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Value of information in health services market

机译：信息在保健服务市场中的价值

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Purpose - The traditional service market is composed of customers and service providers, interacting within a given structure and following market-specific rules. These basic attributes are obvious and persistent. The fragile entity, which is essential for normally operating and self-controlling market, is information. In this context the aim is to distinguish between a background noise, arising from comprehensive marketing campaigns, customer care activities or advertisement and data, advices or knowledge, necessary for any focused business decision. The straightforward example of prospective market suffering from information shortage is healthcare. For a normal patient it is almost impossible to select purposely a better doctor, hospital or therapy. Even providers of care are not always sure about the exact diagnosis, resulting in the extended length of patient's stay and its related costs. Design/methodology/approach - From the knowledge engineering point of view, the national market of healthcare services is a platform where distributed micro behavior of patients interacts with centralized, systemic activities of medical care and insurance providers under the umbrella of governmental rules. Owing to the problem complexity, a significant portion of included subjectivity and natural heterogeneity of available knowledge, the authors have adopted a combined modeling platform as the most natural way of its formalization and processing. Typical groups of patients are represented as multi-state agents, adjusting reactions and preferences quickly in accordance with time, changing environment and quality of accessible information. Hospitals, on the contrary, are considered as system dynamic enterprises with domain-tailored processes both on operational and managerial levels. Findings - The first interesting outcome is the clear experimental evidence, justifying the impossibility of purely market-driven control and development of a national healthcare system. Furthermore, the paper presents a novelty heterogeneous model as a viable tool for analysis of emergent market behavior enabling evaluation of different public health policies. Practical implications - The developed model can serve both policy makers and hospital managers. To the former it can experimentally help to investigate the influence of parametric changes of overall market regulations. The latter can benefit especially from optimization of internal processes, leading both to performance and competitive advantage improvements. Moreover, due to its transparency and interactivity, the method of heterogeneous modeling is ideal for strategic planning, group decision making, capturing and sharing of organizational knowledge or organizational learning. Finally, the implementation flexibility and architectural scalability predetermines combined modeling as a convenient technique for rapid prototyping of complex problems. Originality/value - This paper combines areas of health economics, enterprise management and computational economics in a challenging and innovative way. The value of the proposed research methods relies on the application of a heterogeneous paradigm in multiple perspectives - not only by combining the agent-based models with system dynamics approach, but also by combining and evaluating alternative approaches to representing agents'state and knowledge.
机译：目的-传统服务市场由客户和服务提供商组成，它们在给定的结构内进行交互并遵循特定于市场的规则。这些基本属性是显而易见的和持久的。脆弱的实体对于信息的正常运作和自我控制至关重要。在这种情况下，目的是区分由全面的市场营销活动，客户关怀活动或广告和数据，建议或知识所引起的背景噪音，这些噪音对于任何有针对性的业务决策都是必要的。遭受信息短缺的潜在市场的直接例子是医疗保健。对于正常患者，几乎不可能有目的地选择更好的医生，医院或疗法。即使是护理人员，也不一定总是能确定确切的诊断结果，这会延长患者的住院时间及其相关费用。设计/方法论/方法-从知识工程的角度来看，医疗服务的全国市场是一个平台，在政府规则的保护下，患者的分布式微观行为与医疗和保险提供商的集中式系统性活动相互作用。由于问题的复杂性，包括可用知识的主观性和自然异质性的很大一部分，作者采用了组合的建模平台，将其作为形式化和处理的最自然的方式。典型的患者群体代表为多状态代理，可根据时间，变化的环境和可访问信息的质量快速调整反应和偏好。相反，医院被认为是系统动态的企业，在运营和管理两个层面上都具有针对特定领域的流程。研究结果-第一个有趣的结果是清晰的实验证据，证明了不可能完全由市场驱动控制和发展国家医疗保健系统。此外，本文提出了一种新颖的异构模型，作为分析新兴市场行为的可行工具，从而能够评估不同的公共卫生政策。实际意义-所开发的模型可以为政策制定者和医院经理提供服务。对于前者，它可以通过实验帮助调查整个市场法规的参数变化的影响。后者尤其可以从内部流程的优化中受益，从而提高绩效和竞争优势。而且，由于其透明性和交互性，异构建模的方法非常适合战略规划，小组决策，组织知识或组织学习的获取和共享。最后，实现的灵活性和体系结构的可伸缩性预先确定了组合建模是一种方便的技术，用于快速制作复杂问题的原型。原创性/价值-本文以具有挑战性和创新性的方式结合了健康经济学，企业管理和计算经济学领域。所提出的研究方法的价值取决于在多种角度上应用异构范式-不仅通过将基于代理的模型与系统动力学方法相结合，而且还通过组合和评估表示代理状态和知识的替代方法来进行评估。

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