Simulation Analysis on the Compensation Mechanism for High-Quality Development of Public Hospitals Based on System Dynamics Model
Wang Meifeng
Leng Xiliang
Tang Zhongyi
Wang Haiyin
Tian Botao
Jin Chunlin
Abstract：Objective:To propose policy recommendations for the compensation mechanism of high-quality development of municipal public hospitals.Methods:Taking the municipal public hospitals in Shanghai as the research object,the aspects of financial subsidies,the structure of medical service income,investment in scientific research and education,and other social compensations were examined to conduct a systematic simulation of the operation of the average municipal public hospital in Shanghai under different policy intervention scenarios.Results:If the current conditions remain unchanged,the average municipal public hospital in Shanghai will face a deficit starting in 2032,the proportion of income from examinations and laboratory tests will surpass that of medical service income in 2026 and 2031,respectively.If the hospitals follow a plan of Combination Plan 3,4,and 5,the average municipal public hospital in Shanghai will be able to break even from 2023 to 2033,and the structure of medical service income will be significantly optimized.Conclusion:To establish a new compensation mechanism for high-quality hospital development that enhances medical services,it is recommended to optimize the structure of government financial compensation,explore rational pricing strategies based on categories,increase investment in scientific research and education while paying attention to the transformation of scientific and technological achievements,expand compensation channels for public hospitals,and improve relevant laws and regulations.
Keywords：public hospitalcompensation mechanismfinancial subsidymedical servicehigh-quality development
Publication Date：2025-11-05
Online Publishing Date：2025-12-09(First online date of this platform, not the publication date of the document)
Pages：8( 14-21 )