ENGLISH 中财主站 加入收藏
当前位置: 首 页 > 学术科研 > 讲座报告 > 正文

讲座 | Improving Health Outcomes with Less Cost? Provision of Mobile Clinic in Developing Economies

发布时间:2023-09-19浏览次数:

主讲嘉宾:刘方副教授

讲座时间9月21日(周四)下午15:00-17:00

讲座地点:沙河二教301

讲座摘要:Consider a public healthcare system consisting of a hospital, a mobile clinic (MC), and a population of potential patients. The government is concerned about the system’s healthcare spending and the population’s health outcomes. It needs to decide whether and how to provide the MC service to maximize the social welfare that consists of two terms: the system’s long-run average healthcare cost and the population’s average quality-adjusted life year (QALY). We model the population’s natural disease progression and derive both the average healthcare cost and the average QALY for a given MC delivery cycle. We then characterize the optimal MC delivery policy for both fast- and slow-progressive diseases. We show that the MC service is provided only when the setup cost is below a certain threshold under both disease types. Once the MC service is provided, we show that if the disease is fast-progressive, the MC service is provided either every or every other period. In contrast, when the disease is slow-progressive, we find that a larger MC capacity leads to a weakly less frequent provision of the MC service. The provision of the MC service always results in a longer average QALY compared to that without the MC service. It can also reduce the average healthcare cost when the setup cost is sufficiently low and the relative treatment cost-saving per person with the provision of the MC service is positive. The provision of the MC service can result in both the healthcare cost reduction and the QALY improvement only when the incremental cost-effectiveness ratio (ICER) is negative. We find that the ICER is more likely to be negative when (i) the government becomes less concerned about the QALY improvement, (ii) the MC treatment becomes more effective, or (iii) the MC capacity becomes larger. Our case study reveals that when the ICER is negative, on average, the provision of the MC service leads to a 141% improvement in average QALY and a 13.1% reduction in average healthcare cost compared to those with no MC service; when the ICER is positive, on average, the average QALY can be increased significantly by 266.4% at the cost of increasing the average healthcare cost by 5.8% with the provision of the MC service. Interestingly, expanding the MC capacity may not necessarily improve the population’s health outcome

嘉宾简介:刘方,中国科学院大学经济管理学院副教授。博士毕业于美国杜克大学Fuqua商学院运营管理方向,本科毕业于北京大学数学学院。主要研究方向有供应链管理,机制设计,人道主义救援,可持续发展等。现在承担百人计划B项目并曾获CSAMSE会议best paper award二等奖MSOM data research challenge特奖。论文主要发表在国际顶级期刊UTD期刊Operations Research, Manufacturing & Service Operations Management, Production Operations Management等。


主办单位:管理科学与工程学院

2023年9月19日