Doctor-patient Matching Management That Considers The Doctor’s Competence And The Patient’s Medical Needs In First Diagnosis

With the continuous development of the medical system,medical services have become one of the important services of social concern.Even under the hierarchical diagnosis and treatment system,there is still an uneven distribution of resources such as "large hospitals are overcrowded and small hospitals are unattended".At present,there are many studies on hierarchical diagnosis and treatment in China,but there is still a lack of research on the matching of doctors and patients in hierarchical diagnosis and treatment.In particular,the matching efficiency of doctors and patients is still one of the issues that need to be studied.To this end,this article starts from practical applications and studies the problem of doctor-patient bilateral matching that takes into account the doctor’s competence and the patient’s condition during the first diagnosis.First,the doctor’s competency model in the first consultation process is studiedand then the doctor-patient evaluation system is constructed based on the competency model and the characteristics of the patient’s condition.Finally,the doctor-patient multi-objective bilateral matching decision-making plan is constructed based on the doctor-patient evaluation system to guide the medical federation Doctor-patient matching work on the hospital platform and the Internet platform.The specific work content of this paper is as follows:(1)Establish a competency model for doctors at the first consultation stage.In previous studies,doctors’ competency models have always considered the job competence of general practitioners,but some job competencies are not important for first-visit patients.Therefore,this article starts from the perspective of the patient,takes the first diagnosis as the background,and considers the competence required by the doctor during the first diagnosis.Through the empirical method of questionnaire survey,the influencing factors of doctors’ competence in the first consultation stage are studied,including four dimensions of "first consultation skills,knowledge and experience,professionalism and service abilities".(2)Establish a doctor-patient evaluation system.Based on the doctor’s competency model at the first consultation stage,considering the influence of different levels of hospitals under the medical consortium,the patient preference index is constructed through mathematical modeling,which becomes the evaluation index of patients to doctors;at the same time,doctors are given to choose patients The power of collecting patients’ "cooperation degree,emergency situation,resource needs" and other information by constructing patient user portraits,and constructing doctor preference index through mathematical modeling method,which becomes the evaluation index of doctors to patients.Finally,the patient preference index and the doctor preference index together constitute the doctor-patient evaluation system,which can be used to objectively quantify the mutual evaluation between doctors and patients.(3)Constructed a two-stage matching decision-making plan based on the patient’s emergency.Patients are divided into two types: emergency patients and non-emergency patients,respectively.Doctor-patient matching schemes are designed: for emergency patients,priority matching is performed through the extended application of the HR algorithm;for non-emergency patients,a “maximum patient score” is designed.It is an optimization model with the goal of “optimization,the maximization of doctor’s score and the largest number of matches” and the constraint of “first consultation price”.The two models together constitute a doctor-patient matching decision plan based on the patient’s emergency.Finally,taking a hospital as an example,an empirical study was conducted with the Department of Respiratory System as the research department to verify the accuracy and practicability of the model.