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To introduce or not? Strategic analysis of hospital operations with telemedicine

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  • Zhou, Cuihua
  • Hao, Yifei
  • Lan, Yanfei
  • Li, Weifeng
Abstract
Despite its efficiency in reducing the impact of pandemics (e.g., the COVID-19), whether to introduce telemedicine as an additional way to serve chronically ill patients remains controversial for hospitals in many countries. This paper builds a stylized model to investigate a hospital’s telemedicine strategy and the corresponding impacts on its operations regarding outpatient management of chronic diseases. We implement our analysis from three key concerns of the hospital in the presence of a pandemic: the differences in medical consumption and reimbursement between in-person and telemedicine modalities and the effort cost of infection reduction resulting from the pandemic. We find that in the absence of the pandemic, the hospital prefers to introduce telemedicine when the differences in medical consumption and reimbursement are both small. In the presence of the pandemic, we find that the introduction of telemedicine does not always benefit the hospital and that it is better not to introduce telemedicine in some cases since it may exacerbate the negative influence of the pandemic on the hospital’s total costs. Furthermore, we surprisingly find that the hospital may set greater in-person capacity but less telemedicine capacity in response to the outbreak of the pandemic under certain conditions, which contradicts public beliefs. Finally, we show that social welfare can be improved by introducing telemedicine when the effort cost of infection reduction and the difference in reimbursement are both of moderate size. The condition under which social welfare is improved tightens with a greater difference in medical consumption.

Suggested Citation

  • Zhou, Cuihua & Hao, Yifei & Lan, Yanfei & Li, Weifeng, 2023. "To introduce or not? Strategic analysis of hospital operations with telemedicine," European Journal of Operational Research, Elsevier, vol. 304(1), pages 292-307.
    • Handle: RePEc:eee:ejores:v:304:y:2023:i:1:p:292-307
    DOI: 10.1016/j.ejor.2021.12.020
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    References listed on IDEAS

    as
    1. Tsai, Shing Chih & Yeh, Yingchieh & Kuo, Chen Yun, 2021. "Efficient optimization algorithms for surgical scheduling under uncertainty," European Journal of Operational Research, Elsevier, vol. 293(2), pages 579-593.
    2. Houyuan Jiang & Zhan Pang & Sergei Savin, 2012. "Performance-Based Contracts for Outpatient Medical Services," Manufacturing & Service Operations Management, INFORMS, vol. 14(4), pages 654-669, October.
    3. Young Kwark & Jianqing Chen & Srinivasan Raghunathan, 2014. "Online Product Reviews: Implications for Retailers and Competing Manufacturers," Information Systems Research, INFORMS, vol. 25(1), pages 93-110, March.
    4. Shujing Sun & Susan F. Lu & Huaxia Rui, 2020. "Does Telemedicine Reduce Emergency Room Congestion? Evidence from New York State," Information Systems Research, INFORMS, vol. 31(3), pages 972-986, September.
    5. Brekke, Kurt R. & Siciliani, Luigi & Straume, Odd Rune, 2008. "Competition and waiting times in hospital markets," Journal of Public Economics, Elsevier, vol. 92(7), pages 1607-1628, July.
    6. Kozlowski, Dawid & Worthington, Dave, 2015. "Use of queue modelling in the analysis of elective patient treatment governed by a maximum waiting time policy," European Journal of Operational Research, Elsevier, vol. 244(1), pages 331-338.
    7. Xiaoli Wang & Zhiyong Zhang & Lei Yang & Jun Zhao, 2021. "Price and capacity decisions in a telemedicine service system under government subsidy policy," International Journal of Production Research, Taylor & Francis Journals, vol. 59(17), pages 5130-5143, September.
    8. Qu Qian & Pengfei Guo & Robin Lindsey, 2017. "Comparison of Subsidy Schemes for Reducing Waiting Times in Healthcare Systems," Production and Operations Management, Production and Operations Management Society, vol. 26(11), pages 2033-2049, November.
    9. Dimitrios A. Andritsos & Christopher S. Tang, 2018. "Incentive Programs for Reducing Readmissions when Patient Care is Co†Produced," Production and Operations Management, Production and Operations Management Society, vol. 27(6), pages 999-1020, June.
    10. Gad Allon & Awi Federgruen, 2009. "Competition in Service Industries with Segmented Markets," Management Science, INFORMS, vol. 55(4), pages 619-634, April.
    11. Liu, Ya-Ming & Yang, Yea-Huei Kao & Hsieh, Chee-Ruey, 2009. "Financial incentives and physicians' prescription decisions on the choice between brand-name and generic drugs: Evidence from Taiwan," Journal of Health Economics, Elsevier, vol. 28(2), pages 341-349, March.
    12. Toshiaki Iizuka, 2007. "Experts' agency problems: evidence from the prescription drug market in Japan," RAND Journal of Economics, RAND Corporation, vol. 38(3), pages 844-862, September.
    13. Ram Bala & Pradeep Bhardwaj & Yuxin Chen, 2013. "Offering Pharmaceutical Samples: The Role of Physician Learning and Patient Payment Ability," Marketing Science, INFORMS, vol. 32(3), pages 522-527, May.
    14. Ma, Peng & Gong, Yeming & Jin, Mingzhou, 2019. "Quality efforts in medical supply chains considering patient benefits," European Journal of Operational Research, Elsevier, vol. 279(3), pages 795-807.
    15. Elodie Adida & Fernanda Bravo, 2019. "Contracts for Healthcare Referral Services: Coordination via Outcome-Based Penalty Contracts," Management Science, INFORMS, vol. 65(3), pages 1322-1341, March.
    16. Xiaofang Wang & Qi Wu & Guoming Lai & Alan Scheller‐Wolf, 2019. "Offering Discretionary Healthcare Services with Medical Consumption," Production and Operations Management, Production and Operations Management Society, vol. 28(9), pages 2291-2304, September.
    17. Balaraman Rajan & Tolga Tezcan & Abraham Seidmann, 2019. "Service Systems with Heterogeneous Customers: Investigating the Effect of Telemedicine on Chronic Care," Management Science, INFORMS, vol. 65(3), pages 1236-1267, March.
    18. Xiaoyu Liu & Xiaoqiang Cai & Ruiqing Zhao & Yanfei Lan, 2015. "Mutual referral policy for coordinating health care systems of different scales," International Journal of Production Research, Taylor & Francis Journals, vol. 53(24), pages 7411-7433, December.
    19. Boris Kaiser & Christian Schmid, 2016. "Does Physician Dispensing Increase Drug Expenditures? Empirical Evidence from Switzerland," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 71-90, January.
    20. Peng Ma & Yeming Gong & Mingzhou Jin, 2019. "Quality efforts in medical supply chains considering patient benefits," Post-Print hal-02312386, HAL.
    21. Andritsos, Dimitrios A. & Tang, Christopher S., 2014. "Introducing competition in healthcare services: The role of private care and increased patient mobility," European Journal of Operational Research, Elsevier, vol. 234(3), pages 898-909.
    22. Dimitrios Andritsos & Christopher S. Tang, 2014. "Introducing competition in healthcare services: The role of private care and increased patient mobility," Post-Print hal-00977175, HAL.
    23. Zhenzhen Yan & Sarah Yini Gao & Chung Piaw Teo, 2018. "On the Design of Sparse but Efficient Structures in Operations," Management Science, INFORMS, vol. 64(7), pages 3421-3445, July.
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