IDEAS home Printed from https://ideas.repec.org/a/spr/jcomop/v44y2022i4d10.1007_s10878-021-00763-9.html
   My bibliography  Save this article

Study on the incentive and coordination mechanism of tumor healthcare alliance based on evolutionary game

Author

Listed:
  • Gengjun Gao

    (Shanghai Maritime University)

  • Zhen Wu
  • Shuyun Wang

    (Shanghai First Maternity and Infant Hospital)

Abstract

The healthcare alliance (HA) of malignant tumor specialist can promote the integration and development of tumor medical resources and play an important role in safeguarding people’s health. Nevertheless, conflicting interests between the involved stakeholders in the alliance impede the implementation of HA with effect. This paper divided the study of incentive coordination mechanism of supply chain in HA into two basic games, that is, under the government and medical insurance institution intervention, we respectively constructed the evolutionary game model between the tumor HA and patients, tertiary hospitals (TH) and member hospitals (MH) that are low utilized (eg. Secondary and Primary hospitals) within the alliance. Then the evolutionary stable strategies for two participants of each game are discussed and the influence of key parameters on the evolution trajectory are analyzed. Finally, numerical simulations are conducted to verify the theoretical results. The results found that “differentiated reimbursement rates for medical insurance”, “increasing government subsidies”, “enhancing the reputational impact of the different strategies of the HA” and “reducing the support costs of HA to MH” are conducive to improving primary medical service capabilities and guiding patients to go to PH for the first diagnosis. In addition, “increasing government subsidies”, “reducing sharing spillover effect caused by unilateral cooperation” and “reducing the costs of cooperation” can promote both sides to collaborate with each other to form a community of interests. Moreover, the initial strategy proportion of stakeholders would affect the evolutionary trajectories.

Suggested Citation

  • Gengjun Gao & Zhen Wu & Shuyun Wang, 2022. "Study on the incentive and coordination mechanism of tumor healthcare alliance based on evolutionary game," Journal of Combinatorial Optimization, Springer, vol. 44(4), pages 2577-2597, November.
    • Handle: RePEc:spr:jcomop:v:44:y:2022:i:4:d:10.1007_s10878-021-00763-9
    DOI: 10.1007/s10878-021-00763-9
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10878-021-00763-9
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10878-021-00763-9?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Zhongsheng Hua & Wuhua Chen & Zhe George Zhang, 2016. "Competition and Coordination in Two-Tier Public Service Systems under Government Fiscal Policy," Production and Operations Management, Production and Operations Management Society, vol. 25(8), pages 1430-1448, August.
    2. Zhou, Wenhui & Wan, Qiang & Zhang, Ren-Qian, 2017. "Choosing among hospitals in the subsidized health insurance system of China: A sequential game approach," European Journal of Operational Research, Elsevier, vol. 257(2), pages 568-585.
    3. Xi Chen & Liu Zhao & Haiming Liang & Kin Keung Lai, 2019. "Matching patients and healthcare service providers: a novel two-stage method based on knowledge rules and OWA-NSGA-II algorithm," Journal of Combinatorial Optimization, Springer, vol. 37(1), pages 221-247, January.
    4. Chen, Yi & Ding, Shuai & Zheng, Handong & Zhang, Youtao & Yang, Shanlin, 2018. "Exploring diffusion strategies for mHealth promotion using evolutionary game model," Applied Mathematics and Computation, Elsevier, vol. 336(C), pages 148-161.
    5. Xiaoyu Liu & Xiaoqiang Cai & Ruiqing Zhao & Yanfei Lan, 2015. "Mutual referral policy for coordinating health care systems of different scales," International Journal of Production Research, Taylor & Francis Journals, vol. 53(24), pages 7411-7433, December.
    6. Pengfei Guo & Christopher S. Tang & Yulan Wang & Ming Zhao, 2019. "The Impact of Reimbursement Policy on Social Welfare, Revisit Rate, and Waiting Time in a Public Healthcare System: Fee-for-Service Versus Bundled Payment," Service Science, INFORMS, vol. 21(1), pages 154-170, January.
    Full references (including those not matched with items on IDEAS)

    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. Zhou, Cuihua & Lan, Yanfei & Li, Weifeng & Zhao, Ruiqing, 2022. "Medicare policies in a two-Tier healthcare system with overtreatment," Omega, Elsevier, vol. 109(C).
    2. Li, Zhong-Ping & Chang, Aichih (Jasmine) & Zou, Zongbao, 2023. "Design mechanism to coordinate a hierarchical healthcare system: Patient subsidy vs. capacity investment," Omega, Elsevier, vol. 118(C).
    3. Zhong-Ping Li & Jian-Jun Wang & Ai-Chih Chang & Jim Shi, 2021. "Capacity reallocation via sinking high-quality resource in a hierarchical healthcare system," Annals of Operations Research, Springer, vol. 300(1), pages 97-135, May.
    4. Wang, Jian-Jun & Li, Zhong-Ping & Shi, Jim (Junmin) & Chang, Ai-Chih (Jasmine), 2021. "Hospital referral and capacity strategies in the two-tier healthcare systems," Omega, Elsevier, vol. 100(C).
    5. Jianpei Wen & Hanyu Jiang & Jie Song, 2019. "A Stochastic Queueing Model for Capacity Allocation in the Hierarchical Healthcare Delivery System," Asia-Pacific Journal of Operational Research (APJOR), World Scientific Publishing Co. Pte. Ltd., vol. 36(01), pages 1-24, February.
    6. Wang, Fan & Xu, Danni & Zhuo, Xiaopo & Zhang, Chao & Liu, Yaoqi, 2022. "Improving consumer welfare in vaccine market: Pricing, government subsidies and consumer awareness," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 167(C).
    7. Fainman, Emily Zhu & Kucukyazici, Beste, 2020. "Design of financial incentives and payment schemes in healthcare systems: A review," Socio-Economic Planning Sciences, Elsevier, vol. 72(C).
    8. Li, Zhong-Ping & Wang, Jian-Jun, 2021. "Effects of healthcare quality and reimbursement rate in a hospital association," Socio-Economic Planning Sciences, Elsevier, vol. 76(C).
    9. Cao, Xuejing & Rajagopalan, Sampath & Tong, Chunyang, 2024. "Impact of vertical integration in a referral-based healthcare system," Omega, Elsevier, vol. 123(C).
    10. Wang, Ziwei & Chen, Hongmin & Luo, Jun & Wang, Chunming & Xu, Xinyi & Zhou, Ying, 2024. "Sharing service in healthcare systems: A recent survey," Omega, Elsevier, vol. 129(C).
    11. Fernanda Bravo & Retsef Levi & Georgia Perakis & Gonzalo Romero, 2023. "Care coordination for healthcare referrals under a shared‐savings program," Production and Operations Management, Production and Operations Management Society, vol. 32(1), pages 189-206, January.
    12. Yu, Yanan & He, Yong & Zhao, Xuan, 2021. "Impact of demand information sharing on organic farming adoption: An evolutionary game approach," Technological Forecasting and Social Change, Elsevier, vol. 172(C).
    13. Suyuan Luo & Tsan‐Ming Choi, 2022. "E‐commerce supply chains with considerations of cyber‐security: Should governments play a role?," Production and Operations Management, Production and Operations Management Society, vol. 31(5), pages 2107-2126, May.
    14. Yang, Nan & Shen, Liyin & Shu, Tianheng & Liao, Shiju & Peng, Yi & Wang, Jinhuan, 2021. "An integrative method for analyzing spatial accessibility in the hierarchical diagnosis and treatment system in China," Social Science & Medicine, Elsevier, vol. 270(C).
    15. Niu, Baozhuang & Xu, Haotao & Dai, Zhipeng, 2022. "Check Only Once? Health Information Exchange between Competing Private Hospitals," Omega, Elsevier, vol. 107(C).
    16. Kaya, Onur & Teymourifar, Aydin & Ozturk, Gurkan, 2020. "Analysis of different public policies through simulation to increase total social utility in a healthcare system," Socio-Economic Planning Sciences, Elsevier, vol. 70(C).
    17. Wenhui Zhou & Weixiang Huang & Vernon N. Hsu & Pengfei Guo, 2023. "On the Benefit of Privatization in a Mixed Duopoly Service System," Management Science, INFORMS, vol. 69(3), pages 1486-1499, March.
    18. Huang, Hongfu & He, Yong & Li, Dong & Li, Shanshan, 2023. "Competing multinationals’ backshoring decisions: Tax arbitrage versus production reliability tradeoff," European Journal of Operational Research, Elsevier, vol. 311(2), pages 515-532.
    19. Tiaojuan Han & Jianfeng Lu & Hao Zhang & Wentao Gao, 2024. "Evolutionary Game Analysis of Providers’ and Demanders’ Low-Carbon Cooperation in Cloud Manufacturing Mode," Sustainability, MDPI, vol. 16(6), pages 1-18, March.
    20. Zhou, Yanju & Che, Yuan, 2021. "Research on Government Logistics Subsidies for Poverty Alleviation with Non-uniform Distribution of Consumers," Omega, Elsevier, vol. 104(C).

    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:spr:jcomop:v:44:y:2022:i:4:d:10.1007_s10878-021-00763-9. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.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.