IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v11y2019i23p6564-d289293.html
   My bibliography  Save this article

Analysis of the Impact of China’s Hierarchical Medical System and Online Appointment Diagnosis System on the Sustainable Development of Public Health: A Case Study of Shanghai

Author

Listed:
  • Xiaojuan Shen

    (Business School, University of Shanghai for Science and Technology, Shanghai 200093, China)

  • Weixin Yang

    (Business School, University of Shanghai for Science and Technology, Shanghai 200093, China)

  • Shaorong Sun

    (Business School, University of Shanghai for Science and Technology, Shanghai 200093, China)

Abstract

In the study of the sustainable development of public health in China, academic circles have little to do with the unique hierarchical medical system and online appointment diagnosis system in China’s medical system. Therefore, based on the medical situation in Shanghai, China, in addition to the traditional dimension of medical expenses, this paper fully considers the impact of the current hierarchical medical policy, constructs a selection model for medical treatment behavior under the hierarchical medical system and online appointment diagnosis system, and carries out simulation analysis through the cellular automata grid dynamic model. This paper finds that the time-cost-oriented medical treatment behavior of Chinese patients will have different distribution under the current hierarchical medical system and online appointment diagnosis system. (1) When the medical treatment system neither allows online appointment nor referral, a large number of patients congregated in high-grade hospitals, with the most unreasonable distribution. (2) With the implementation of the system of allowing referral and online appointment, patients are gradually diverted to lower-grade hospitals or off-peak hours, and the distribution is relatively improved. (3) If the medical treatment system allows both referral and online appointment, the distribution of patients is the most reasonable. Therefore, China’s current hierarchical medical system and online appointment diagnosis system will, to a considerable extent, become a policy tool that affects patients’ choice of hospitals and an effective means to achieve the rational allocation of existing medical resources, which will play an important role in the sustainable development of public health in China.

Suggested Citation

  • Xiaojuan Shen & Weixin Yang & Shaorong Sun, 2019. "Analysis of the Impact of China’s Hierarchical Medical System and Online Appointment Diagnosis System on the Sustainable Development of Public Health: A Case Study of Shanghai," Sustainability, MDPI, vol. 11(23), pages 1-26, November.
    • Handle: RePEc:gam:jsusta:v:11:y:2019:i:23:p:6564-:d:289293
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/11/23/6564/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2071-1050/11/23/6564/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Xuan Sun & Tao Sun & Yushan Jin & Ya Ping Wang, 2019. "Spatial Organization of Hierarchical Medical Services within the City Proper of Tianjin, China: Towards Efficient Medical Alliances," Sustainability, MDPI, vol. 11(1), pages 1-15, January.
    2. Yang, Miaoqing, 2018. "Demand for social health insurance: Evidence from the Chinese New Rural Cooperative Medical Scheme," China Economic Review, Elsevier, vol. 52(C), pages 126-135.
    3. Guanghui Yuan & Weixin Yang, 2019. "Evaluating China’s Air Pollution Control Policy with Extended AQI Indicator System: Example of the Beijing-Tianjin-Hebei Region," Sustainability, MDPI, vol. 11(3), pages 1-21, February.
    4. Weixin Yang & Lingguang Li, 2017. "Analysis of Total Factor Efficiency of Water Resource and Energy in China: A Study Based on DEA-SBM Model," Sustainability, MDPI, vol. 9(8), pages 1-21, July.
    5. Yunpeng Yang & Weixin Yang, 2019. "Does Whistleblowing Work for Air Pollution Control in China? A Study Based on Three-party Evolutionary Game Model under Incomplete Information," Sustainability, MDPI, vol. 11(2), pages 1-20, January.
    6. Lu, Chen & Zhang, Zixiao & Lan, Xiuting, 2019. "Impact of China's referral reform on the equity and spatial accessibility of healthcare resources: A case study of Beijing," Social Science & Medicine, Elsevier, vol. 235(C), pages 1-1.
    7. Weixin Yang & Lingguang Li, 2017. "Energy Efficiency, Ownership Structure, and Sustainable Development: Evidence from China," Sustainability, MDPI, vol. 9(6), pages 1-26, June.
    8. Yu, Junqing & Zhou, Kaile & Yang, Shanlin, 2019. "Land use efficiency and influencing factors of urban agglomerations in China," Land Use Policy, Elsevier, vol. 88(C).
    9. Yuan, Guanghui & Yang, Weixin, 2019. "Study on optimization of economic dispatching of electric power system based on Hybrid Intelligent Algorithms (PSO and AFSA)," Energy, Elsevier, vol. 183(C), pages 926-935.
    10. Lingguang Li & Weixin Yang, 2018. "Total Factor Efficiency Study on China’s Industrial Coal Input and Wastewater Control with Dual Target Variables," Sustainability, MDPI, vol. 10(7), pages 1-22, June.
    11. Weixin Yang & Lingguang Li, 2017. "Efficiency Evaluation and Policy Analysis of Industrial Wastewater Control in China," Energies, MDPI, vol. 10(8), pages 1-18, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hao Gao & Weixin Yang & Jiawei Wang & Xiaoyun Zheng, 2020. "Analysis of the Effectiveness of Air Pollution Control Policies Based on Historical Evaluation and Deep Learning Forecast: A Case Study of Chengdu-Chongqing Region in China," Sustainability, MDPI, vol. 13(1), pages 1-28, December.
    2. Huanhuan Jia & Peng Cao & Jianxing Yu & Jingru Zhang & Hairui Jiang & Qize Zhao & Xihe Yu, 2021. "A New Perspective for Improving the Human Resource Development of Primary Medical and Health Care Institutions: A Structural Equation Model Study," IJERPH, MDPI, vol. 18(5), pages 1-17, March.
    3. Weixin Yang & Yunpeng Yang, 2020. "Research on Air Pollution Control in China: From the Perspective of Quadrilateral Evolutionary Games," Sustainability, MDPI, vol. 12(5), pages 1-23, February.
    4. Zikang Hao & Mengmeng Zhang & Kerui Liu & Xiaodan Zhang & Haoran Jia & Ping Chen, 2022. "Where Is the Way Forward for New Media Empowering Public Health? Development Strategy Options Based on SWOT-AHP Model," IJERPH, MDPI, vol. 19(19), pages 1-19, October.
    5. Weixin Yang & Yue Hu & Qinyi Ding & Hao Gao & Lingguang Li, 2023. "Comprehensive Evaluation and Comparative Analysis of the Green Development Level of Provinces in Eastern and Western China," Sustainability, MDPI, vol. 15(5), pages 1-23, February.
    6. Bowen Jiang & Yuangang Li & Weixin Yang, 2020. "Evaluation and Treatment Analysis of Air Quality Including Particulate Pollutants: A Case Study of Shandong Province, China," IJERPH, MDPI, vol. 17(24), pages 1-24, December.
    7. Yaqiong Wang & Guanghui Yuan & Ying Yan & Xueliang Zhang, 2020. "Evaluation of Sustainable Urban Development under Environmental Constraints: A Case Study of Jiangsu Province, China," Sustainability, MDPI, vol. 12(3), pages 1-17, February.
    8. Wei, Zhongyu & Bai, Jianjun & Feng, Ruitao, 2023. "Optimization referral rate design for hierarchical diagnosis and treatment system based on accessibility-utilization efficiency bi-objective collaboration: A case study of China," Social Science & Medicine, Elsevier, vol. 322(C).
    9. Chi Zhang & Jun He & Guanghui Yuan, 2020. "An Empirical Analysis on DPRK: Will Grain Yield Influence Foreign Policy Tendency?," Sustainability, MDPI, vol. 12(7), pages 1-25, March.
    10. Yuqing Liao & Yongchao Ma & Jingliang Chen & Ruirui Liu, 2020. "Evaluation of the Level of Sustainable Development of Provinces in China from 2012 to 2018: A Study Based on the Improved Entropy Coefficient-TOPSIS Method," Sustainability, MDPI, vol. 12(7), pages 1-19, March.
    11. Xi Zhang & Chenyang Liu & Xuehan Zhang, 2023. "Research on the Experience of Influencing Elements and the Strategy Model of Children’s Outpatient Medical Services under the Guidance of Design Thinking," Sustainability, MDPI, vol. 15(12), pages 1-42, June.
    12. Weixin Yang & Hao Gao & Yunpeng Yang & Jiacheng Liao, 2022. "Embodied Carbon in China’s Export Trade: A Multi Region Input-Output Analysis," IJERPH, MDPI, vol. 19(7), pages 1-16, March.
    13. Sha Lu & Yiyun Zhao & Zhouqi Chen & Mengke Dou & Qingchun Zhang & Weixin Yang, 2021. "Association between Atrial Fibrillation Incidence and Temperatures, Wind Scale and Air Quality: An Exploratory Study for Shanghai and Kunming," Sustainability, MDPI, vol. 13(9), pages 1-18, May.
    14. Yunpeng Yang & Zhiqiang Liu & Hongmin Chen & Yaqiong Wang & Guanghui Yuan, 2020. "Evaluating Regional Eco-Green Cooperative Development Based on a Heterogeneous Multi-Criteria Decision-Making Model: Example of the Yangtze River Delta Region," Sustainability, MDPI, vol. 12(7), pages 1-20, April.
    15. Weixin Yang & Hao Gao & Yunpeng Yang, 2022. "Analysis of Influencing Factors of Embodied Carbon in China’s Export Trade in the Background of “Carbon Peak” and “Carbon Neutrality”," Sustainability, MDPI, vol. 14(6), pages 1-20, March.
    16. Hao Jin & Shuai Huang, 2021. "Are China’s Water Resources for Agriculture Sustainable? Evidence from Hubei Province," Sustainability, MDPI, vol. 13(6), pages 1-17, March.
    17. Haojie Liu & Jinyue Liu & Weixin Yang & Jianing Chen & Mingyang Zhu, 2020. "Analysis and Prediction of Land Use in Beijing-Tianjin-Hebei Region: A Study Based on the Improved Convolutional Neural Network Model," Sustainability, MDPI, vol. 12(7), pages 1-25, April.
    18. Yang, Yunpeng & Yang, Weixin & Chen, Hongmin & Li, Yin, 2020. "China’s energy whistleblowing and energy supervision policy: An evolutionary game perspective," Energy, Elsevier, vol. 213(C).
    19. Xiaojing Hu & Ping Wang, 2022. "Has China’s Healthcare Reform Reduced the Number of Patients in Large General Hospitals?," IJERPH, MDPI, vol. 19(9), pages 1-11, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yang, Yunpeng & Yang, Weixin & Chen, Hongmin & Li, Yin, 2020. "China’s energy whistleblowing and energy supervision policy: An evolutionary game perspective," Energy, Elsevier, vol. 213(C).
    2. Yuqing Liao & Yongchao Ma & Jingliang Chen & Ruirui Liu, 2020. "Evaluation of the Level of Sustainable Development of Provinces in China from 2012 to 2018: A Study Based on the Improved Entropy Coefficient-TOPSIS Method," Sustainability, MDPI, vol. 12(7), pages 1-19, March.
    3. Haojie Liu & Jinyue Liu & Weixin Yang & Jianing Chen & Mingyang Zhu, 2020. "Analysis and Prediction of Land Use in Beijing-Tianjin-Hebei Region: A Study Based on the Improved Convolutional Neural Network Model," Sustainability, MDPI, vol. 12(7), pages 1-25, April.
    4. Chi Zhang & Jun He & Guanghui Yuan, 2020. "An Empirical Analysis on DPRK: Will Grain Yield Influence Foreign Policy Tendency?," Sustainability, MDPI, vol. 12(7), pages 1-25, March.
    5. Yunpeng Yang & Zhiqiang Liu & Hongmin Chen & Yaqiong Wang & Guanghui Yuan, 2020. "Evaluating Regional Eco-Green Cooperative Development Based on a Heterogeneous Multi-Criteria Decision-Making Model: Example of the Yangtze River Delta Region," Sustainability, MDPI, vol. 12(7), pages 1-20, April.
    6. Hao Gao & Weixin Yang & Jiawei Wang & Xiaoyun Zheng, 2020. "Analysis of the Effectiveness of Air Pollution Control Policies Based on Historical Evaluation and Deep Learning Forecast: A Case Study of Chengdu-Chongqing Region in China," Sustainability, MDPI, vol. 13(1), pages 1-28, December.
    7. Yaqiong Wang & Guanghui Yuan & Ying Yan & Xueliang Zhang, 2020. "Evaluation of Sustainable Urban Development under Environmental Constraints: A Case Study of Jiangsu Province, China," Sustainability, MDPI, vol. 12(3), pages 1-17, February.
    8. Yuangang Li & Maohua Sun & Guanghui Yuan & Yujing Liu, 2019. "Evaluation Methods of Water Environment Safety and Their Application to the Three Northeast Provinces of China," Sustainability, MDPI, vol. 11(18), pages 1-16, September.
    9. Wenhui Zhao & Ruican Zou & Guanghui Yuan & Hui Wang & Zhongfu Tan, 2019. "Long-Term Cointegration Relationship between China’s Wind Power Development and Carbon Emissions," Sustainability, MDPI, vol. 11(17), pages 1-12, August.
    10. Weixin Yang & Hao Gao & Yunpeng Yang & Jiacheng Liao, 2022. "Embodied Carbon in China’s Export Trade: A Multi Region Input-Output Analysis," IJERPH, MDPI, vol. 19(7), pages 1-16, March.
    11. Bowen Jiang & Yuangang Li & Weixin Yang, 2020. "Evaluation and Treatment Analysis of Air Quality Including Particulate Pollutants: A Case Study of Shandong Province, China," IJERPH, MDPI, vol. 17(24), pages 1-24, December.
    12. Hao Jin & Shuai Huang, 2021. "Are China’s Water Resources for Agriculture Sustainable? Evidence from Hubei Province," Sustainability, MDPI, vol. 13(6), pages 1-17, March.
    13. Weixin Yang & Yunpeng Yang, 2020. "Research on Air Pollution Control in China: From the Perspective of Quadrilateral Evolutionary Games," Sustainability, MDPI, vol. 12(5), pages 1-23, February.
    14. Ying Yan & Yuangang Li & Maohua Sun & Zhenhua Wu, 2019. "Primary Pollutants and Air Quality Analysis for Urban Air in China: Evidence from Shanghai," Sustainability, MDPI, vol. 11(8), pages 1-18, April.
    15. Yuangang Li & Maohua Sun & Guanghui Yuan & Qi Zhou & Jinyue Liu, 2019. "Study on Development Sustainability of Atmospheric Environment in Northeast China by Rough Set and Entropy Weight Method," Sustainability, MDPI, vol. 11(14), pages 1-22, July.
    16. Xiaodan Wang & Zhengyu Yang, 2019. "Application of Fuzzy Optimization Model Based on Entropy Weight Method in Atmospheric Quality Evaluation: A Case Study of Zhejiang Province, China," Sustainability, MDPI, vol. 11(7), pages 1-19, April.
    17. Guanghui Yuan & Weixin Yang, 2019. "Evaluating China’s Air Pollution Control Policy with Extended AQI Indicator System: Example of the Beijing-Tianjin-Hebei Region," Sustainability, MDPI, vol. 11(3), pages 1-21, February.
    18. Xueyan Liu & Xiaolong Gao, 2018. "A New Study on Air Quality Standards: Air Quality Measurement and Evaluation for Jiangsu Province Based on Six Major Air Pollutants," Sustainability, MDPI, vol. 10(10), pages 1-16, October.
    19. Qiao Peng & Yao Xiao, 2020. "Will Third-Party Treatment Effectively Solve Issues Related to Industrial Pollution in China?," Sustainability, MDPI, vol. 12(18), pages 1-15, September.
    20. Yunpeng Yang & Weixin Yang, 2019. "Does Whistleblowing Work for Air Pollution Control in China? A Study Based on Three-party Evolutionary Game Model under Incomplete Information," Sustainability, MDPI, vol. 11(2), pages 1-20, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsusta:v:11:y:2019:i:23:p:6564-:d:289293. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.