subject to the power laws of complexity theory, and so are likely to be an essential symptom of an efficient healthcare service. Like other complex networks, both privately and publicly funded healthcare systems probably organize themselves in such a way as to reduce the impact of any attempted intervention. They self-regulate to buffer against differing levels of demand, thereby creating bottomless pits that absorb all resources made available. It seems that we would be wiser to judge the system by measuring the overall quality of medical care, rather than by the length of hospital waiting lists.

Date: 2001
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DOI: 10.1038/35070647

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