Agent-Based Modeling and Simulation (ABMS)on the influence of adjusting medical service fees on patients' choice of medical treatment

BMC Health Services Research

Research Article

Moning Guo¹  Wensheng Ju¹  Danhui Li²  Jia Yang³  Ning Zhao³  Jin Li³ 

[1] Beijing Municipal Health Big Data and Policy Research Center, No.277 Zhaodengyu Road, 100034, Beijing, China;Office of Medical Affairs, Shaanxi Provincial People’s Hospital, No. 256 Youyi West Road, Beilin District, 710068, Xi’an, Shaanxi, China;School of Public Health, Capital Medical University, No. 10 Xitoutiao, You’anmen Wai, Fengtai District, 100069, Beijing, China;

关键词: Differentiated medical service prices;    Simulation model;    Behavior of seeking medical services;    Simulation experiment;   

DOI  :  10.1186/s12913-023-09933-3

 received in 2022-10-10, accepted in 2023-08-14,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundWe 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.MethodsAccording 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.ResultsThe 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.ConclusionsBeijing 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.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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