| 摘要: |
| 文章研究了轻症患者和重症患者就医行为选择和分级诊疗体系之间的理论机制。异质性病患在自由就诊选择模式下，轻症病诊疗服务市场和重症病诊疗服务市场存在结构性需求不平衡，在重症病医疗服务市场上，轻症病患者会挤占重症病患者的医疗资源；在分级诊疗模式下，轻症病医疗服务市场和重症病医疗服务市场都达到了均衡，不存在轻症病患者挤占重症病患者医疗资源的情况；在分级诊疗服务体系下，最优的分级医疗机构空间布局是一个综合性专业位于市中心，而基础性诊疗机构位于社区中心。 |
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| A theoretical framework of how medical help-seeking behavior influences hierarchical medical system |
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| Abstract: |
| This paper provides a theoretical framework of how medical help-seeking behavior influences hierarchical medical system. Under the model of free medical help-seeking behavior of heterogeneous patients, there exists structural unbalance of demand in mild disease medical service market and heavy disease medical service market. In the heavy disease service market, mild disease patients crowd out the opportunity of access to medical service. While in the hierarchical medical system, both of the mild disease medical service market and the heavy disease medical service market reach equilibrium, under which circumstances there is no crowding out of medical chance of heavy disease patients. In the hierarchical medical system, we also find that the best geographical location of general hospital is in the center of a city and the best geographical location of basic hospital is in the center of each community |
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