Health Care Management Science

, Volume 9, Issue 1, pp 19–30

Modelling the redistribution of hospital supply to achieve equity taking account of patient's behaviour


DOI: 10.1007/s10729-006-6277-7

Cite this article as:
Oliveira, M.D. & Bevan, G. Health Care Manage Sci (2006) 9: 19. doi:10.1007/s10729-006-6277-7


Policies that seek to achieve geographic equity in countries with a National Health Services (NHS) require information on how to change the distribution of supply to achieve greater equity in access and utilisation. Previous methods for analysing the impact of hospital changes have relied on crude assumptions on patients' behaviour in using hospitals. The approach developed in this study is a multi-modelling one based on two mathematical programming location-allocation models to redistribute hospital supply using different objective functions and assumptions about the utilisation behaviour of patients. These models show how different policy objectives seeking equity of geographic access or utilisation produce different results and imply trade-offs in terms of reduction in total utilisation.


Equity of access Equity of utilisation Hospital planning Location-allocation models Redistribution Portugal 

Copyright information

© Springer Science + Business Media, Inc. 2006

Authors and Affiliations

  1. 1.Engineering and Management Department, Instituto Superior TécnicoTechnical University of LisbonPortugal
  2. 2.LSE Health and Social CareLondon School of Economics and Political ScienceU.K.
  3. 3.Operational Research Department and LSE Health and Social CareLondon School of Economics and Political ScienceU.K.

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