互联网医院运作模式下服务能力分配策略研究  

Service capacity allocation strategy under internet hospital operation mode

作　　者：李忠萍 朱子坤 代宗利 LI Zhongping;ZHU Zikun;DAI Zongli(School of Business,Anhui University,Hefei 230601,China;School of Business,Shandong University,Weihai 264209,China)

机构地区：[1]安徽大学商学院,合肥230601 [2]山东大学商学院,威海264209

出　　处：《系统工程理论与实践》2025年第1期176-191,共16页Systems Engineering-Theory & Practice

基　　金：教育部人文社会科学研究青年基金(21YJC630070);国家自然科学基金(72101001,72401167)。

摘　　要：针对当前我国互联网医院运作中的医疗服务资源分布不均衡难题,研究医疗渠道服务能力分配策略与医疗服务体系的运营绩效问题.通过构建排队论框架下的序贯博弈决策模型,探讨企业、医院及患者各主体间的动态决策关系,获得支付价格、服务能力分配率及各渠道患者就诊率的均衡决策.研究结果表明,互联网医院服务模式下,实体医院分配给平台的服务能力取决于需求量和线下线上渠道患者诊疗时间比率.当线下线上渠道患者诊疗时间比率较为中等且需求量较小时,应将部分服务能力分配给线上渠道,剩余能力留给医院,使两种渠道共存于市场.否则,仅有单渠道存在于市场,即无论需求量大,还是需求量小,若线下线上渠道患者诊疗时间比率较大时,全部服务能力应分配给平台,仅开展线上医疗服务;若两种渠道患者诊疗时间比率较小,全部服务能力都留给实体医院,仅开展线下服务.重要的是发现,医院主导型互联网医院更有利于运营利润和社会福利提升,但企业主导型互联网医院对患者等待时间降低和患者福利提高更有利.Aiming at the problem of imbalanced medical service resources in the current operation of Internet hospitals,this paper studies the service capacity allocation strategy between offline and online channels and the operations performance of the healthcare service system.By constructing the sequential game decision-making model in a queueing framework,we analyze the dynamic interaction relationships among enterprises,hospitals,and patients,and then obtain the equilibrium decisions including the payment price,service capacity allocation rate,and patient visit rates of each channel.The results show that under the Internet hospital service model,the amount of resources allocated to the platform by the hospital mainly depends on the demand and ratio of treatment time for patients in offline and online channels.For a small demand size,only when the ratio of treatment time for patients in offline and online channels is moderate,part of the service capacity should be allocated to the online channel,and the remaining capacity should be reserved for the hospital such that the two channels coexist in the market.Otherwise,whether the demand is large or small,only one channel can exist in the market.Specifically,when the ratio of treatment time for patients in offline and online channels is large,all resources should be allocated to the platform such that only online services should be carried out.When the ratio of treatment time for patients in offline and online channels is small,all resources should be left to the hospital such that only offline services should be carried out.Furthermore,one hospital-led Internet hospital is more conducive to the improvement of operating profits and social welfare,but one enterprise-led Internet hospital is more beneficial to the reduction of wait times and improvement of patient welfare.

关 键 词：互联网医院运作 线上线下渠道 资源分配 社会福利 博弈排队论 

分 类 号：C935[经济管理—管理学]