Design of Semi-Compact City Medical Association Information Sharing Sustainable Operation Mechanism Based on Subscription Plan

L. Zhang, Haiyan Wang, Siwen Liu, Shifu Pan
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Abstract

Semi-compact city medical association consists of information sharing platform operator, tertiary hospitals, and community hospitals. To solve the sustainable operation problem without government funding, the platform operator provides two subscription plans: paying annually and paying per service, which integrate the value-added business benefit distribution mechanism and consider grading diagnosis and treatment. To optimize the subscription plan and investigate the decision of hospitals, the optimization theory and Differential Evolution algorithm is employed. The research shows that the introduction of subscription plans can achieve the sustainable operation of semi-compact city medical association; regulate the price of value-added medical service can promote the willingness of community hospitals and platform operator revenue. However, increase the proportion of platform operator in value-added service will reduce the sustainability of semi-compact city medical association.
基于订阅计划的半紧凑型城市医学会信息共享可持续运行机制设计
半紧凑型城市医学会由信息共享平台运营商、三级医院、社区医院组成。为解决无政府资助的可持续运营问题,平台运营方提供了按年付费和按次付费两种订阅方案,整合了增值业务利益分配机制,并考虑分级诊疗。采用最优化理论和差分进化算法对医院的订阅方案进行优化和决策研究。研究表明,引入订阅计划可以实现半紧凑型城市医学会的可持续运营;规范医疗增值服务价格可以促进社区医院的意愿和平台运营商的收益。然而,增加平台运营商在增值服务中的比例将降低半紧凑型城市医疗协会的可持续性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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