Evolutionary Game Analysis of Financial Compensation Policy on Competitive Strategy Selection of Two-level Public Hospitals / 中国卫生经济

Objective:To study the impact of financial compensation on the competitive strategy selection of public hospitals.Methods:Based on the quality and cost strategy selection framework of public hospitals,the evolutionary game model of strategy selection of secondary and tertiary public hospitals was established,and the influence of different financial compensation methods on the competitive strategy selection of public hospitals was analyzed by matlab simulation.Results:The more public hospitals choose the optimal strategy,the faster they reach the evolutionary stable state of the optimal strategy.The financial compensation of the same unit can change the competitive strategy choice tendency of the secondary hospitals.Regardless of the tertiary or secondary public hospitals,the impact of the compensation quality strategy is greater than the compensation cost policy,but the over-compensation quality strategy will cause the secondary hospitals to deviate from the optimal strategy.The impact of hospital competition costs on secondary public hospitals is much greater than that of tertiary public hospitals.Conclusion:To clarify the positioning and strategy of secondary and tertiary hospitals from the policy;financially increase the investment in the quality construction of tertiary public hospitals and increase the investment in the management level of secondary hospitals;strengthen supervision and management,guide the hospital reasonable competition.

Exploration of the Compensation Mechanism for Public Hospitals Participating in Chronic Disease Management from the Perspective of Medical Prevention Integration / 中国医院管理

The key measure to effectively alleviate the risks and economic burden of chronic diseases is to pro-mote the integration of medical and preventive measures in the management of chronic diseases.As the top of medi-cal service technology,public hospitals play an indispensable role in chronic disease management.Analyzing the problems of public hospitals participating in the integration of chronic disease management and medical prevention,it is believed that the main reason restricting public hospitals'participation in the integration of medical prevention is the lack of endogenous motivation caused by the imperfect compensation mechanism.Exploring the compensation mechanism for chronic disease management suitable for the development environment of public hospitals from the perspective of medical prevention integration.

Behavioral research on the influence of anxiety on risk decision-making / 中华行为医学与脑科学杂志

Objective To explore the differences in behavior of anxiety individuals and the normal control under different feedback (positive feedback,negative feedback).Methods 400 university students were investigated using self-rating anxiety scale(SAS) and state anxiety inventory (SAI) and the data were analyzed with balloon analogue risk task.Results The score of anxiety group(24.28±6.12) was significantly lower (t=-2.25,P＜0.05) than that of control group(29.80±7.26) in the number of busting balloons.But in the number of busting balloons of positive and negative feedback condition,scores of anxiety group and control group were not significantly different(t=-1.82,P＞0.05;t=-1.78,P＞0.05).Conclusions Influence of anxiety on decision-making often manifests as risk aversion.