Learning from simulating with system dynamics in healthcare: evaluating closer care strategies for elderly patients

IF 1.3 4区工程技术 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS

Journal of Simulation Pub Date : 2023-07-13 DOI:10.1080/17477778.2023.2232768

Gary Linnéusson, A. G. Uriarte

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引用次数: 1

Abstract

ABSTRACT This paper presents results from a simulation case study analyzing care strategies for elderly patients in a regional healthcare system (HCS) in Sweden. Three strategies to reduce emergency visits, hospitalisations, and stays were evaluated: care coordinators at emergency departments, mobile health clinics visiting fragile patients in their homes, and proactive primary care. Using system dynamics modelling and empirical data, the impact on the regional HCS was explored considering the reduced care demand and demographic changes. Subsequently, the impact on the population's health status was assessed. Combining strategies yielded the best outcome, but improving patients' health status may increase long-term care demand. The study emphasizes the importance of implementing these strategies to offer better care for elderly patients and reduce healthcare costs. Findings highlight the potential long-term effects of improving health status and the need for a comprehensive approach to address the evolving care demands of an ageing population.

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从医疗保健系统动力学模拟中学习:评估老年患者更密切的护理策略

摘要本文介绍了一项模拟案例研究的结果，该研究分析了瑞典地区医疗系统（HCS）中老年患者的护理策略。评估了减少急诊就诊、住院和住院的三种策略：急诊科的护理协调员、在家中探访脆弱患者的流动卫生诊所以及积极的初级保健。利用系统动力学模型和经验数据，考虑到护理需求的减少和人口结构的变化，探讨了对区域HCS的影响。随后，评估了对人口健康状况的影响。综合策略产生了最好的结果，但改善患者的健康状况可能会增加长期护理需求。该研究强调了实施这些策略的重要性，以为老年患者提供更好的护理并降低医疗成本。研究结果强调了改善健康状况的潜在长期影响，以及需要采取全面的方法来满足老龄化人口不断变化的护理需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Simulation COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS-OPERATIONS RESEARCH & MANAGEMENT SCIENCE

CiteScore

5.70

自引率

16.00%

发文量

期刊介绍： Journal of Simulation (JOS) aims to publish both articles and technical notes from researchers and practitioners active in the field of simulation. In JOS, the field of simulation includes the techniques, tools, methods and technologies of the application and the use of discrete-event simulation, agent-based modelling and system dynamics.