Modeling the Delivery of Medical Services

Judith Lave, Lester Lave and Samuel Leinhardt
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Judith Lave: Carnegie-Mellon University
Samuel Leinhardt: Carnegie-Mellon University

Chapter 17 in The Economics of Health and Medical Care, 1974, pp 326-360 from Palgrave Macmillan

Abstract: Abstract A three-type model of health care delivery is constructed, in which individuals seek care at a primary care station and may be referred to a clinic or a hospital. The probability of seeking care depends on symptom level. (The demands for medical care depends on cost, ease of access, perception of the efficacy of care, and symptom level; the first three are represented by shifts in the probability of seeking care in the model.) Each provider has efficacy and referral matrices; individuals decide whether to pursue care. The model is simulated to investigate the cost-heahh status trade-offs. The outcome measure is used to investigate the efficacy of social policies, such as increasing access to the system. The cost-health status frontier is insensitive to a wide range of schemes for weighting symptom levels. The underlying health status of the population is much more important than the quality of medical care in determining the health status.

Keywords: Health Status; Medical Service; Health Index; Symptom Level; Medical Care System (search for similar items in EconPapers)
Date: 1974
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Persistent link: https://EconPapers.repec.org/RePEc:pal:intecp:978-1-349-63660-0_17

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DOI: 10.1007/978-1-349-63660-0_17

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