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A new approach to the tradeoff between quality and accessibility of health care

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  • Tanke, Marit A.C.
  • Ikkersheim, David E.

Abstract

Quality of care is associated with patient volume. Regionalization of care is therefore one of the approaches that is suited to improve quality of care. A disadvantage of regionalization is that the accessibility of the facilities can decrease. By investigating the tradeoff between quality and accessibility it is possible to determine the optimal amount of treatment locations in a health care system. In this article we present a new model to quantitatively ‘solve’ this tradeoff. We use the condition breast cancer in the Netherlands as an example.

Suggested Citation

  • Tanke, Marit A.C. & Ikkersheim, David E., 2012. "A new approach to the tradeoff between quality and accessibility of health care," Health Policy, Elsevier, vol. 105(2), pages 282-287.
    • Handle: RePEc:eee:hepoli:v:105:y:2012:i:2:p:282-287
    DOI: 10.1016/j.healthpol.2012.02.016
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    References listed on IDEAS

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    1. Roohan, P.J. & Bickell, N.A. & Baptiste, M.S. & Therriault, G.D. & Ferrara, E.P. & Siu, A.L., 1998. "Hospital volume differences and five-year survival from breast cancer," American Journal of Public Health, American Public Health Association, vol. 88(3), pages 454-457.
    2. Gilligan, M.A. & Neuner, J. & Zhang, X. & Sparapani, R. & Laud, P.W. & Nattinger, A.B., 2007. "Relationship between number of breast cancer operations performed and 5-year survival after treatment for early-stage breast cancer," American Journal of Public Health, American Public Health Association, vol. 97(3), pages 539-544.
    3. Gaynor, Martin & Vogt, William B, 2003. "Competition among Hospitals," RAND Journal of Economics, The RAND Corporation, vol. 34(4), pages 764-785, Winter.
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    Cited by:

    1. Mesman, Roos & Faber, Marjan J. & Berden, Bart J.J.M. & Westert, Gert P., 2017. "Evaluation of minimum volume standards for surgery in the Netherlands (2003–2017): A successful policy?," Health Policy, Elsevier, vol. 121(12), pages 1263-1273.
    2. Justus F. A. Vogel & Max Barkhausen & Christoph M. Pross & Alexander Geissler, 2022. "Defining minimum volume thresholds to increase quality of care: a new patient-oriented approach using mixed integer programming," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(7), pages 1085-1104, September.

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