Abstract
Combined with the development of Chinese medical industry, we have analyzed the characteristics of the referral system with Chinese characteristics and the possible problems in it. We combine the two main factors that affect patient care: medical quality and waiting costs, to study a most representative referral system made up of a tertiary hospital and a community hospital for its pricing and capacity planning issues. We build an integrated model of queuing theory and game theory to analyze if all patients make rational choices, what the community hospital should do to maximize the service capacity. Meanwhile, how the tertiary hospital makes pricing to achieve its profit maximization in the case of government taxation. The results show that the service capacity of community hospital is affected by government subsidies, cure rate, and the medical expenses of the tertiary hospital. And those of tertiary hospital are influenced most by government subsidies. Therefore, the results show that the smooth implementation of the government’s macro-control plays a crucial role in the two-way referral system.
Highlights
The results show that the service capacity of community hospital is affected by government subsidies, cure rate, and the medical expenses of the tertiary hospital
The two influencing factors of medical quality and waiting cost that have been focused more are selected as the research object
We combine with the existing related research of the domestic and foreign scholars and build a two-way referral system taking a tertiary hospital and a community hospital as the main body
Summary
With the improvement of residents’ living standards, the demands and requirements for medical care are getting higher and higher, but the gaps and contradictions between the people’s growing medical and health needs and the current. Based on the above points, only comprehensive consideration of the hospital’s medical quality, patient waiting time, and medical pricing and service capabilities can create better opportunities for the implementation of referrals, while helping the hospital to obtain maximum benefits, while helping the hospital to obtain the maximum benefit, the patient’s perceived value is maximized. We start from the choice of patients in the two-way referral system, taking medical quality and delay-sensitive patients as influential factors, to discuss how to optimize referral systems and achieve effective convergence between the tertiary and community hospital. Comparing the research status of domestic and foreign scholars and the actual operation situations of the hospitals with the research in this paper, we point out the defects and shortcomings in this study and the research direction of future referral system
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