IDEAS home Printed from https://ideas.repec.org/a/eee/mateco/v93y2021ics030440682100032x.html
   My bibliography  Save this article

Optimal age- and sex-based management of the queue to ventilators during the Covid-19 crisis

Author

Listed:
  • Bonneuil, Noël

Abstract

Triage protocols for intensive care units are based on priorities assigned to presents, but ignore patients about to arrive, so a priority newcomer may not find a ventilator and its associated nursing staff available because they are occupied by a lower-priority patient who however was present at the moment of assignment. Conversely, waiting too long leads to losing elderly patients who could have been saved by ventilators. As age and sex are major determinants of mortality by Covid-19 and have the merit, in contrast to other priority criteria, of being immediately available to health professionals, the criterion is the minimization of the mean mortality rate weighted by age- and sex-specific life expectancies. The dynamics is a queuing process involving mortality and return home flows and competition between ages. The result is the determination of an optimal threshold age that can guide triage.

Suggested Citation

  • Bonneuil, Noël, 2021. "Optimal age- and sex-based management of the queue to ventilators during the Covid-19 crisis," Journal of Mathematical Economics, Elsevier, vol. 93(C).
    • Handle: RePEc:eee:mateco:v:93:y:2021:i:c:s030440682100032x
    DOI: 10.1016/j.jmateco.2021.102494
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S030440682100032X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.jmateco.2021.102494?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Amirhossein Meisami & Jivan Deglise-Hawkinson & Mark E. Cowen & Mark P. Oyen, 2019. "Data-driven optimization methodology for admission control in critical care units," Health Care Management Science, Springer, vol. 22(2), pages 318-335, June.
    2. Fernando E. Alvarez & David Argente & Francesco Lippi, 2020. "A Simple Planning Problem for COVID-19 Lockdown," NBER Working Papers 26981, National Bureau of Economic Research, Inc.
    3. L. Mayhew & D. Smith, 2008. "Using queuing theory to analyse the Government’s 4-h completion time target in Accident and Emergency departments," Health Care Management Science, Springer, vol. 11(1), pages 11-21, March.
    4. Robert E. Hall & Charles I. Jones & Peter J. Klenow, 2020. "Trading Off Consumption and COVID-19 Deaths," Quarterly Review, Federal Reserve Bank of Minneapolis, vol. 42(1), pages 1-14, June.
    5. Song-Hee Kim & Carri W. Chan & Marcelo Olivares & Gabriel Escobar, 2015. "ICU Admission Control: An Empirical Study of Capacity Allocation and Its Implication for Patient Outcomes," Management Science, INFORMS, vol. 61(1), pages 19-38, January.
    6. Shaler Stidham, 1972. "L = λ W : A Discounted Analogue and a New Proof," Operations Research, INFORMS, vol. 20(6), pages 1115-1126, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Zéphirin Nganmeni & Roland Pongou & Bertrand Tchantcho & Jean‐Baptiste Tondji, 2022. "Vaccine and inclusion," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 24(5), pages 1101-1123, October.
      • Zéphirin Nganmeni & Roland Pongou & Bertrand Tchantcho & Jean‐baptiste Tondji, 2022. "Vaccine and inclusion," Post-Print hal-04257703, HAL.
      • Zéphirin Nganmeni & Roland Pongou & Bertrand Tchantcho & Jean-Baptiste Tondji, 2022. "Vaccine and Inclusion," Working Papers 2202E Classification-C62,, University of Ottawa, Department of Economics.
    2. Alexis Roussel & Romain Biard & Marc Deschamps & Mostapha Diss, 2023. "Modeling medical material shortage using Markov processes," Working Papers 2023-04, CRESE.
    3. Raouf Boucekkine & Shankha Chakraborty & Aditya Goenka & Lin Liu, 2024. "A Brief Tour of Economic Epidemiology Modelling," LIDAM Discussion Papers IRES 2024002, Université catholique de Louvain, Institut de Recherches Economiques et Sociales (IRES).
    4. Jacek Rothert, 2021. "Optimal federal transfers during uncoordinated response to a pandemic," GRAPE Working Papers 58, GRAPE Group for Research in Applied Economics.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ichino, Andrea & Favero, Carlo A. & Rustichini, Aldo, 2020. "Restarting the economy while saving lives under Covid-19," CEPR Discussion Papers 14664, C.E.P.R. Discussion Papers.
    2. David Baqaee & Emmanuel Farhi, 2020. "Nonlinear Production Networks with an Application to the Covid-19 Crisis," NBER Working Papers 27281, National Bureau of Economic Research, Inc.
    3. Nicola Fuchs-Schündeln & Dirk Krueger & André Kurmann & Etienne Lalé & Alexander Ludwig & Irina Popova, 2023. "The Fiscal and Welfare Effects of Policy Responses to the Covid-19 School Closures," IMF Economic Review, Palgrave Macmillan;International Monetary Fund, vol. 71(1), pages 35-98, March.
    4. Gopal K. Basak & Chandramauli Chakraborty & Pranab Kumar Das, 2021. "Optimal Lockdown Strategy in a Pandemic: An Exploratory Analysis for Covid-19," Papers 2109.02512, arXiv.org.
    5. Pablo D. Fajgelbaum & Amit Khandelwal & Wookun Kim & Cristiano Mantovani & Edouard Schaal, 2021. "Optimal Lockdown in a Commuting Network," American Economic Review: Insights, American Economic Association, vol. 3(4), pages 503-522, December.
    6. Dirk Niepelt & Mart n Gonzalez-Eiras, 2020. "Optimally Controlling an Epidemic," Diskussionsschriften dp2019, Universitaet Bern, Departement Volkswirtschaft.
    7. Jean-Noël Barrot & Basile Grassi & Julien Sauvagnat, 2020. "Estimating the Costs and Benefits of Mandated Business Closures in a Pandemic," Working Papers hal-02896739, HAL.
    8. Carnehl, Christoph & Fukuda, Satoshi & Kos, Nenad, 2023. "Epidemics with behavior," Journal of Economic Theory, Elsevier, vol. 207(C).
    9. Christian Moser & Pierre Yared, 2022. "Pandemic Lockdown: The Role of Government Commitment," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 46, pages 27-50, October.
    10. Rikard Forslid & Mathias Herzing, 2021. "Assessing the consequences of quarantines during a pandemic," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(7), pages 1115-1128, September.
    11. Timo Boppart & Karl Harmenberg & John Hassler & Per Krusell & Jonna Olsson, 2020. "Integrated Epi-Econ Assessment," NBER Working Papers 28282, National Bureau of Economic Research, Inc.
    12. Yasushi Iwamoto, 2021. "Welfare economics of managing an epidemic: an exposition," The Japanese Economic Review, Springer, vol. 72(4), pages 537-579, October.
    13. Farboodi, Maryam & Jarosch, Gregor & Shimer, Robert, 2021. "Internal and external effects of social distancing in a pandemic," Journal of Economic Theory, Elsevier, vol. 196(C).
    14. Lin Ma & Gil Shapira & Damien de Walque & Quy‐Toan Do & Jed Friedman & Andrei A. Levchenko, 2022. "The Intergenerational Mortality Trade‐Off Of Covid‐19 Lockdown Policies," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 63(3), pages 1427-1468, August.
    15. Garriga, Carlos & Manuelli, Rody & Sanghi, Siddhartha, 2022. "Optimal management of an epidemic: Lockdown, vaccine and value of life," Journal of Economic Dynamics and Control, Elsevier, vol. 140(C).
    16. Yinon Bar-On & Tatiana Baron & Ofer Cornfeld & Eran Yashiv, 2023. "When to Lock, Not Whom: Managing Epidemics Using Time-Based Restrictions," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 51, pages 292-321, December.
    17. Çakmaklı, Cem & Demiralp, Selva & Özcan, Şebnem Kalemli & Yeşiltaş, Sevcan & Yıldırım, Muhammed A., 2023. "COVID-19 and emerging markets: A SIR model, demand shocks and capital flows," Journal of International Economics, Elsevier, vol. 145(C).
    18. David E. Bloom & Michael Kuhn & Klaus Prettner, 2022. "Modern Infectious Diseases: Macroeconomic Impacts and Policy Responses," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 85-131, March.
    19. V. V. Chari & Rishabh Kirpalani & Christopher Phelan, 2021. "The Hammer and the Scalpel: On the Economics of Indiscriminate versus Targeted Isolation Policies during Pandemics," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 42, pages 1-14, October.
    20. Shouyong Shi, 2023. "Knowledge, Germs and Output," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 48, pages 297-319, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:mateco:v:93:y:2021:i:c:s030440682100032x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/jmateco .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.