考虑转诊率的健康服务质量及定价决策研究

doi:10.16381/j.cnki.issn1003-207x.2021.1516

Abstract

Abstract:

Due to the improvement of people's health awareness and implement of the ‘Big Health’ government strategy， lots of health service institutions have been established one after another and a new kind of health service supply chain forms in China. The key operation problems in these supply chains， such as service pricing and quality of health service institution and service quality of hospital， are studied innovatively based on the referral between health service institutions and hospitals in the paper.A patient utility model， centralized and decentralized supply chain operations model are built for analyzing the impact of referral service fee on the optimal pricing， service quality and profit. The function of referral rate is this paper’s highlight which is related to health complexity and health service quality. Because the health service supply chain’s efficiency is lowered by the existence of referral service fee， the coordination of supply chain is dealt with by the penalty contract and cost sharing contract.It is found that　（1） in a centralized health service supply chain， the optimal health service quality， medical service quality and service pricing can be obtained simultaneously. When health service quality and medical service quality are first determined， the health service price is increased with two service quality above. And then if the medical service quality is first determined， health service quality is negatively correlated with it. Two kind of service qualities are decreased with the health complexity. Health service quality is negatively correlated with referral rate， and health service price and medical service quality are decreased with referral rate. （2） In the decentralized health service supply chain， the medical service quality is decreased with that of health and related with referral service fee， but it is independent of the health service price. Given some an operation condition， the health service quality， medical service quality and the overall profit of the supply chain is decreased with the referral service fee. The profit of health service institutions is also decreased with the referral service fee， while that of hospital is first increased and then decreased. （3） Under a condition， the Pareto improvement of the health service supply chain can be achieved by the penalty contract， but the coordination cannot be realized. While the health service supply chain can be coordinated by the cost sharing contract.

Key words: health service supply chain, service quality, pricing, referral rate

CLC Number:

F272.3

Junxiu Jia,Yishu Hou,Li Du. Service Quality and Pricing Decision of Health Operation with Referral Rate[J]. Chinese Journal of Management Science, 2024, 32(6): 109-119.

Figures/Tables 8

决策情境	$p s$	$l s$	$l h$	$w$	$π s$	$π h$	$π$	供应链效率
集中决策	1	0.5714	1.1429	/	/	/	0.6857	1
分散决策	1.2033	0.3332	0.7971	1	0.2916	0.2016	0.4932	0.7193
惩罚契约	1	0.5714	1.1429	0.57	0.6135	0.0710	0.6845	0.9983
成本共担契约	1	0.5714	1.1429	0.58	0.4258	0.2599	0.6857	1

References 23

1	武留信，曾强. 中华健康管理学［M］. 北京：人民卫生出版社， 2016.
	Wu L X， Zeng Q. Chinese health management［M］. Beijing： People's Medical Publishing House， 2016.
2	郭熙铜，张晓飞，刘笑笑，等. 数据驱动的电子健康服务管理研究：挑战与展望［J］. 管理科学， 2017， 30（1）： 3—14.
	Guo X T， Zhang X F， Liu X X， et al. Ehealth service management research in the big data era： Challenges and future directions［J］. Journal of Management Science， 2017， 30（1）： 3—14.
3	Prasad S K， Shankar R. Service capacity coordination in IT services supply chain［J］. Journal of Modelling in Management. 2018， 13（4）： 952—972.
4	马跃如，易丹，胡韩莉. 基于服务质量控制的养老服务供应链协调研究［J］. 管理工程学报， 2020， 34（4）： 109—118.
	Ma Y R， Yi D， Hu H L. Research of old-age service supply chain coordination based on service quality control［J］. Journal of Industrial Engineering and Engineering Management， 2020， 34（4）： 109—118.
5	高凌宇，王效俐. 收益共享契约下引入社会效益的医疗服务供应链协调［J］. 软科学， 2018， 32（8）：91—97.
	Gao L Y， Wang X L. Study on coordination in medical service supply chains with social benefit under revenue sharing contract［J］. Soft Science， 2018， 32（8）： 91—97.
6	Gao L Y， Wang X L. Healthcare supply chain network coordination through medical insurance strategies with reference price effect［J］. International Journal of Environmental Research and Public Health， 2019， 16（18）： 3479.
7	Elodie A， Fernanda B. Contracts for healthcare referral services： Coordination via outcome-based penalty contracts［J］. Management Science， 2019， 65（3）： 1322—1341.
8	徐娜，白世贞. 服务质量影响市场需求下资金约束型网购供应链协调研究［J］. 中国管理科学， 2020， 28（10）： 109—117.
	Xu N， Bai S Z. E-commerce supply chain coordination with capital constraints under service quality affecting market demand［J］. Chinese Journal of Management Science， 2020， 28（10）： 109—117.
9	高凌宇，王效俐. 基于患者选择行为的医疗服务供应链定价与协调机制研究［J］. 管理学报， 2020， 17（3）： 422—430.
	Gao L Y， Wang X L. Research on pricing strategy and coordination of medical service supply chain based on patient choice［J］. Chinese Journal of Management，2020， 17（3）： 422—430.
10	Kaya O， Teymourifar A， Ozturk G. Public and private healthcare coordination： An analysis of contract mechanisms based on subsidy payments［J］. Computers & Industrial Engineering， 2020， 146： 106526.
11	Wang X L， Zhang Z Y， Yang L， et al. Price and capacity decisions in a telemedicine service system under government subsidy policy［J］. International Journal of Production Research， 2020， 59（17）： 5130—5143.
12	Shumsky R A， Pinker E J. Gatekeepers and Referrals in Services［J］. Management Science， 2003， 49（7）： 839—856.
13	Liu X Y， Cai X Q， Zhao R Q， et al. Mutual referral policy for coordinating health care systems of different scales［J］.International Journal of Production Research， 2015， 53（24）： 7411—7433.
14	Lu C， Zhang Z X， Lan X T. Impact of China's referral reform on the equity and spatial accessibility of healthcare resources： A case study of Beijing［J］. Social Science & Medicine， 2019， 235： 112386.
15	李忠萍，王建军，单巍. 基于分级诊疗体系的下转决策及支付机制研究［J］. 系统工程理论与实践， 2019， 39（8）： 2126—2137.
	Li Z P， Wang J J， Shan W. Downstream referral decisions and payments mechanism in a hierarcal healthcare system［J］. Systems Engineering-Theory & Practice， 2019， 39（8）： 2126—2137.
16	王磊，但斌. 考虑零售商保鲜和消费者效用的生鲜农产品供应链协调［J］. 运筹与管理， 2015， 24（5）： 44—51.
	Wang L， Dan B. Coordination of fresh agricultural supply chain considering retailer’s freshness-keeping and consumer utility［J］. Operations Research and Management Science， 2015， 24（5）： 44—51.
17	Zhou W， Chao X， Gong X. Optimal uniform pricing strategy of a service firm when facing two classes of customers［J］. Production and Operations Management， 2014， 23（4）： 676—688.
18	Yaesoubi R， Roberts S D. A game-theoretic framework for estimating a health purchaser's willingness-to-pay for health and for expansion［J］. Health Care Management Science， 2010， 13（4）：358—377.
19	邹清明，胡李庆，邹霆钧. 碳限额与碳交易机制下考虑公平关切的供应链定价与协调研究［J］. 中国管理科学， 2022， 30（10）：142—133.
	Zou Q M， Hu L Q， Zou T J. Pricing and coordination of a supply chain with fairness concerns under carbon cap-and-trade mechanism［J］. Chinese Journal of Management Science， 2022， 30（10）：142—155.
20	郭英，刘志学，覃雪莲. 考虑质量成本的物流服务供应链纵向整合策略研究［J］. 中国管理科学， 2022， 30（9）：140—152.
	Guo Y， Liu Z X， Qin X L. Vertical integration strategy for logistics service supply chain considering quality cost［J］. Chinese Journal of Management Science， 2022， 30（9）：140—152.
21	肖迪，潘可文. 基于收益共享契约的供应链质量控制与协调机制［J］. 中国管理科学， 2012， 20（4）： 67-73.
	Xiao D， Pan K W. Quality control and coordination mechanism in supply chain based on revenue sharing contract［J］. Chinese Journal of Management Science， 2012， 20（4）： 67—73.
22	Yue J F， Austin J， Huang Z M， et al. Pricing and advertisement in a manufacturer-retailer supply chain［J］. European Journal of Operational Research， 2013， 231（2）： 492—502.
23	Chao G H， Iravani S M R， Savaskan R C. Quality improvement incentives and product recall cost sharing contracts［J］. Management Science， 2009， 55（7）： 1122—1138.

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Service Quality and Pricing Decision of Health Operation with Referral Rate

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