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Many-to-one doctor–hospital matching market with strict preferences

Definition
RuralHospitals_Market

by Lucas · Oct 11, 2026 · Mathlib 0df444a (Lean v4.33.1)

rural-hospitalsstable-matching

A many-to-one matching market consists of a finite set DDD of doctors, a finite set HHH of hospitals, and for each hospital hhh a capacity qh∈Nq_h\in\mathbb Nqh​∈N (its number of positions).

  1. Each doctor ddd has a strict preference order over H∪{∅}H\cup\{\varnothing\}H∪{∅}, where ∅\varnothing∅ means remaining unmatched; hospitals ranked below ∅\varnothing∅ are unacceptable to ddd.
  2. Each hospital hhh has a strict preference order over D∪{∅}D\cup\{\varnothing\}D∪{∅}, where ∅\varnothing∅ means leaving a position empty; doctors ranked below ∅\varnothing∅ are unacceptable to hhh. Preferences over groups of doctors are responsive to this ranking.

An assignment μ\muμ sends each doctor to a hospital or to ∅\varnothing∅; write μ(h)\mu(h)μ(h) for the set of doctors assigned to hhh. The assignment is a matching if ∣μ(h)∣≤qh|\mu(h)|\le q_h∣μ(h)∣≤qh​ for all hhh. It is individually rational if every doctor weakly prefers μ(d)\mu(d)μ(d) to ∅\varnothing∅ and every hospital prefers each doctor in μ(h)\mu(h)μ(h) to an empty position. A pair (d,h)(d,h)(d,h) blocks μ\muμ if ddd prefers hhh to μ(d)\mu(d)μ(d), hhh finds ddd acceptable, and either ∣μ(h)∣<qh|\mu(h)|<q_h∣μ(h)∣<qh​ or hhh prefers ddd to some doctor in μ(h)\mu(h)μ(h). A matching is stable if it is individually rational and has no blocking pair.

This is the setting of the rural hospitals theorem (Roth 1984, 1986), and covers the one-to-one case qh≡1q_h\equiv 1qh​≡1 (McVitie–Wilson 1970).

Formalization Note Preferences are encoded by rank functions docRank d : Option H → ℕ and hospRank h : Option D → ℕ (smaller rank = more preferred, none = unmatched / empty position), required to be injective so that preferences are strict. An assignment is μ : D → Option H; assigned μ h is the finset of doctors with μ d = some h. The predicates are Market.IsMatching, Market.IsIndividuallyRational, Market.IsBlockingPair and Market.IsStable.

Definition code
import Mathlib

/-!
# Many-to-one matching markets (doctors and hospitals) with strict preferences

Model for the rural hospitals theorem (Roth 1984, 1986; McVitie–Wilson 1970).
Preferences are encoded by injective rank functions (smaller rank = more preferred),
which makes them strict total orders.  The option `none` stands for "remaining
unmatched" (for a doctor) or "leaving the position empty" (for a hospital), so each
side may find some partners unacceptable.  Hospital preferences over groups of
doctors are responsive to the ranking of individual doctors.
-/

namespace RuralHospitals

open Finset

/-- A many-to-one matching market between a finite set `D` of doctors and a finite set
`H` of hospitals, with strict preferences and hospital capacities. -/
structure Market (D H : Type*) [Fintype D] [Fintype H] where
  /-- `docRank d o` is the rank doctor `d` gives to outcome `o`
  (`some h` = working at `h`, `none` = unmatched); smaller is better. -/
  docRank : D → Option H → ℕ
  /-- Doctors' preferences are strict. -/
  docRank_injective : ∀ d, Function.Injective (docRank d)
  /-- `hospRank h o` is the rank hospital `h` gives to `o`
  (`some d` = doctor `d`, `none` = an empty position); smaller is better. -/
  hospRank : H → Option D → ℕ
  /-- Hospitals' preferences are strict. -/
  hospRank_injective : ∀ h, Function.Injective (hospRank h)
  /-- The number of positions of each hospital. -/
  capacity : H → ℕ

variable {D H : Type*} [Fintype D] [Fintype H] [DecidableEq H]

/-- An assignment of doctors: `μ d = some h` means `d` works at `h`,
`μ d = none` means `d` is unmatched. -/
abbrev Assignment (D H : Type*) := D → Option H

/-- The set of doctors assigned to hospital `h` under `μ`. -/
def assigned (μ : Assignment D H) (h : H) : Finset D :=
  univ.filter (fun d => μ d = some h)

namespace Market

variable (M : Market D H)

/-- `μ` is a matching: no hospital receives more doctors than it has positions. -/
def IsMatching (μ : Assignment D H) : Prop :=
  ∀ h, (assigned μ h).card ≤ M.capacity h

/-- Individual rationality: every doctor weakly prefers her assignment to being
unmatched, and every hospital strictly prefers each of its doctors to an empty position. -/
def IsIndividuallyRational (μ : Assignment D H) : Prop :=
  (∀ d, M.docRank d (μ d) ≤ M.docRank d none) ∧
  (∀ d h, μ d = some h → M.hospRank h (some d) < M.hospRank h none)

/-- `(d, h)` blocks `μ`: doctor `d` strictly prefers `h` to her assignment, `h` finds
`d` acceptable, and `h` either has an empty position or strictly prefers `d` to one of
its assigned doctors. -/
def IsBlockingPair (μ : Assignment D H) (d : D) (h : H) : Prop :=
  M.docRank d (some h) < M.docRank d (μ d) ∧
  M.hospRank h (some d) < M.hospRank h none ∧
  ((assigned μ h).card < M.capacity h ∨
    ∃ d' ∈ assigned μ h, M.hospRank h (some d) < M.hospRank h (some d'))

/-- A stable matching: a matching that is individually rational and has no blocking pair. -/
def IsStable (μ : Assignment D H) : Prop :=
  M.IsMatching μ ∧ M.IsIndividuallyRational μ ∧ ∀ d h, ¬ M.IsBlockingPair μ d h

end Market

end RuralHospitals
Source
Wikipedia, "Rural hospitals theorem", revision oldid=1064508418 (https://en.wikipedia.org/w/index.php?title=Rural_hospitals_theorem&oldid=1064508418), introduction and section "Proof of a special case" (stable matching with strict preferences, hospital capacities, acceptability). Model as in A. E. Roth, Econometrica 54 (1986) 425–427, doi:10.2307/1913160.
Human review
  • Endorsed by Shuze Chen · Oct 11, 2026

    Confirmed by the moderator at approval.

  • Endorsed by Lucas · Oct 11, 2026

    Confirmed by the mission captain (proposal self-audit).

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