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Clinical decision making: a study of general surgery within Trent RHA

Research output: Contribution to journalJournal article

Published

Journal publication date1979
JournalSocial Science and Medicine
Journal number2A
Volume13
Number of pages6
Pages193-198
Original languageEnglish

Abstract

A theory of consultant behaviour is summarized and used to generate three hypotheses on the interrelationship between the level of resources provided and the demand for hospital care. Routine hospital statistical data for General Surgery in Trent RHA provided a means of testing the hypotheses; no evidence was found to disprove them. It is suggested that a 1% increase in the number of consultants per 1000 population will lead to a 1% increase in the size of the waiting list. A measure of met demand such as the number of admissions per 1000 population was found to depend upon the number of available beds per 1000 population. Some possible policy implications for the management of waiting lists in the NHS are considered.