运筹与管理 ›› 2025, Vol. 34 ›› Issue (7): 213-220.DOI: 10.12005/orms.2025.0229

• 管理科学 • 上一篇    下一篇

基于图模型的医养结合多元主体权力不对称冲突分析

孔杨1,2, 戴思凡1, 徐海燕1   

  1. 1.南京航空航天大学 经济与管理学院,江苏 南京 210016;
    2.滨州医学院 卫生管理学院,山东 烟台 264003
  • 收稿日期:2023-11-05 发布日期:2025-11-04
  • 通讯作者: 徐海燕(1963-),女,教授,博士生导师,研究方向:冲突分析,博弈论,风险决策。Email: xuhaiyan@nuaa.edu.cn。
  • 作者简介:孔杨(1981-),女,山东临沂人,教授,博士研究生,研究方向:冲突分析,卫生管理。
  • 基金资助:
    国家自然科学基金资助项目(72274023,72471117,61673209,72404034);山东省自然科学基金项目(ZR2022MG037);山东省社会科学规划研究项目(22CGLJ01)

Analysis of Power Asymmetry Conflict of Multi-subjects in the Combination of Medical Care and Nursing Based on Graph Model

KONG Yang1,2, DAI Sifan1, XU Haiyan1   

  1. 1. College of Economics and Management, Nanjing University of Aeronautics and Astronautics, Nanjing 210016, China;
    2. School of Health Administration, Binzhou Medical University, Yantai 264003, China
  • Received:2023-11-05 Published:2025-11-04

摘要: 医养结合服务中权力不对称的多元主体间形成了复杂的矛盾冲突,成为医养结合深入推进的巨大障碍。为寻求有效化解方法,本文将权力不对称的冲突分析图模型由两个冲突主体拓展到四个,在定义两个不同的权力结构模型基础上,首先,定义了权力影响下各主体的偏好和结盟改良可达集,然后,给出了多主体冲突稳定性的逻辑定义及其矩阵形式,最后,求出医养结合冲突的稳定解,验证了该方法解决多元主体权力不对称冲突时的有效性,同时根据稳定解给出了解决医养结合冲突的对策建议。

关键词: 冲突分析图模型, 多元主体, 权力不对称, 医养结合

Abstract: The combination of medical care and old-age care service is an effective policy introduced by the state to alleviate the social pressure brought by the aging population. However, the differences in interest demands among multi-agents and the cross-cutting relationship between rights and responsibilities have led to contradictions and conflicts. At the same time, the asymmetry of power among multi-agents has aggravated the complexity of conflicts and become a huge obstacle to the further promotion of the combination of medical care and old-age care. The conflict analysis graph model does not require overly accurate data, and the equilibrium solution of the conflict can be obtained according to the relative preference. However, in the face of the power asymmetry of multiple subjects in the conflict between medical care and nursing care, the original conflict analysis graph model can no longer accurately describe the conflict or solve the equilibrium solution. In order to find an effective solution, this paper expands the conflict analysis graph model of power asymmetry from two conflicting subjects to four.
In order to find an effective solution, on the basis of defining two different power structure models, firstly, it defines the preferences and improved reachable sets of each subject under the influence of power. Secondly, the different alliance situations of conflict subjects under the influence of power are analyzed, and the complicated influence of power on alliance reachability is overcome, and the calculation methods of alliance reachability set and alliance improvement reachability set are given. Then, the logical definition of the stability of multi-agent power asymmetry conflict is defined, and the matrix form of the stability definition is given by constructing some special matrices, and the conflict analysis graph model is improved.
Finally, the improved multi-agent power asymmetry conflict analysis graph model is applied to the conflict of the combination of medical and nursing care, and the stable solution of the combination of medical and nursing care conflict is obtained. On the one hand, the effectiveness of the improved conflict analysis graph model in analyzing the power asymmetry conflict of multiple agents is verified. On the other hand, countermeasures and suggestions are given to solve the conflict of the combination of medical and nursing care according to the stable solution.
The proposal of the power asymmetry viewpoint and the expansion of the multi-agent power asymmetry model in this paper are very meaningful innovations to the theory of the conflict analysis graph model, which enhances the ability of the conflict analysis graph model to depict various conflicts in reality and expands the applicability of the conflict analysis graph model. According to the analysis results of the model on the stability of the conflict of the combination of medical and nursing care, the strategies that each subject should adopt in resolving the conflict are proposed and their sequence is defined, and different management styles should be adopted by the government at different stages are given, which provides a new idea for resolving the complex conflict between supply and demand of the combination of medical and nursing care, and is expected to provide decision-making basis for building a win-win mechanism of the combination of medical and nursing care.

Key words: conflict analysis graph model, multiple subjects, power asymmetry, combination of medical and nursing care

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