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Strategic Admission Behavior and Its Implications: Evidence from a Cardiac Surgery Department
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作者 Yan-Ying Zhao Pei-Wen Yu Jian-Qiang Hu 《Journal of the Operations Research Society of China》 EI CSCD 2023年第1期29-49,共21页
This paper examines a decentralized admission control system with partial capacity sharing in a hospital setting. The admission decision is made by each physician who is assigned a number of dedicated inpatient beds. ... This paper examines a decentralized admission control system with partial capacity sharing in a hospital setting. The admission decision is made by each physician who is assigned a number of dedicated inpatient beds. A physician can “borrow” beds from other physicians if his dedicated beds are all occupied. We seek to understand the impact of the “borrowing cost” on physicians’ admission behavior. We find that (i) If the borrowing cost is low, a physician tends to admit lower-risk patients when either his or others’ capacity utilization is higher;(ii) If the borrowing cost is moderate, a physician tends to admit higher (lower)-risk patients when his (others’) capacity utilization is higher;and (iii) If the borrowing cost is high, a physician tends to admit higher-risk patients when either his or others’ capacity utilization is higher. We then empirically test and validate these findings. Our work demonstrates that when designing strategic admission control systems, it is important to quantify and perhaps then influence the magnitude of the borrowing cost to induce a proper level of competition without sacrificing the benefit of resource pooling. 展开更多
关键词 Decentralized control system admission policy Beds sharing Strategic behavior Dynamic programming Empirical study
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Modeling and Analysis for Streaming Service Systems 被引量:2
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作者 Hai-Peng Zhang Bao-Qun Yin Xiao-Nong Lu 《International Journal of Automation and computing》 EI CSCD 2014年第4期449-458,共10页
The proliferation of streaming service system in various application areas gains increasing importance and also poses more challenges in the research of streaming service system. In this paper, we propose a novel dyna... The proliferation of streaming service system in various application areas gains increasing importance and also poses more challenges in the research of streaming service system. In this paper, we propose a novel dynamic model composed of a set of differential equations to describe the evolution of streaming service systems. And in the model, we focus on how the policies for admission control and peer selection influence on the system. We first introduce a flexible abstraction of streaming service systems. The abstraction is generally enough to capture the essences of streaming service systems with different structures, physical characteristics,software protocols and client behaviors. Then, by analyzing the state which is defined as the number of requests, a novel dynamic model is developed in microscopic scale to characterize the behaviors of streaming service systems. The model proposed in this paper demonstrates the interactions between clients and servers and also between different servers. The interactions are primarily influenced by the admission control policy and peer selection policy. Finally, some experiments are designed to verify the validation and reasonability of the model. 展开更多
关键词 PEER-TO-PEER streaming service system dynamic model admission control policy peer selection policy
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