Agent-Based Modeling and Simulation (ABMS)on the influence of adjusting medical service fees on patients' choice of medical treatment.
BMC Health Serv Res
; 23(1): 928, 2023 Aug 30.
Article
em En
| MEDLINE
| ID: mdl-37649036
ABSTRACT
BACKGROUND:
We explored the impact of medical service fee adjustments on the choice of medical treatment for hypertensive patients in Beijing. We hope to provide decision-making reference to promote the realization of hierarchical diagnosis and treatment in Beijing.METHODS:
According to the framework of modeling simulation research and based on the data of residents and medical institutions in Beijing, we designed three models of residents model, disease model and hospital model respectively. We then constructed a state map of patients' selection of medical treatment and adjusted the medical service fee to observe outpatient selection behaviors of hypertensive patients at different levels of hospitals and to find the optimal decision-making plan.RESULTS:
The simulation results show that the adjustment of medical service fees can affect the proportion of patients seeking medical treatment in primary and tertiary hospitals to a certain extent, but has little effect on the proportion of patients receiving medical treatment in secondary hospitals.CONCLUSIONS:
Beijing can make adjustments of the current medical service fees by reducing fees in primary hospitals and slightly increasing fees in tertiary hospitals, and in this way could increase the number of patients with hypertension in the primary hospitals.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Planos de Pagamento por Serviço Prestado
/
Honorários Médicos
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article