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Record W2953536941 · doi:10.1080/00207543.2019.1634846

On two-tier healthcare system under capacity constraint

2019· article· en· W2953536941 on OpenAlexaff
Wuhua Chen, Zhe George Zhang

Bibliographic record

VenueInternational Journal of Production Research · 2019
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare Operations and Scheduling Optimization
Canadian institutionsSimon Fraser University
FundersChina Postdoctoral Science FoundationNational Natural Science Foundation of China
KeywordsTollConstraint (computer-aided design)BusinessGovernment (linguistics)Health careCapacity utilizationSocial WelfareWelfareOperations managementEconomicsMicroeconomicsEngineeringMedicine

Abstract

fetched live from OpenAlex

In the healthcare industry, to reduce the waiting time for patients, policy makers may allow private hospitals (or called the toll system) to enter the market. However, when the total healthcare capacity in the market is limited (e.g. the number of medical staff or equipment is limited), the entrance of the toll system may offer higher salaries to attract medical staff from public hospitals (or called the free system) and reduce its capacity. Then whether or not introducing toll system in the system can reduce the waiting time becomes an issue. In this paper, we investigate the impact of capacity constraint on a two-tier healthcare system. The results show that when the total capacity is tight enough, the two-tier healthcare system often yields less social welfare than the one-tier free system; and when the total capacity is sufficient (the demand does not exceed the total capacity), the two-tier healthcare system improves the social welfare. Specially, we find under certain conditions the capacity constraint can improve social welfare. In addition, if the capacity constraint has a negative effect on the two-tier system’s performance, the government can set an appropriate upper limit for the toll system’s capacity to remove the negative effect.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: Simulation or modeling
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.028
Threshold uncertainty score0.064

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.004
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0010.001
Science and technology studies0.0020.002
Scholarly communication0.0030.003
Open science0.0020.003
Research integrity0.0020.002
Insufficient payload (model declined to judge)0.0190.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.273
GPT teacher head0.547
Teacher spread0.274 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSimulation or modeling
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations28
Published2019
Admission routes1
Has abstractyes

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