急诊医疗服务与急诊科界面行为博弈的博弈论模型

A game theoretic model of the behavioural gaming that takes place at the EMS - ED interface

European Journal of Operational Research · 2022
被引 6
ABS 4

中文导读

开发了一个三玩家博弈论模型,模拟两个排队系统与分配服务之间的动态,应用于急诊医疗服务与急诊科的交互行为,并探讨时间目标对患者福祉的影响。

Abstract

This research describes the development and application of a 3-player game theoretic model between two queueing systems and a service that distributes individuals to them. The resultant model is used to explore dynamics between all players. The first aspect of this work is the development of a queueing system with two consecutive waiting spaces where the strategic managerial behaviour corresponds to how individuals use these waiting spaces. Two modelling techniques are deployed: discrete event simulation and Markov chains. The state probabilities of the Markov chain system are used to extract the performance measures of the queueing model (e.g. mean time in each waiting room, mean number of individuals in each room, etc.). A 3-player game theoretic model is subsequently proposed between the two queueing systems and the service that distributes individuals to them. In particular this can be viewed as a 2-player normal-form game where the utilities are determined by a third player with its own strategies and objectives. A backwards induction technique is used to get the utilities of the normal-form game between the two queueing systems. This particular system has many applications, including those in healthcare where it captures the emergent behaviour between the Emergency Medical Service (EMS) and the Emergency Department (ED). The impact of time-target measures on patient well-being is explored in this paper.

排队论博弈论医疗服务马尔可夫链离散事件仿真