Analysis on the Game Theory of the Collaboration among County-level Doctors in the Collaboration of County-level and Town-ship Services / 中国卫生经济

Objective: To analyze the behavior choices of county-level doctors in county-level and township service collaboration based on game theory, and provide basis for promoting county-level and township service collaboration. Methods: It established a game model for county-level doctors’ treatment plan selection in county-level and township service collaboration, and analyzed the profits and losses of coun-ty-level hospitals, doctors and patients. Results: The patient in the service collaboration would benefit the most, only if county hospital doctors were willing to collaborate and there were enough policy supporting collaboration, would the county hospital collaboration. Conclusion: At present, there was a lack of institutional constraints on doctors’ behavior in county-level and township service collaboration. The system of grading diagnosis and treatment was unreasonable. The costs and benefits of doctors in service collaboration were not equal. Doctors lacked motivation for collaboration. Since the doctor at the county-level income mainly depended on the incention of policies and performance, doctors at the county level under the condition of no cooperative was the optimal solution. From the perspective of game theory, to encourage county-level doctors to cooperate in service better, it needed to strengthen its comprehensive recognition of two levels of service collaboration, change the income structure and reduce the cost of service collaboration.

Exploration of the Function of Medical Social Work Service in Tertiary Hospitals under the Grading Diagnosis and Treatment / 中国医学伦理学

As an important part of the medical supply-side reform, grading diagnosis and treatment is the core objective of various medical services carried out by medical institutions at all levels. This paper proposed that tertia-ry hospitals should promote the construction of grading diagnosis and treatment from three aspects of multi-sited practice of physicians, construction of medical alliance and functional orientation planning. On this basis, this pa-per mainly discussed the service function of medical social work involved in grading diagnosis and treatment mode in tertiary hospitals.

Study of the Application of Mobile Medical Technology in Construction of Grading Diagnosis and Treatment System / 中国医疗器械杂志

The combination of mobile medical technology and the grading diagnosis and treatment system (GDTS) can stimulate the allocation of medical resources, reduce medical cost and improve public health significantly. Firstly we summarize development features of mobile medical technology in foreign and domestic market, then we study the application model of mobile medical application in GDTS with field research data and analyzes its advantage and shortage. Finally, we propose four measures for further developing mobile medical application in the GDTS:the government departments should formulate policies and industry standards of products as soon as possible to meet requirement of market; service providers should take the hospitals as core role to achieve mutual benefit and win-win situation; take the daily monitoring of chronic diseases as an entry point to build profitable business model; enhance publicity to promote public health awareness.

Thoughts on key issues of China′s ongoing healthcare reform in the New Normal era / 中华医院管理杂志

A discussion of the connotation and key issues of the new normal in the healthcare sector,with an introduction to the new normal.The furthering reform is unveiling roadblocks in the healthcare system.For example,human resources available can hardly support development of the sector, and revenue growth of tertiary hospitals in the cities will decline,while county hospitals will be further challenged by debt crisis.In the meantime of steady elevation of medical capabilities in both urban and rural areas,the gap between the two will be maintained for a while.The authors predict that the sector will be faced with restructuring essential medicine system,grading diagnosis and treatment practice,rising risks for health insurance,and growing market shares of commercial health insurance and private capital, as well as fiercer competitions to challenge public hospitals.