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复杂系统与复杂性科学  2022, Vol. 19 Issue (3): 44-54    DOI: 10.13306/j.1672-3813.2022.03.006
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演化博弈视角下的医患关系分析及对策研究
李超然1, 刘举胜2,3, 宋美4, 韩景倜2,3, 于长锐2,3
1.上海体育学院经济管理学院,上海200438;
2.上海财经大学信息管理与工程学院,上海200433;
3.上海金融智能工程技术研究中心,上海200433;
4.华东师范大学经济与管理学部, 上海 200241
Analysis of Doctor-patient Relationship and Countermeasures from the Perspective of Evolutionary Game
LI Chaoran1, LIU Jusheng2,3, SONG Mei4, HAN Jingti2,3, YU Changrui2,3
1. School of Economics and Management, Shanghai University of Sport, Shanghai 200438, China;
2. School of Information Management and Engineering, Shanghai University of Finance and Economics, Shanghai 200433, China;
3. Shanghai Financial Intelligent Engineering Technology Research Center, Shanghai 200433, China;
4. Faculty of Economics & Management, East China Normal University, Shanghai 200241, China
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摘要 医患关系不协调和冲突化正成为医疗行业及整个社会不得不面对的一个现实窘境,针对此问题,从信息不对称程度、信任程度、道德风险、仲裁机构奖惩等多个维度出发,利用演化博弈理论和复制动态方程,通过构建医患双方合作策略选择的演化博弈模型,对医患关系路径演化情况进行了探究,最后利用数值仿真方法对医患双方策略演化路径进行了仿真和相关分析。研究表明:医患关系最终会稳定于合作与冲突两种状态;医患双方的信任程度,信息不对称程度,道德风险,仲裁机构奖惩是影响医患双方合作路径演化的重要因素,其中,增大医患双方信任程度及仲裁机构的奖励和惩罚,减小医患双方的信息不对称程度和道德风险将会正向促使医患双方策略由冲突向合作演化。
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李超然
刘举胜
宋美
韩景倜
于长锐
关键词 医患关系信息不对称信任道德风险仲裁    
Abstract:The disharmony and conflict of the physician-patient relationship are becoming a real dilemma that the medical industry and the whole society have to face, which seriously affects people′s sense of happiness and health. Starting from multiple dimensions such as information asymmetry, trust, moral hazard, and the rewards and punishments of arbitration institutions, this study used evolutionary game theory and replication dynamic equations to construct an evolutionary game model for the choice of cooperation strategy between physicians and patients and then explored the evolving situation of the physician-patient relationship. Finally, the study simulated the evolution path of physician-patient strategy by numerical simulation method and analyzed the results. The results showed that: the physician-patient relationship will eventually stabilize in two states of cooperation and conflict; trust level, degree of information asymmetry, moral hazard, and reward and punishment of arbitration institutions are important factors that can affect the evolution of cooperation path between doctors and patients. Increasing the trust level and the reward and punishment of arbitration institutions, reducing the degree of information asymmetry and the moral hazard for both doctors and patients will prompt the physicians and patients to shift from conflict to cooperation.
Key wordsphysician-patient relationship    information asymmetry    trust    moral hazard    arbitration
收稿日期: 2021-07-19      出版日期: 2022-10-12
ZTFLH:  F224  
基金资助:国家社科基金重大项目(18ZDA088);国家自然科学基金(71871144);上海金融智能工程技术研究中心项目(19DZ2254600);上海市社科规划青年课题(2019EXW001); 上海财经大学2019年研究生创新基金(CXJJ-2019-400)
通讯作者: 刘举胜(1991-),男,山西朔州人,博士研究生,主要研究方向为在线医疗、医患关系。   
作者简介: 李超然(1992-),男,安徽巢湖人,博士,讲师,主要研究方向为医患关系、电子健康。
引用本文:   
李超然, 刘举胜, 宋美, 韩景倜, 于长锐. 演化博弈视角下的医患关系分析及对策研究[J]. 复杂系统与复杂性科学, 2022, 19(3): 44-54.
LI Chaoran, LIU Jusheng, SONG Mei, HAN Jingti, YU Changrui. Analysis of Doctor-patient Relationship and Countermeasures from the Perspective of Evolutionary Game. Complex Systems and Complexity Science, 2022, 19(3): 44-54.
链接本文:  
https://fzkx.qdu.edu.cn/CN/10.13306/j.1672-3813.2022.03.006      或      https://fzkx.qdu.edu.cn/CN/Y2022/V19/I3/44
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