PDF(Pubmed)
Abstract：
Health care is ever more important with the aging population and with the increased awareness of the importance of the medical systems due to the corona crisis that showed the capacity of the health care infrastructure, especially in terms of numbers of health care personnel such as doctors, was not sufficient. Assuming that the number of doctors per patient is one of the determinants of patient satisfaction, optimal investments in new doctors, specialist doctors and foreign doctors are analyzed. Optimal Control Theory is employed to determine the optimal investment strategy for new doctors (new graduates), specialists and foreign doctors to maximize the net (of costs) patient satisfaction over a fixed time horizon. It is found that a nation with an insufficient number of total doctors and specialist doctors at the beginning of the planning horizon should increase the investment in new doctors as a quadratic function of time, increase the local specialist doctors linearly, while employing foreign doctors as to equate their cost to the marginal satisfaction of patients.
摘要：
随着人口老龄化以及由于日冕危机显示出医疗保健基础设施的能力，对医疗系统重要性的认识日益提高，医疗保健变得越来越重要。特别是医生等医护人员的数量，是不够的。假设每位患者的医生人数是患者满意度的决定因素之一，对新医生的最佳投资，专科医生和外国医生进行了分析。运用最优控制理论来确定新医生(应届毕业生)的最优投资策略，专家和外国医生在固定的时间范围内最大限度地提高患者的净(成本)满意度。研究发现，一个在规划期开始时医生和专科医生总数不足的国家，应该增加对新医生的投资，作为时间的二次函数，线性增加当地专科医生，同时雇用外国医生将他们的费用等同于患者的边际满意度。
