College of Economics and Management, Nanjing Forestry University, Nanjing, China.
Front Public Health. 2023 Jan 26;11:1072354. doi: 10.3389/fpubh.2023.1072354. eCollection 2023.
In the context of ageing, the combination of medical and health-care has become a major trend, and the introduction of the PPP model into combined medical and healthcare projects can solve the problem of lack of funds for the development of combined medical and health-care projects. Based on the evolutionary game theory, this paper constructs a three-party evolutionary game model to study the strategy choice of each party in the game process, and also analyses the evolutionary equilibrium strategy and the impact of parameter adjustment on the evolutionary strategy under different situations. The results show that the optimal solution is for the private sector to choose to provide high quality services, for the government to choose to actively regulate and for the public to choose to actively monitor. For each player, the incentives and disincentives influence their behavioural strategies. Based on the above analysis, this paper suggests establishing an independent regulator, broadening public feedback channels, and improving PPP-related laws, as well as innovating project operation methods and improving enterprise operational capabilities.
在老龄化背景下，医养结合成为一种大趋势，将 PPP 模式引入医养结合项目中，可以解决医养结合项目发展资金不足的问题。基于演化博弈理论，构建三方演化博弈模型，研究博弈过程中各方的策略选择，分析不同情形下各方的演化稳定策略以及参数调整对演化策略的影响。研究结果表明：私营部门选择提供高质量服务、政府选择积极调控、公众选择主动监督是三方演化博弈的最优解。各参与方的激励和约束会影响其行为策略。基于上述分析，提出建立独立监管机构、拓宽公众反馈渠道、完善 PPP 相关法律法规、创新项目运营方式、提高企业运营能力等建议。
