IDEAS home Printed from https://ideas.repec.org/p/ivi/wpasad/2001-27.html
   My bibliography  Save this paper

Optimal Sharing Of Surgical Costs In The Presence Of Queues

Author

Listed:
  • Carmen Herrero Blanco

    (Instituto Valenciano de Investigaciones Económicas)

  • Paula González

    (Universidad de Alicante)

Abstract

We deal with a cost allocation problem arising from sharing a medical service in the presence of queues. We use a standard queuing theory model in a context with several medical procedures, a certain demand of treatment and a maximum average waiting time guarantee set by the government. We show that sharing the use of an operating theatre to treat the patients of the different procedures, leads to a cost reduction. Then, we compute an optimal fee per procedure for the use of the operating theatre, based on the Shapley value. Afterwards, considering the post-operative time, we characterize the conditions under which this cooperation among treatments has a positive impact on the average post-operative costs. Finally, we provide a numerical example constructed on the basis of real data, to highlight the main features of our model.

Suggested Citation

  • Carmen Herrero Blanco & Paula González, 2001. "Optimal Sharing Of Surgical Costs In The Presence Of Queues," Working Papers. Serie AD 2001-27, Instituto Valenciano de Investigaciones Económicas, S.A. (Ivie).
    • Handle: RePEc:ivi:wpasad:2001-27
    as

    Download full text from publisher

    File URL: http://www.ivie.es/downloads/docs/wpasad/wpasad-2001-27.pdf
    File Function: Fisrt version / Primera version, 2001
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Johannesson, Magnus & Johansson, Per-Olov & Soderqvist, Tore, 1998. "Time spent on waiting lists for medical care: an insurance approach," Journal of Health Economics, Elsevier, vol. 17(5), pages 627-644, October.
    2. Besley, Timothy & Hall, John & Preston, Ian, 1999. "The demand for private health insurance: do waiting lists matter?," Journal of Public Economics, Elsevier, vol. 72(2), pages 155-181, May.
    3. Tijs, S.H. & Driessen, T.S.H., 1986. "Game theory and cost allocation problems," Other publications TiSEM 376c24c5-c95d-4d29-96b6-4, Tilburg University, School of Economics and Management.
    4. Moulin, Herve & Shenker, Scott, 1996. "Strategyproof Sharing of Submodular Access Costs: Budget Balance versus Efficiency," Working Papers 96-31, Duke University, Department of Economics.
    5. Young, H.P., 1994. "Cost allocation," Handbook of Game Theory with Economic Applications, in: R.J. Aumann & S. Hart (ed.), Handbook of Game Theory with Economic Applications, edition 1, volume 2, chapter 34, pages 1193-1235, Elsevier.
    6. S.C. Littlechild & G.F. Thompson, 1977. "Aircraft Landing Fees: A Game Theory Approach," Bell Journal of Economics, The RAND Corporation, vol. 8(1), pages 186-204, Spring.
    7. S. C. Littlechild & G. Owen, 1973. "A Simple Expression for the Shapley Value in a Special Case," Management Science, INFORMS, vol. 20(3), pages 370-372, November.
    8. Iversen, Tor, 1993. "A theory of hospital waiting lists," Journal of Health Economics, Elsevier, vol. 12(1), pages 55-71, April.
    9. S. H. Tijs & T. S. H. Driessen, 1986. "Game Theory and Cost Allocation Problems," Management Science, INFORMS, vol. 32(8), pages 1015-1028, August.
    10. Hanning, Marianne & Spangberg, Ulrika Winblad, 2000. "Maximum waiting time -- a threat to clinical freedom?: Implementation of a policy to reduce waiting times," Health Policy, Elsevier, vol. 52(1), pages 15-32, May.
    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. Stefano Moretti & Fioravante Patrone, 2008. "Transversality of the Shapley value," TOP: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 16(1), pages 1-41, July.
    2. Frank Karsten & Marco Slikker & Geert-Jan van Houtum, 2015. "Resource Pooling and Cost Allocation Among Independent Service Providers," Operations Research, INFORMS, vol. 63(2), pages 476-488, April.
    3. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    4. Atay, Ata & Trudeau, Christian, 2024. "Queueing games with an endogenous number of machines," Games and Economic Behavior, Elsevier, vol. 144(C), pages 104-125.
    5. Álvarez, Xana & Gómez-Rúa, María & Vidal-Puga, Juan, 2019. "Risk prevention of land flood: A cooperative game theory approach," MPRA Paper 91515, University Library of Munich, Germany.
    6. Haizhen Mou, 2012. "The political economy of public health expenditure and wait times in a public‐private mixed health care system," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 45(4), pages 1640-1666, November.
    7. Shoshana Anily & Moshe Haviv, 2010. "Cooperation in Service Systems," Operations Research, INFORMS, vol. 58(3), pages 660-673, June.
    8. Avishai Mandelbaum & Petar Momčilović & Yulia Tseytlin, 2012. "On Fair Routing from Emergency Departments to Hospital Wards: QED Queues with Heterogeneous Servers," Management Science, INFORMS, vol. 58(7), pages 1273-1291, July.

    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. Grahn-Voorneveld, Sofia, 2012. "Sharing costs in Swedish road ownership associations," Transportation Research Part A: Policy and Practice, Elsevier, vol. 46(4), pages 645-651.
    2. Vásquez-Brage, M. & van den Nouweland, C.G.A.M. & García-Jurado, I., 1995. "Owen's coalitional value and aircraft landing fees," Discussion Paper 1995-104, Tilburg University, Center for Economic Research.
    3. M. Fiestras-Janeiro & Ignacio García-Jurado & Manuel Mosquera, 2011. "Cooperative games and cost allocation problems," TOP: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 19(1), pages 1-22, July.
    4. Casas-Mendez, Balbina & Garcia-Jurado, Ignacio & van den Nouweland, Anne & Vazquez-Brage, Margarita, 2003. "An extension of the [tau]-value to games with coalition structures," European Journal of Operational Research, Elsevier, vol. 148(3), pages 494-513, August.
    5. Grahn-Voorneveld, Sofia, 2011. "Sharing costs in Swedish road ownership associations," Working papers in Transport Economics 2011:6, CTS - Centre for Transport Studies Stockholm (KTH and VTI).
    6. Alparslan-Gok, S.Z. & Brânzei, R. & Tijs, S.H., 2008. "Cooperative Interval Games Arising from Airport Situations with Interval Data," Other publications TiSEM 5ded50b5-2a11-4d25-8511-b, Tilburg University, School of Economics and Management.
    7. Alparslan-Gok, S.Z. & Brânzei, R. & Tijs, S.H., 2008. "Cooperative Interval Games Arising from Airport Situations with Interval Data," Discussion Paper 2008-57, Tilburg University, Center for Economic Research.
    8. Norde, Henk & Fragnelli, Vito & Garcia-Jurado, Ignacio & Patrone, Fioravante & Tijs, Stef, 2002. "Balancedness of infrastructure cost games," European Journal of Operational Research, Elsevier, vol. 136(3), pages 635-654, February.
    9. Vásquez-Brage, M. & van den Nouweland, C.G.A.M. & García-Jurado, I., 1995. "Owen's coalitional value and aircraft landing fees," Other publications TiSEM 3f2bc27b-b5c8-4517-8ffd-8, Tilburg University, School of Economics and Management.
    10. Hou, Dongshuang & Sun, Hao & Sun, Panfei & Driessen, Theo, 2018. "A note on the Shapley value for airport cost pooling game," Games and Economic Behavior, Elsevier, vol. 108(C), pages 162-169.
    11. Farnworth, Michael G., 2003. "A game theoretic model of the relationship between prices and waiting times," Journal of Health Economics, Elsevier, vol. 22(1), pages 47-60, January.
    12. Léa Munich, 2023. "Schedule Situations and their Cooperative Games," Working Papers of BETA 2023-08, Bureau d'Economie Théorique et Appliquée, UDS, Strasbourg.
    13. Vazquez-Brage, M. & van den Nouweland, A. & Garcia-Jurado, I., 1997. "Owen's coalitional value and aircraft landing fees," Mathematical Social Sciences, Elsevier, vol. 34(3), pages 273-286, October.
    14. Stefano Moretti & Fioravante Patrone, 2008. "Transversality of the Shapley value," TOP: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 16(1), pages 1-41, July.
    15. Juan Aparicio & Joaquín Sánchez-Soriano, 2008. "Depreciation games," Annals of Operations Research, Springer, vol. 158(1), pages 205-218, February.
    16. Dongshuang Hou & Aymeric Lardon & Panfei Sun & Genjiu Xu, 2019. "Sharing a Polluted River under Waste Flow Control," GREDEG Working Papers 2019-23, Groupe de REcherche en Droit, Economie, Gestion (GREDEG CNRS), Université Côte d'Azur, France.
    17. Olivella, Pau, 2003. "Shifting public-health-sector waiting lists to the private sector," European Journal of Political Economy, Elsevier, vol. 19(1), pages 103-132, March.
    18. Koster, Maurice & Tijs, Stef & Borm, Peter, 1998. "Serial cost sharing methods for multi-commodity situations," Mathematical Social Sciences, Elsevier, vol. 36(3), pages 229-242, December.
    19. Audy, Jean-François & D’Amours, Sophie & Rönnqvist, Mikael, 2012. "An empirical study on coalition formation and cost/savings allocation," International Journal of Production Economics, Elsevier, vol. 136(1), pages 13-27.
    20. N. Exel & Marion Ruiter & Werner Brouwer, 2008. "When Time is Not on Your Side," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 1(1), pages 55-71, January.

    More about this item

    Keywords

    Surgical Waiting Lists; Queueing Theory; Cost-Sharing Game.;
    All these keywords.

    JEL classification:

    • C44 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - Operations Research; Statistical Decision Theory
    • C71 - Mathematical and Quantitative Methods - - Game Theory and Bargaining Theory - - - Cooperative Games
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

    Statistics

    Access and download statistics

    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:ivi:wpasad:2001-27. 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: Departamento de Edición (email available below). General contact details of provider: https://edirc.repec.org/data/ievages.html .

    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.