医疗服务市场质量竞争博弈模型

段金利,张岐山

系统科学与数学 ›› 2017, Vol. 37 ›› Issue (12) : 2389-2399.

PDF(519 KB)
PDF(519 KB)
系统科学与数学 ›› 2017, Vol. 37 ›› Issue (12) : 2389-2399. DOI: 10.12341/jssms13314
论文

 医疗服务市场质量竞争博弈模型

    段金利1,2,张岐山1
作者信息 +

The Game Model of the Quality Competition Under the   Medical Service Market

    DUAN Jinli 1,2 ,ZHANG Qishan1
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文章历史 +

摘要

以社会福利最大化为目标, 建立双寡头垄断下医疗机构质量价格序贯博弈模型, 以及在医疗服务价格和财政补偿双重规制下的政府和医疗机构之间的两阶段博弈模型. 研究发现: 由于医疗服务市场价格竞争削弱了质量竞争效应, 序贯博弈的纳什均衡质量低于以社会福利最大化为目标的社会均衡质量. 当医疗机构的固定成本控制在某个范围时, 政府双重规制下的均衡质量优于医疗机构质量价格序贯博弈下的均衡质量, 从而从理论上证明了政府双重规制的有效性.

Abstract

Medical service market is different from other markets where market-based solutions are often proposed to improve quality. This paper analyzes whether it is free competition or government regulation in the medical service market to improve the quality. Based on social welfare maximization as the goal, this paper establishes quality price sequential game model under a duopoly medical service market, and two-phase game model between the government and medical institutions under the dual regulation of price and financial compensation. The Nash equilibrium quality of sequential game is lower than the social balance quality because price competition weakens the quality competition effect. If fixed cost in quality investment is controlled in certain range, the quality under the dual regulation in price and financial compensation is better than the quality under the sequential game. So it proves that the government's dual regulation in price and financial compensation is effective.

关键词

医疗服务市场 / 质量竞争 / 序贯博弈 / 价格规制 / 财政补偿.

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段金利 , 张岐山.  医疗服务市场质量竞争博弈模型. 系统科学与数学, 2017, 37(12): 2389-2399. https://doi.org/10.12341/jssms13314
DUAN Jinli , ZHANG Qishan. The Game Model of the Quality Competition Under the   Medical Service Market. Journal of Systems Science and Mathematical Sciences, 2017, 37(12): 2389-2399 https://doi.org/10.12341/jssms13314
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