Research On The Choice Of Service Mode And Decision Optimization Of Telemedicine

As a new way of healthcare service delivery method in the information age,telemedicine promotes the sinking of high-quality medical resources to the grassroots level,and provides a new way to solve the problem of poor access to health care service in China.With the guidance of national policies and the establishment of telemedicine centers across the country,the demand for telemedicine service has increased sharply,and telemedicine service gradually becomes a hot and difficult point in the field of health care service research.In view of this,this paper focuses on the operation of telemedicine service,and comprehensively uses a series of methods such as queuing game theory,optimization theory and numerical analysis,to study public hospital proprietary telemedicine service mode(PTS)and the third-party telemedicine service mode(TTS),and study service price and service capacity decisions of the public hospital and telemedicine firm.The interaction between the the public hospital and telemedicine firm also has been specifically inverstigated.Besides,this article also analyzes the impact of government financial and policy intervention measures on the healthcare service system.First of all,under the PTS service mode,this paper considers the impact of patients' online and offline waiting time costs,transportation cost and telemedicine mistreatment rate on patients' behavior.Mathematical model is constructed to study the interaction between patients' behavior and service capacity decision of the public hospital in the service process.Then,this paper systematically discusses whether public hospitals should adopt gatekeeper service strategy or dual-channel service strategy when providing online and offline services,as well as the advantages and disadvantages and application of different service strategies.The results show that the introduction of telemedicine can reduce the total cost of healthcare service system,and patients treated in the online or offline channels can both benefit from it.For patients in remote areas or more sensitive of offline waiting,the introduction of the telemedicine can greatly improve their utilities.In addition,under the PTS service mode,the dual-channel service strategy is more flexible than the gatekeeper service strategy,and there exists an optimal market share for the online and offline service channels under the dualchannel service strategy.Secondly,this paper considers the TTS service mode,which includes a public hospital and a third-party telemedicine firm.Queuing game theory is used to study the service price and service capacity decisions of the public haopsital and the telemedicine firm,and the interaction between the healthcare institutions is discussed.Besides,this paper further analyzes the impact of government subsidy and price-cap regulation on the decisions of the healthcare institutions,and compares the effects of this two government intervention methods on improving social welfare and reducing online and offline waiting times.The results showed that the influence between the public hospital and the telemedicine firm is unilateral.The service price and capacity decisions of the telemedicine firm will not affect the service capacity decision of the public hospital.No matter under the government subsidy or pricecap regulation,the introduction of telemedicine always can improve the social welfare of this service system and reduce patients' online and offline waiting times,especially in rural areas with inconvenient transportation and lack of medical resources.The introduction of price-cap regulation can regulate the price of telemedicine service,but it will also reduce the profit of the telemedicine firm and increase patients' online and offline waiting times.Finally,this paper studies patients' choice and service price and capacity decisions of the healthcare institutions under PTS service mode and TTS service mode.A numerical example is used to further compare the impacts of the PTS service mode and TTS service mode on improving social welfare,total patients' untility,and shortening online and offline waiting times.The results show that the introduction PTS service mode can improve the patients' utility and social welfare,but the waiting time also increases.The introduction of TTS sercice mode has no impact on the service capacity decision of the public hospital.What's more,when government subsidy rate is low,the introduction of the TTS sercice mode is better than the PTS service mode in terms of shortening online waiting time,increasing patients' utility and social welfare.In addition,when government service fee compensation is high,patients have a low rate of severe diseases or the telemedicine technology is highly developed,the introduction of PTS sercice mode will be better.This paper has enriched t theoretical research on patients' choice behavior,government intervention and telemedicine service operation.It also provides important theoretical reference for the government to formulate related policies,and provided operation suggestions for healthcare institutions to implement telemedicine service,so as to promote the application of telemedicine service.