区域性医疗集团资源协同仿真建模和政策建议研究 - 中国工程科学.pdfVIP

中国工程科学 2017年 第19卷 第2期 DOI 10.15302/J-SSCAE-2017.02.007 区域性医疗集团资源协同仿真建模和政策建议研究 1 1 2 2 胡依群 ，苏强 ，李晓雪 ，郑静晨 (1. 同济大学经济管理学院，上海 200092 ；2. 中国武警总医院现代化医院管理研究所，北京 100039) 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AnyLogic 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。 关键词：智能体仿真；政策仿真；医疗改革；患者选择行为 中图分类号：R197.32 文献标识码：A Collaborative Simulation and Modeling of a Regional Healthcare Group with Policy Suggestions 1 1 2 2 Hu Yiqun , Su Qiang , Li Xiaoxue , Zheng Jingchen (1. School of Economics Management, Tongji University, Shanghai 200092, China; 2. The General Hospital of Chinese PLA Police Forces, Modern Hospital Management Institute, Beijing 100039, China) Abstract: In order to solve the problem of residents’ difficulties in affording expensive medical treatment, we build a community- hospital 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 AnyLogic system modeling software and demon- strate 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 reim- bursement ratio of medical insurance can effectively improve the efficiency of the whole medical service system. Keywords: agent-based modeling; policy simulation; healthcare reform; patie