在协作,合作和竞争下的健康信息交换网络:游戏理论方法
Rawan Shabbar1, Hiroki Sayama2
1Binghamton University, State University of New York, Binghamton, NY, USA. rshabba1@binghamton.edu.
Health care management science
|June 21, 2023
概括
一个市场中的多个健康信息交换 (HIE) 提供商可以通过竞争性定价提高医疗保健提供商采用率. 然而,与竞争相比,高质量企业之间的合作提供了更高的利能力和采用率.
科学领域:
- 医疗信息学 医疗信息学
- 卫生经济学 卫生经济学
- 游戏理论 游戏理论
背景情况:
- 卫生信息交换 (HIE) 网络促进提供者和支付者之间安全共享健康数据.
- 关于HIE可持续性的现有研究往往忽视了多个竞争HIE提供商的影响.
- 高等教育机构的共存使得采用率和定价策略变得复杂.
研究的目的:
- 使用游戏理论方法建模健康信息交换 (HIE) 市场.
- 分析HIE提供商之间的竞争和合作对市场动态的影响.
- 优化HIE提供商,医疗保健提供商 (HCP) 和付款人的定价策略和采用决策.
主要方法:
- 利用游戏理论框架来模拟HIE提供商,HCP和付款人之间的互动.
- 使用线性编程 (LP) 来优化定价策略和采用决策.
- 分析了竞争性定价和协作性成本共享对市场结果的影响.
主要成果:
- 竞争性HIEs之间的关系显著影响HCP和付款人的采用决策,特别是对于较小的HCP.
- 一个HIE提供商的价格调整,例如折扣率,可以极大地影响采用.
- 市场竞争导致价格降低,提高HCP采用率.
- 与纯粹合作模式相比,协作HIE模型显示出更高的利能力和更高的HCP采用率,这是由于共享成本和收入而导致的.
结论:
- 卫生信息交换 (HIE) 提供商之间的竞争格局是影响市场可持续性和采用的一个关键因素.
- 战略定价和协作模式对于优化HIE网络性能至关重要.
- 通过游戏理论了解代理行为为HIE市场设计和政策提供了宝贵的见解.
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