基于三支决策的医院分级诊疗决策研究  

Research on the decision-making of hospitals based on three decisions

作　　者：仇国芳[1] 王小宁 Qiu Guofang;Wang Xiaoning(School of Management,Xi'an University of Architecture&Technology,Xi'an 710055,China))

机构地区：[1]西安建筑科技大学管理学院,西安710055

出　　处：《河南师范大学学报（自然科学版）》2018年第3期106-111,共6页Journal of Henan Normal University(Natural Science Edition)

基　　金：陕西省自然科学基础研究项目(2015JM7363);教育部人文社科基金(12YJA630019)

摘　　要：人口众多与医疗资源不均衡加剧了看病难问题,分级诊疗是我国医疗改革的重要举措之一.通过引入三支决策理论,将分级诊疗分为就诊、住院观察和转院3个决策类型,在考虑患者分诊风险的基础上,利用贝叶斯理论求得决策阈值,从而给出了分级诊疗的定量决策方法,通过实例验证了三支决策在分级诊疗决策研究中的可行性.The problem of difficulty in seeing a doctor is exacerbated by the large population and unbalanced medical resources.Grading medical diagnosis and treatment from classification of patients is one of the important polices in China's health care reform.This paper introduces theory of three-way decisions into grading medical diagnosis and treatment.Three hierarchical medical diagnosis and treatment are called outpatient,hospitalization,and transferring to other hospital.Based on the treatment risk of patients,we use Bayesian theory to obtain the decision threshold from three-way decisions.Thus a kind of quantitative decision-making method is constructed and its feasibility is illustrated by a medical example.

关 键 词：资源配置 分级诊疗 三支决策 贝叶斯决策 

分 类 号：TB114.1[理学—运筹学与控制论]