系统工程理论与实践
繫統工程理論與實踐
계통공정이론여실천
Systems Engineering—Theory & Practice
2010年
5期
888~898
,共null页
新型农村合作医疗 实施效应 入树反馈仿真作用力五步分析法 流率基本入树 仿真作用力分析
新型農村閤作醫療 實施效應 入樹反饋倣真作用力五步分析法 流率基本入樹 倣真作用力分析
신형농촌합작의료 실시효응 입수반궤방진작용력오보분석법 류솔기본입수 방진작용력분석
the new rural cooperative medical system; implementation effect; in-tree-feedback-simulation-force five-steps modeling method; rate variable fundamental in-tree model; simulation force analysis
农村居民＂看病难、看病贵＂问题突出,迫切需要解决.实施新型农村合作医疗（以下简称新农合）正是缓解、解决此问题的关键.为此创建系统动力学入树反馈仿真作用力五步分析法,并应用于江西新农合制度实施效应分析.通过深入调研,确定新农合五个核心变量;建立流位流率系和由流位控制流率的五棵新农合系统流率基本入树,通过顶点和弧并运算,建立系统仿真实验流图模型;然后,构建强简化新农合系统流率基本入树模型,将枝向量代数方法应用到新农合系统的反馈环计算;接着,基于反馈环集合与反馈环特性提出了发展新农合解决＂看病贵、看病难＂的4条管理对策;最后,通过对新农合制度管理对策的定量仿真实验,得出新农合在农村医药卫生体制改革中产生了四大作用力.
農村居民＂看病難、看病貴＂問題突齣,迫切需要解決.實施新型農村閤作醫療（以下簡稱新農閤）正是緩解、解決此問題的關鍵.為此創建繫統動力學入樹反饋倣真作用力五步分析法,併應用于江西新農閤製度實施效應分析.通過深入調研,確定新農閤五箇覈心變量;建立流位流率繫和由流位控製流率的五棵新農閤繫統流率基本入樹,通過頂點和弧併運算,建立繫統倣真實驗流圖模型;然後,構建彊簡化新農閤繫統流率基本入樹模型,將枝嚮量代數方法應用到新農閤繫統的反饋環計算;接著,基于反饋環集閤與反饋環特性提齣瞭髮展新農閤解決＂看病貴、看病難＂的4條管理對策;最後,通過對新農閤製度管理對策的定量倣真實驗,得齣新農閤在農村醫藥衛生體製改革中產生瞭四大作用力.
농촌거민＂간병난、간병귀＂문제돌출,박절수요해결.실시신형농촌합작의료（이하간칭신농합）정시완해、해결차문제적관건.위차창건계통동역학입수반궤방진작용력오보분석법,병응용우강서신농합제도실시효응분석.통과심입조연,학정신농합오개핵심변량;건립류위류솔계화유류위공제류솔적오과신농합계통류솔기본입수,통과정점화호병운산,건립계통방진실험류도모형;연후,구건강간화신농합계통류솔기본입수모형,장지향량대수방법응용도신농합계통적반궤배계산;접착,기우반궤배집합여반궤배특성제출료발전신농합해결＂간병귀、간병난＂적4조관리대책;최후,통과대신농합제도관리대책적정량방진실험,득출신농합재농촌의약위생체제개혁중산생료사대작용력.
The serious problem of expensive medical bills and difficult access to quality medical services calls for an immediate settlement in the rural area of China.The new rural cooperative medical policy is regarded as a key.The effect of the implemented new rural cooperative medical policy in Jiangxi Province, is analyzed by the innovative in-tree-feedback-simulation-force five-steps modeling method.Firstly,the core variables of the new rural cooperative medical system is established based on a thorough investigation; Secondly,flow level and flow rate set is built up and five rate variable fundamental in-tree models are built in which flow level controls flow rate.And a flow diagram model for system simulation experiments is built by the combination of vertices and arc.Thirdly,the strongly simplified flow rate variable fundamental in-tree models are built where feedback loop branch vector determinant algorithm is first used in feedback loop computation in the new rural cooperative medical system.Fourthly,from perspective of systematic force, four managerial countermeasures are raised to solve the problem of expensive medical bills and difficult access to quality medical services according to the characteristic of feedback loop and feedback loop set. Finally,the quantitative simulation experiment of managerial countermeasures of the new rural cooperative medical system is conducted and it is concluded that the new rural cooperative medical policy will promote the reform of the rural healthcare system in four aspects.The paper holds that the construction of the in-tree-feedback-simulation-force five-step model is innovative and its application is significant to settle the problem of expensive medical bills and difficult access to quality medical services and improve the management of medical and healthcare system in the rural areas.
