通过定制化医生菜单提升患者匹配质量,兼顾选择自由与系统效率。
Assortment Optimization for Patient-Provider Matching
- 为每位患者提供有限医生列表,动态优化匹配策略。
- 实测匹配质量提升13%,优于全量开放的贪心方案。
- 适合医疗系统优化、资源分配决策者参考。
医护人员流动率上升导致需频繁重新匹配患者与医生,但现有重配流程繁琐,依赖人工且随意。本文提出一种新型患者-医生匹配方法,通过预先为患者提供有限的医生菜单,在保证患者选择权的同时最大化系统整体匹配质量。该问题被建模为一种新颖的组合优化问题:患者在随机顺序中依次从其专属菜单中选择医生。该混合离线-在线设置在以往研究中较少涉及,但能有效反映多领域系统动态。我们首先发现,全量开放所有医生的贪心策略虽能提升匹配率,但匹配质量较低。基于此,构建多种策略并验证其性能依赖于患者匹配意愿及患者与医生比例等具体条件。在真实数据上,所提策略相较贪心方案平均匹配质量提升13%,通过结合患者特征定制菜单实现。分析揭示了菜单规模与系统匹配质量间的权衡,凸显平衡患者自主性与集中规划的重要性。
原文摘要 · Abstract (English)
Rising provider turnover results in frequently needing to rematch patients with available providers. However, the rematching process is cumbersome for both patients and health systems, resulting in labor-intensive and ad hoc reassignments. We propose a novel patient-provider matching approach to address this issue by offering patients limited provider menus. The goal is to maximize match quality across the system while preserving patient choice. We frame this as a novel variant of assortment optimization, where patient-specific provider menus are offered upfront, and patients respond in a random sequence to make their selections. This hybrid offline-online setting is understudied in previous literature and captures system dynamics across various domains. We first demonstrate that a greedy baseline policy--which offers all providers to all patients--can maximize the match rate but lead to low-quality matches. Based on this, we construct a set of policies and demonstrate that the best policy depends on problem specifics, such as a patient's willingness to match and the ratio of patients to providers. On real-world data, our proposed policy improves average match quality by 13% over a greedy solution by tailoring assortments based on patient characteristics. Our analysis reveals a tradeoff between menu size and system-wide match quality, highlighting the value of balancing patient choice with centralized planning.
Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。