行为经济学视角下等待时间知觉对急诊患者候诊时间的优化研究  

Optimization Research on the Perceived Waiting Time on Waiting Time of Emergency Patients from the Perspective of Behavioral Economics

作　　者：娄佳旭 赵若楠 刘美 邓嘉慧[1,2] 王健 左根永 Lou Jiaxu;Zhao Ruonan;Liu Mei(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan,250012,China;NHC Key Lab of Health Economics and Policy Research(Shandong University),Jinan,250012,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),济南250012

出　　处：《中国卫生经济》2023年第10期1-3,共3页Chinese Health Economics

基　　金：国家自然科学基金项目(71774102)。

摘　　要：目的:针对普通急诊患者候诊等待时间知觉延长造成的主观“看病难”问题进行行为经济学分析并提供建议。方法:基于行为经济学的前景理论,解释候诊时间知觉延长的作用机制,构建急诊患者整体等待时间体验的分析模型并提出优化策略。结果:急诊流程问题使患者将自己置于损失选择框架中,从而造成候诊时间认知障碍。患者将就医前的状态作为参照点,导致非理性的候诊时间投资。对候诊时间较长事件的概率权重低估,加剧了患者负向情绪,延长了主观候诊时间。结论:选择框架改变、损益参照点干预及概率权重偏差调整进行急诊患者的候诊认知管理有助于改善患者整体就诊时间评估。Objective:It analyzes the problem of accessibility of health care caused by the prolonged perceived waiting time of or⁃dinary emergency patients with behavioral economics and provides suggestions.Methods:It explains the mechanism of the perceived extension of waiting time based on the prospect theory,constructs an analysis model of the waiting time experience of emergency pa⁃tients,then proposes optimization strategies.Results:The problems of emergency procedures make patients put themselves in the frame of loss choice,resulting in cognitive impairment of waiting time.Patients take the state before medical treatment as the reference point,leading to irrational waiting time investment.The underestimation of the probability weight of long waiting time will aggravate the negative emotions of patients and prolong the subjective waiting time.Conclusion:By changing the selection frame,intervening the reference point and adjusting the probability weighting bias,the waiting cognitive management of emergency patients is helpful to improve the overall evaluation of patients’visit time.

关 键 词：等待时间知觉 急诊患者 患者认知 行为经济学 前景理论 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F019.6[经济管理—政治经济学]