Development of the family doctor service: an evolutionary game theory analysis

Li Luo, Siqi Zhang and Jie Xiang

Economic Research-Ekonomska Istraživanja, 2023, vol. 36, issue 2, 2106507

Abstract: Family physicians play a prominent role in the primary health care system of several countries and regions. This study examined family doctors, community residents, and general hospitals, and found that their behaviour and decisions were inevitably affected by multiple economic concerns. To explore the influence of these economic factors, we established a tripartite evolutionary game model. Based on this dynamic game model, we examined the equilibrium of their interactions, effects of relevant parameters, and evolution trends of different scenarios. The main result shows that the participation of general hospitals is crucial to the construction of the family doctor service; that is, to develop the family doctor service, the government should focus on financial compensation for general hospitals rather than for family doctors. We further concluded that the compensation mechanism of contracted services plays a vital role in attracting physicians’ participation; thus, policymakers should consider these in different stages of the promotion of the family doctor service.

Date: 2023
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DOI: 10.1080/1331677X.2022.2106507

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