系统管理学报2025，Vol.34Issue(5)：706-717,12.DOI:10.3969/j.issn2097-4558.2025.03.008
基于患者就医选择的医联体资源共享模式对比
Comparison of Resource Sharing Modes in Medical Consortium Based on Patients' Choice
摘要
Abstract
Faced with unbalanced medical resource distribution and varying patient choices preferences,this paper develops a queuing game model to analyze the behavior of two types of patient within a tertiary-community hospital medical consortium.It compares doctor-sharing and bed-sharing strategies under two organizational structures,subordination and subcontracting,to explore the optimal resource-sharing strategy and consortium configuration under medical resource constraints.The findings provide new operational ideas and management insights for improving collaboration and resource integration among medical consortiums in China.Specifically,the doctor-sharing strategy is more effective in reducing patient travel costs and alleviating resource imbalances between hospitals,especially when either doctors or beds are in short supply.When doctors are relatively abundant,bed-sharing strategy allows for higher patient admissions,provided there is only a slight shortage of beds.Additionally,resource allocation is more efficient under the subordination model,while subcontracting performs comparably under specific conditions involving resources levels and competitive dynamics.This paper provides theoretical support for optimizing the structure and resource allocation mechanisms within China's healthcare consortiums.关键词
医联体/医疗资源共享/共享模式/就医选择Key words
medical consortium/medical resource sharing/sharing mode/patient preference引用本文复制引用
翟优子,薛巍立..基于患者就医选择的医联体资源共享模式对比[J].系统管理学报,2025,34(5):706-717,12.基金项目
国家自然科学基金重点项目(72231002) （72231002）
