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关于在宽松医疗联盟中向上患者转移的进化策略的研究
Jialing Li1, Guiju Zhu1, Xinya Hu1
1School of Management, Hunan University of Technology and Business, No. 569 Yuelu Avenue, Changsha, China.
Mathematical biosciences and engineering : MBE
|November 3, 2023
概括
在医疗联盟中的合作改善了患者上升转移,当医院收入适度时,受成本共享和罚款的影响. 高收入或低收入的医院保持一致的策略,无论合作伙伴.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 游戏理论 游戏理论
- 医疗保健管理的管理
背景情况:
- 医疗联盟经常因利益冲突而面临合作挑战.
- 在联盟内的医院之间进行患者上升转移需要有效的合作.
研究的目的:
- 在一个松散的医疗联盟中分析患者上升转移方面的合作问题.
- 评估成本共享和处罚对医院战略的影响.
主要方法:
- 开发了一个双面进化游戏模型.
- 模拟两个三级医院 (超级三A和一般三A) 之间的相互作用.
- 在不同的成本共享和处罚条件下评估战略稳定性.
主要成果:
- 医院稳定策略取决于收入:高/低收入医院的行为是一致的.
- 中等收入医院的战略受到延迟成本,成本共享,罚款和合作医院的战略的影响.
- 延迟成本共享和政府处罚对中等收入医院的合作有重大影响.
结论:
- 收入状况是医院患者转移战略的主要决定因素.
- 内部因素,如延迟成本共享和外部干预,如政府处罚,对于促进医疗联盟合作至关重要.
- 有针对性的干预措施可以提高医疗保健网络中患者上升转移的效率.
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