Skip to main content

Cost Optimization Estimation of Medical Institutions in the Hierarchical Medical System Based on System Dynamics Model

  • Conference paper
  • First Online:
Smart Health (ICSH 2019)

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 11924))

Included in the following conference series:

  • 880 Accesses

Abstract

The grading diagnosis and treatment system in China is to improve the first-time diagnosis rate of patients in primary health care institutions, thereby increasing the proportion of people in primary health care institutions, thus achieving the goal of reducing costs. This study constructs a system dynamics model of the number of primary and upper-level visits—the cost of medical institutions, and simulates the effect of the increase in the proportion of patients attending the primary level on the cost of medical institutions. The study found that with the increase in the number of visits, the cost of primary medical institutions will increase, but the total cost of the entire medical system will be reduced significantly. Moreover, the higher the proportion of the number of people attending the primary level, the lower the total cost. If the proportion of primary care in 2017 increases by 15%, and this trend is maintained until 2021, the total cost saved by medical institutions in 2021 will be as high as 903.32 billion yuan.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sturmberg, J.P., Martin, C.M., Katerndahl, D.A.: Systems and complexity thinking in the general practice literature: an integrative, historical narrative review. Ann. Fam. Med. 12(1), 66–74 (2014)

    Article  Google Scholar 

  2. Yu, W., Li, M., Ge, Y., et al.: Transformation of potential medical demand in China: a system dynamics simulation model. J. Biomed. Inform. 57, 399–414 (2015)

    Article  Google Scholar 

  3. Somogyvári, M.: The costs of organisational injustice in the Hungarian health care system. J. Bus. Ethics 118(3), 543–560 (2013)

    Article  Google Scholar 

  4. Ahmad, S.: The cost-effectiveness of raising the legal smoking age in California. Med. Decis. Making 25(3), 330–340 (2005)

    Article  Google Scholar 

  5. Edelstein, B.L., Hirsch, G., Frosh, M., et al.: Reducing early childhood caries in a Medicaid population. J. Am. Dent. Assoc. 146(4), 224–232 (2015)

    Article  Google Scholar 

  6. Wakeland, W., Nielsen, A., Schmidt, T.D., et al.: Modeling the impact of simulated educational interventions on the use and abuse of pharmaceutical opioids in the United States: a report on initial efforts. Health Educ. Behav. 40(1 Suppl), 74S–86S (2013)

    Article  Google Scholar 

  7. Ishikawa, T., Fujiwara, K., Ohba, H., et al.: Forecasting the regional distribution and sufficiency of physicians in Japan with a coupled system dynamics—geographic information system model. Hum. Resour. Health 15(1), 64 (2017)

    Article  Google Scholar 

  8. Ishikawa, T., Ohba, H., Yokooka, Y., et al.: Forecasting the absolute and relative shortage of physicians in Japan using a system dynamics model approach. Hum. Resour. Health 11(1), 41 (2013)

    Article  Google Scholar 

  9. Barber, P., López-Valcárcel, B.G.: Forecasting the need for medical specialists in Spain: application of a system dynamics model. Hum. Resour. Health 8(1), 24 (2010)

    Article  Google Scholar 

  10. Vanderby, S.A., Carter, M.W., Latham, T., et al.: Modeling the cardiac surgery workforce in Canada. Ann. Thorac. Surg. 90(2), 467–473 (2010)

    Article  Google Scholar 

  11. Wang, L.C., Cheng, C.Y., Tseng, Y.T., et al.: Demand-pull replenishment model for hospital inventory management: a dynamic buffer-adjustment approach. Int. J. Prod. Res. 53(24), 14 (2015)

    Google Scholar 

  12. Senese, F., Tubertini, P., Mazzocchetti, A., et al.: Forecasting future needs and optimal allocation of medical residency positions: the Emilia-Romagna Region case study. Hum. Resour. Health 13(1), 7 (2015)

    Article  Google Scholar 

  13. Diaz, R., Behr, J.G., Tulpule, M.: A system dynamics model for simulating ambulatory health care demands. Simul. Healthc. 7(4), 243–250 (2012)

    Article  Google Scholar 

  14. Khanmohammadi, S., Farahmand, H., Kashani, H.: A system dynamics approach to the seismic resilience enhancement of hospitals. Int. J. Disaster Risk Reduction 31, 220–233 (2018)

    Article  Google Scholar 

  15. Wenya, Y., Yipeng, L., Chaoqun, H., et al.: Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model. Patient Prefer. Adherence 12, 207–222 (2018)

    Article  Google Scholar 

Download references

Acknowledgments

This research is supported by the National Natural Science Foundation of China (No. 71573197).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xiao Huang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Wu, J., Yao, Y., Huang, X. (2019). Cost Optimization Estimation of Medical Institutions in the Hierarchical Medical System Based on System Dynamics Model. In: Chen, H., Zeng, D., Yan, X., Xing, C. (eds) Smart Health. ICSH 2019. Lecture Notes in Computer Science(), vol 11924. Springer, Cham. https://doi.org/10.1007/978-3-030-34482-5_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-34482-5_29

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-34481-8

  • Online ISBN: 978-3-030-34482-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics