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PDF(2131 KB)
PDF(2131 KB)
基于声誉反馈机制的医患在线互动演化博弈分析
An Evolutionary Game Analysis of Doctor-Patient Online Interaction based on Reputation Feedback Mechanism
[目的/意义]在线声誉是维持网络医疗秩序的重要调节机制，通过探讨在线声誉反馈机制对医患互动影响的内在作用机理，为完善在线医疗社区的监督和管理提供策略。[方法/过程]构建医生与患者两大群体之间有限理性的演化博弈模型，通过计算复制动态方程并求解均衡稳定策略，同时利用Matlab软件进行仿真分析，找出促进医患在线积极互动的关键影响因素及影响路径。[结果/结论]研究结果表明，负面评价行为可以缓解患者不满情绪的程度、医生积极应对付出的成本、医生积极性被打击的失落情绪对医患互动具有负向作用；患者正确信息反馈减少的信息差距和医生努力被认可的精神激励对医患互动具有正向作用。
[Purpose/Significance] Online reputation is an important regulating mechanism to maintain the order of online medical care. Through exploring the internal mechanism of online reputation feedback mechanism on doctor-patient interaction, this paper provided strategies for improving the supervision and management of online medical community. [Method/Process] The finite rational evolutionary game model between doctors and patients was constructed. The dynamic equation was calculated, the equilibrium and stability strategy was solved, and the Matlab software was used for simulation analysis to find out the key influencing factors and influencing paths of promoting doctor-patient online positive interaction. [Result/Conclusion] The results show that the degree to which negative evaluation behavior can alleviate patients' dissatisfaction, the cost of doctors' positive response, and the frustration of doctors' enthusiasm being depressed have a negative effect on doctor-patient interaction. The information gap reduced by correct information feedback of patients and doctors' mental incentive to be recognized have a positive effect on doctor-patient interaction.
在线医疗 / 声誉反馈 / 激励机制 / 医患互动 / 演化博弈论
online medical treatment / reputation feedback / incentive mechanism / doctor-patient interaction / evolutionary game theory
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李美玉：撰写、修改和完善论文
许鑫：论文框架的指导与确定
感谢华东师范大学侯经川教授和南京大学赵月华博士提出修改意见。
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