远程医疗可以帮助整合以转诊为基础的医疗保健系统吗? 一个经济和运营分析
Xuejing Cao1, Guohao Li2, Heng Zhao2
1School of Business, Shaoxing University, Shaoxing, China.
PloS one
|November 14, 2025
概括
远程医疗增强了患者对专家的访问,并改善了合作,但其有效性各不相同. 决策者应该考虑区域因素和激励措施,以在医疗保健系统中最佳使用.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 运营研究 运营研究
背景情况:
- 远程医疗的采用在医疗保健提供中正在增加.
- 远程患者护理和专家访问是关键的挑战.
研究的目的:
- 调查远程医疗对患者选择,提供者决定,服务质量和社会福利的影响.
- 在以转诊为基础的医疗保健系统中分析远程医疗.
主要方法:
- 开发了一个优化模型,将患者和医生的行为结合起来.
- 在完全和部分覆盖场景下进行了数值实验.
- 该研究的重点是转诊系统中的异质患者.
主要成果:
- 远程医疗可以增加全科医生与专家的合作,减少每位患者的专家时间.
- 服务质量成本在完全覆盖的情况下下降,但在部分覆盖的情况下增加.
- 社会福利可以改善,因为服务的可获得性提高,特别是在农村地区.
结论:
- 远程医疗改善了服务的可访问性和协作,但可能会在资源不足的医院耗费资源.
- 远程医疗的好处取决于环境;政策制定者需要考虑区域条件.
- 有针对性的财政激励措施可以提高远程医疗在转诊系统中的有效性.
相关概念视频
Health Information Technology and Healthcare Information System
3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Integrated Healthcare System
2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Tertiary Healthcare System
2.1K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.1K
Secondary Healthcare System
1.9K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.9K


