Service system design of video conferencing visits with nurse assistance
Service system design of video conferencing visits with nurse assistance
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护士协助视频会议就诊服务系统设计
DOI：
10.1080/24725854.2021.1982156
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发表时间：
2022
影响因子：
2.6
通讯作者：
Zhong, X.
中科院分区：
文献类型：
--
作者：
Wang, X;Guan, Y;Zhong, X.
尽管提供了便利并减轻了患者的旅行负担，但视频会议（VC）临床访视并没有得到患者和护理提供者的广泛接受。人们希望通过VC访问解决的医疗问题能够在范围和质量上与面对面的接触相匹配。随后，在护士协助下的VC访问正在出现;然而，这种服务的可扩展性和财政可持续性尚不清楚。因此，我们探讨的可实施性VC访问与护理服务使用博弈论模型，并调查不同的定价方案（歧视性定价的基础上，患者的特点与非歧视性）对患者的护理选择之间的VC和人的访问的影响。我们的研究结果揭示了“人为拥挤”的利润驱动的医疗机构，伤害病人的福利，并随后确定的条件下，社会规划师和医疗机构的利益是一致的。我们的研究结果强调，与看起来公平的VC访问的统一价格相比，歧视性定价对患者和医疗机构都更有利。这突出了远程保健相关服务的保险覆盖的重要性，以促进患者和护理提供者采用远程保健，并最终改善护理的获得和患者的结果。
Despite providing convenience and reducing the travel burden of patients, Video-Conferencing (VC) clinical visits have not enjoyed wide uptake by patients and care providers. It is desired that the medical problems addressed by VC visits can match a face-to-face encounter in scope and quality. Subsequently, VC visits with nurse assistance are emerging; however, the scalable and financially sustainable of such services are unclear. Therefore, we explore the implementability of VC visits with nursing services using a game-theoretic model, and investigate the impact of different pricing schemes (discriminative pricing based on patient characteristics vs. non-discriminative) on patients’ care choices between VC and in-person visits. Our results shed light on the “artificial congestion” created by a profit-driven medical institution that hurts patient welfare, and subsequently identify the conditions where the interest of the social planner and the medical institution are aligned. Our results highlight that, compared to a uniform price of VC visits which seems fair, discriminative pricing can be more beneficial for patients and the medical institution alike. This heightens the importance of insurance coverage of telehealth-related services to promote the adoption of telehealth by patients and care providers, and ultimately, improving care access and patient outcomes.
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