Hospital Runs and Dynamic Capacity Management
47 Pages Posted: 8 May 2020 Last revised: 28 Oct 2024
Date Written: December 28, 2020
Abstract
Pandemics can be devastating, especially if nonurgent patients rush for inpatient treatment. A frequently implemented policy is to exclude nonurgent patients from hospitalization. We study hospital runs and optimal policies under full epidemiological dynamics. We demonstrate why rushing can occur well before essential shortages (insufficient capacity without rushes). Although hospitalizing nonurgent patients is normally unnecessary, dynamic efficiency requires treating certain nonurgent patients long before and even during essential shortages. So exclusion is suboptimal. But merely permitting their hospitalization is insufficient because equilibrium can feature excessive waiting. Resource nonstorability, urgency progression, and overlapping patient cohorts are important for these results.
Keywords: D10, I10 COVID-19, pandemics, hospital rushes, SIR
JEL Classification: D10, I10
Suggested Citation: Suggested Citation