| Due to the overall shortage of medical resources in China,lack of high-quality medical resources and uneven distribution of medical resources,large-scale public hospitals continue to expand to absorb more resources,further aggravating the imbalance in medical resource allocation.Third-level hospitals are overcrowded,while communitybased hospitals are deserted.So that the current medical industry in our country to see a doctor expensive,difficult to see a doctor more and more serious problem.At present,China’s medical service supply and demand preferences are uncertain and information asymmetry leads to low satisfaction of supply and demand,and medical resources in primary hospitals are not effectively utilized,which leads to misallocation and waste of medical supply chain resources.The lack of understanding of the contradictions and conflicts in the medical service supply chain;Lack of focus on centralized decision-making and decentralized decision-making from the perspective of medical service supply chain,and there is no effective contract coordination mechanism.Based on the above background and considering the policies of primary diagnosis,tiered diagnosis and treatment,and transfer treatment in China’s medical system reform,this paper studies the resource allocation of China’s medical service supply chain.Firstly,studied the static resource allocation of medical service supply chain,and the bilateral matching theory is used to analyze the allocation of medical service resources and constructs a multi-indicator resource matching model with different types of information,in which the demand side and the supply side choose each other bidirectional.Convert multiple types index information to satisfaction,on this basis,considering the matching constraint conditions,in order to maximize satisfaction as the goal of the established multi-objective optimization model,According to the calculation process of the model,an example is analyzed with the data,which proves that the decision-making method is effective,The study manifested that the model can be established by bilateral matching theory to study the allocation of medical service resources,choose basic-level hospitals for patients with the first option,Matching medical service resources provides a feasible method to solve the problem of resource mismatch caused by information asymmetry between doctor and patient.Then the dynamic matching of the medical service supply chain,build the referral dynamic prediction model based on markov chain model is analyzed and calculated eventually reach a steady state,the distribution of the hospital according to the change of patient referral to allocate health resources distribution,thus to guide patients with shunt,contribute to the formation of a stable state,optimize the first option at the grass-roots level,It provides the basis for analyzing the dynamic contract mechanism of medical service supply chain.Finally,based on the analysis of patients to choose hospitals on the basis of the study of the first option from the whole medical service supply chain,supply chain contract theory was applied to the medical service supply chain,revenue sharing contract is adopted to improve the medical service supply chain contract mechanism research,above junior hospitals as the main research object,by constructing the grassroots medical institutions at a lower level,The medical service supply chain contract model composed of the superior general hospital and the government,considering the role of government subsidies,analyzes the decision of the basic hospital’s own service effort level and the number of patients booked under the condition of centralized decision and decentralized decision,so as to promote the rational allocation of medical service supply chain resources.Study introduced government subsidies can improve the level of services to help grassroots hospital,improve patient selection of basic-level hospitals primary demand,make the grass-roots hospital patients with open booking quantity at a lower level.Enhancing the service capacity of grassroots hospitals,and generally help realize the first diagnosis at the grassroots level.the implementation of two-way referral policy and implementation,realize the medical service supply chain coordination,Improve the unbalanced situation of resource allocation in medical service supply chain. |