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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

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  • 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
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    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.
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