医患冲突问题成为当前社会热点问题之一。医患群体性事件当事者的社会网络结构呈现出越级上访、参与者个体的异质性、存在转移支付和动态递减的连接成本等复杂特征。在经典的社会网络JW模型上考虑上述社会网络特征,构建了修正的RJW(Revised Jackson-Wolinsky Model)社会网络模型。运用穷举搜索法,研究了医患冲突社会网络结构的稳定性和效率。结合南平医闹事件的案例分析,研究结果表明,当直接连接成本和连接收益较低时,星形社会网络稳定且高效;随着连接收益的上升,同时满足稳定性和有效的社会网络结构呈现出多种间接连接形态。该社会网络连接模型揭示了突发事件应急管理中“越位”、“越权”现象的产生条件:其关键因素是连接收益和连接成本的权衡。
Hospital-patient conflicts become one of social hot problems. In the latency, breakout and emergency disposal stages of social emergency, the social network structure of the parties group shows the complex characters, such as leapfrog petition, individual (i.e. node) heterogeneity, transfer payment and decreasing connecting cost. Considering the practical characters of social network in hospital-patient conflicts, the Revised Jackson-Wolinsky social network model is built in this papaper. Exhaustive search method is applied to analyze the stability and efficiency. The case of Nanping "medical trouble" event is analyzed. The results show that star network structure is stable and efficient, when the direct connecting cost and benefit are lower. Along with the connecting benefit rising, there are various forms of social networks contented with stability and efficiency simultaneously. This social network connecting model has revealed the conditions for the phenomenon of "management offside" in social emergency management, where the key factors are to trade-off between the connecting cost and benefit.
[1] Granovetter M, Economic action and social structure:The problem of embeddedness[J]. The American Journal of Sociology, 1985, 91(3):481-501.
[2] Nohria N, Eccles R G, Networks and organizations: Structure, form and action[M]. Boston, MA: Harvard Business School Press, 1992.
[3] 唐方成, 池坤鹏. 双边网络环境下的网络团购定价策略研究[J]. 中国管理科学, 2013, 21 (3): 185-192.
[4] 冯博, 索玮岚, 樊治平. 考虑多指标模糊关联的服务制造网络协同绩效评价方法[J]. 中国管理科学, 2013, 21 (3): 185-192.
[5] Almendral J A, López L, Sanjuán M A F. Information flow in generalized hierarchical networks[J]. Physica A, 2003, 324 (1-2): 424-429.
[6] 刘德海, 王维国. 维权型群体性突发事件社团网络结构与策略的协同演化机制[J]. 中国管理科学, 2012, 20(3): 185-192.
[7] Ressler S, Social network analysis as an approach to combat terrorism: Past, present, and future research[J]. Homeland Security Affairs, 2006, 2(2): 1-10.
[8] Ohtsuki H C, Hauert E. Lieberman, et al. A simple rule for the evolution of cooperation on graphs and social networks[J]. Nature, 2006, 441(7092):502-505.
[9] Jackson M O, Wolinsky A. A strategic model of social and economic networks[J]. Journal of Economic Theory, 1996, 71(1):44-74.
[10] Jackson M O, Watts A. The evolution of social and economic networks[J]. Journal of Economic Theory, 2002, 106(2):265-295.
[11] Doreian P, Actor network utilities and network evolution[J]. Social Networks, 2006, 28(2): 137-164.
[12] Xie Fengjie, Cui Wentian, Cost range and the stable network structures[J]. Social Networks, 2008, 30(1): 100-101.
[13] Liu Dehai, Huang Jing, Li Hongyi, et al. Types of stable network structures based on exhaustive search[J]. Social Networks, 2013, 35(1): 124-129.
[14] 刘德海. 政府不同应急管理模式下群体性突发事件的演化分析[J]. 系统工程理论与实践, 2010, 30(11): 1968-1976.
[15] Hummon N P. Utility and dynamic social networks[J]. Social networks, 2000, 22(3):221-249.
[16] 罗家德. 社会网分析讲义[M]. 北京: 社会科学文献出版社, 2005.
[17] 康伟. 突发事件舆情传播的社会网络结构测度与分析: 基于"11·16校车事故"的实证研究[J]. 中国软科学, 2012, (7): 169-178.
[18] 栾微, 张智威. 哈尔滨出现"职业医闹"团队[N]. 黑龙江晨报, 2010-9-13, 第7版.
[19] 董伟. 南平"医闹"事件是是非非[N]. 中国青年报, 2009-6-29, 第12版.
[20] 刘德海. 群体性突发事件中政府机会主义行为的演化博弈分析[J]. 中国管理科学, 2010, 18(1). 175-183.
