区域性医疗集团资源协同仿真建模和政策建议研究
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摘要
为了缓解居民"看病难、看病贵"的问题,我们构建了"社区–医院"的二级医疗服务系统概念模型,并建立了患者偏好的函数模型和转诊机制,采用Any Logic软件对系统进行建模,并以上海市嘉定区为例,通过引入实际案例数据展示了该模型如何用于探讨不同医疗合作模式和医疗改革政策,结果显示,提升基层医疗服务质量以及医保报销比例能够有效提升医疗服务系统的整体效率。
In order to solve the problem of residents' difficulties in affording expensive medical treatment,we build a communityhospital concept model of a secondary medical service system,and establish a function model and a referral mechanism for patients' preferences. Taking Jiading District in Shanghai as an example,we make use of the Any Logic system modeling software and demonstrate how this model can be used to study the effect of different medical cooperation modes and medical reform policies through the introduction of actual case data. Our results show that promoting the quality of primary medical care services and increasing the reimbursement ratio of medical insurance can effectively improve the efficiency of the whole medical service system.
In order to solve the problem of residents' difficulties in affording expensive medical treatment,we build a communityhospital concept model of a secondary medical service system,and establish a function model and a referral mechanism for patients' preferences. Taking Jiading District in Shanghai as an example,we make use of the Any Logic system modeling software and demonstrate how this model can be used to study the effect of different medical cooperation modes and medical reform policies through the introduction of actual case data. Our results show that promoting the quality of primary medical care services and increasing the reimbursement ratio of medical insurance can effectively improve the efficiency of the whole medical service system.
引文
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[2]Yang Y,Atkinson P,Ettema D.Individual space-time activitybased modelling of infectious disease transmission within a city[J].Journal of the Royal Society Interface,2008,5(24):759–772.
[3]李清慧,石磊.基于主体建模的废物交换模型与仿真分析[J].环境科学研究,2012,25(11):1297–1303.Li Q H,Shi L.Agent-based modeling and simulation of waste exchanging system[J].Research of Environment Sciences,2012,25(11):1297–1303.
[4]嘉定区统计局.2015年上海市嘉定区国民经济和社会发展统计公报[EB/OL].(2016–01–04)[2016–12–17].http://www.stats-sh.gov.cn/fxbg/201602/287123.html.Statistics Bureau of Jiading District.Statistical communique on the national economic and social development of Jiading district,Shanghai[EB/OL].(2016–01–04)[2016–12–17].http://www.stats-sh.gov.cn/fxbg/201602/287123.html.
[5]Ilya Grigoryev.Any Logic建模与仿真[M].韩鹏,韩英华,李岩,等译.北京:清华大学出版社,2014.Ilya Grigoryev.Any Logic modeling and simulation[M].Han P,Han Y H,Li Y,et al translate.Beijing:Tsinghua University Press,2014.
[6]《嘉定年鉴》编篡委员会.嘉定年鉴[M].上海:学林出版社,2014.Jiading Yearbook Editorial Committee.Jiading yearbook[M].Shanghai:Academia Press,2014.
[7]王文华,尹爱田,宋春燕.山东省农村地区门诊常见病可分流病种研究[J].中国卫生事业管理,2011,28(1):212–214.Wang W H,Yin A T,Song C Y.Studying on rural referral outpatients’common diseases in Shandong Province[J].Chinese Health Service Management,2011,28(1):212–214.