Public participation in healthcare safety: A tripartite evolutionary game model with evidence from diverse international cases
ZhiQiang Zeng, Saratha Sathasivam, Jing Xin, Huan Zhao, Helen Howard, André Luis C Ramalho, André Luis C Ramalho
TL;DR
This study introduces a model showing how public involvement, along with government and medical institutions, can improve healthcare safety through cooperation and regulation.
Contribution
A tripartite evolutionary game model is proposed and validated to guide public participation in healthcare safety across diverse contexts.
Findings
Higher health risks and public exposure significantly boost participation and system stability.
Medical institutions comply only when penalties reach a critical threshold.
A virtuous cycle of public engagement and oversight improves compliance globally.
Abstract
As healthcare systems grow in complexity, ensuring medical safety requires moving beyond traditional top-down regulation. While public participation is increasingly recognized as a vital component, a robust, generalizable framework to guide its implementation has been lacking. This study addresses this critical gap by proposing and rigorously validating a tripartite evolutionary game model that integrates the public, medical institutions, and government authorities. We test the model’s universality and effectiveness against empirical data from three diverse international case studies: tuberculosis (TB) treatment adherence in Saudi Arabia, COVID-19 vaccination compliance in China, and antibiotic prescription supervision in Vietnam. Our analysis reveals that higher health risks and public exposure rates act as powerful catalysts, significantly enhancing participation from both the public…
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Taxonomy
TopicsRegulation and Compliance Studies · Healthcare Systems and Reforms · Viral Infections and Outbreaks Research