ArticleJMIR serious games2023
Vertical Integration of Electronic Health Records in Medical Consortiums: Dynamic Modeling Approach Based on the Evolutionary Game Theory.
Article in JMIR serious games, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- A new paradigm for medical data circulation: research on medical data sharing based on evolutionary game theory.Frontiers in public health · 2026Article
- Tripartite evolutionary game analysis of medical data governance: interactions among government, medical institutions, and third-party assessment agencies.Frontiers in public health · 2026Article
- Can medical consortiums bridge the gap in health inequity in China? A propensity score matching analysis.Health policy and planning · 2025Article
- Co-Opetition Strategies of Superior and Subordinate Hospitals for Integration of Electronic Health Records Within the Medical Consortiums in China Based on Two-Party Evolutionary Game Theory: Mixed Methods Study.JMIR medical informatics · 2025Article
- Study on the interior equilibrium point of a special class of 2 × 2 × 2 asymmetric evolutionary games.Royal Society open science · 2024Article
- Article
- Effects of medical consortium policy on health services: an interrupted time-series analysis in Sanming, China.Frontiers in public health · 2024Article
- Towards a Region-Wide Glycaemic Management System: Strategies and Applications for Glycaemic Management of Patients with Diabetes During Hospitalisation.Journal of multidisciplinary healthcare · 2024Article
- Incentive mechanism for sharing and using EHR in medical consortiums based on performance evaluation.Frontiers in public health · 2023Article
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2 authors.
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Abstract
backgroundChina has continuously issued policies to speed up the interconnection, mutual recognition, sharing of medical information systems, and data integration management across regions and institutions. However, the vertical integration of electronic health records (EHRs) within the medical consortium is hampered by "poor mechanism and insufficient motivation" and the phenomenon of "free riding" among participating medical institutions, which makes the integration less effective.
objectiveWe hope to clarify the game mechanism of stakeholders in the vertical integration of EHRs, and put forward targeted policy suggestions for improvement.
methodsWe constructed the "government-hospital-patient" tripartite evolutionary game model based on the detailed analysis of the research problems and their assumptions. We then simulated the game strategies and outcomes of each participant using the system dynamics approach to reveal the long-term strategy evolution mechanism of the core participants in the vertical integration of EHRs in the medical consortium, as well as the influencing factors and action mechanisms of each party's strategy evolution to provide references for improving relevant policies.
resultsThe evolutionary game system could eventually reach an optimal equilibrium, but in areas where the government was required to be in a dominant position, patient supervision was necessary to have a positive role, while a reasonable reward and punishment mechanism can promote active participation of hospitals.
conclusionsThe effective way to achieve the goal of vertical integration of EHRs in the medical consortium is to build a multiagent coordination mechanism under the guidance of the government. Meanwhile, it is necessary to establish a scientific integration performance evaluation mechanism, a reward and punishment mechanism, and a benefit distribution mechanism to promote the healthy development of vertical integration of EHRs in medical consortiums.
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