Tutorial: Advances and challenges in healthcare simulation modeling

Simulation has been used for modeling healthcare systems for over forty years. In many respects it is the ideal approach for addressing healthcare issues, yet the relatively small number of successful implementations would suggest that (outside academia) it has been underused in the health sector, compared with manufacturing industry or defense. In this paper we present a review of applications of simulation in healthcare, focusing on successful implementations, and we discuss some possible reasons why simulation has arguably failed to fulfill its potential. We describe recent advances in the area and identify opportunities for further research and new developments.

[1]  Ruth Davies,et al.  Screening for Diabetic Retinopathy , 2005 .

[2]  G. Royston,et al.  Using system dynamics to help develop and implement policies and programmes in health care in England , 1999 .

[3]  Brian Dangerfield,et al.  System dynamics applications to European health care issues , 1999, J. Oper. Res. Soc..

[4]  J. D. Welcht.  Appointments Systems in Hospitals and General Practice: Appointment Systems in Hospital Outpatient Departments , 1964 .

[5]  Tim Baines,et al.  Human performance modelling as an aid in the process of manufacturing system design: A pilot study , 2002 .

[6]  Paul R. Harper,et al.  Improving the cost-effectiveness of Chlamydia screening with targeted screening strategies , 2006, J. Oper. Res. Soc..

[7]  G. Bevan,et al.  "Systematic" , 1966, Comput. J..

[8]  M. Becker.  The Health Belief Model and Sick Role Behavior* , 1974 .

[9]  Paul R. Harper,et al.  Incorporating Human Behavior in Healthcare Simulation Models , 2006, Proceedings of the 2006 Winter Simulation Conference.

[10]  H. Coovadia,et al.  Free formula milk for infants of HIV-infected women: blessing or curse? , 2002, Health policy and planning.

[11]  Ruth Davies,et al.  Using simulation modelling for evaluating screening services for diabetic retinopathy , 2000, J. Oper. Res. Soc..

[12]  Paul Robert Harper,et al.  Modelling for the planning and management of bed capacities in hospitals , 2002, J. Oper. Res. Soc..

[13]  David C. Lane,et al.  Looking in the wrong place for healthcare improvements: A system dynamics study of an accident and emergency department , 2000, J. Oper. Res. Soc..

[14]  Sally C. Brailsford,et al.  Combined Discrete-event Simulation and Ant Colony Optimisation Approach for Selecting Optimal Screening Policies for Diabetic Retinopathy , 2006, Comput. Manag. Sci..

[15]  M. Conner,et al.  The Theory of Planned Behaviour , 2004 .

[16]  Sally C. Brailsford,et al.  Use of discrete-event simulation to evaluate strategies for the prevention of mother-to-child transmission of HIV in developing countries , 2005, J. Oper. Res. Soc..

[17]  R Davies,et al.  Modelling patient flows and resource provision in health systems , 1994 .

[18]  Kenneth E. F. Watt,et al.  Why won't anyone believe us ? , 1977 .

[19]  D L DeMets,et al.  The Wisconsin Epidemiologic Study of Diabetic Retinopathy. VI. Retinal photocoagulation. , 1987, Ophthalmology.

[20]  Walter J. Gutjahr,et al.  A Converging ACO Algorithm for Stochastic Combinatorial Optimization , 2003, SAGA.

[21]  J C Wilson.  Implementation of Computer Simulation Projects in Health Care , 1981, The Journal of the Operational Research Society.

[22]  D L DeMets,et al.  The Wisconsin Epidemiologic Study of Diabetic Retinopathy. A comparison of retinopathy in younger and older onset diabetic persons. , 1985, Advances in experimental medicine and biology.

[23]  Robert M. O'Keefe,et al.  Simplifying the modeling of multiple activities, multiple queuing, and interruptions: a new low-level data structure , 1993, TOMC.

[24]  Jeff D. Griffiths,et al.  Modelling the requirement for supplementary nurses in an intensive care unit , 2005, J. Oper. Res. Soc..

[25]  Sheldon Howard Jacobson,et al.  Application of discrete-event simulation in health care clinics: A survey , 1999, J. Oper. Res. Soc..

[26]  J R P Townshend,et al.  Analysing the effectiveness of Chlamydia screening , 2000, J. Oper. Res. Soc..

[27]  Sally C. Brailsford,et al.  Towards incorporating human behaviour in models of health care systems: An approach using discrete event simulation , 2003, Eur. J. Oper. Res..

[28]  Sally Brailsford,et al.  Overcoming the barriers to implementation of operations research simulation models in healthcare. , 2005, Clinical and investigative medicine. Medecine clinique et experimentale.

[29]  Peter Mittler,et al.  State of the nation , 1995 .

[30]  R Greenwood,et al.  Diabetic retinopathy screening , 2000, Diabetic medicine : a journal of the British Diabetic Association.

[31]  I. Ajzen.  The theory of planned behavior , 1991 .

[32]  Sally C. Brailsford,et al.  System Dynamics modeling of Chlamydia infection for screening intervention planning and cost-benefit estimation , 2005 .

[33]  Paul R. Harper,et al.  Geographical simulation modelling for the regional planning of oral and maxillofacial surgery across London , 2005, J. Oper. Res. Soc..

[34]  Sally C. Brailsford,et al.  Emergency and on-demand health care: modelling a large complex system , 2004, J. Oper. Res. Soc..

[35]  R. R. P. Jackson,et al.  Appointments Systems in Hospitals and General Practice: Design of an Appointments System , 1964 .

[36]  G. Underhill,et al.  Opportunistic chlamydia screening; should positive patients be screened for co-infections? , 2002, International journal of STD & AIDS.