Kalton Alan, Falconer Erin, Docherty John, Alevras Dimitris, Brann David, Johnson Kyle
IBM Research, Nairobi, Kenya.
Medical Affairs, Otsuka America Pharmaceutical, Inc., Princeton, NJ, USA.
J Med Syst. 2016 Feb;40(2):39. doi: 10.1007/s10916-015-0374-4. Epub 2015 Nov 21.
This paper discusses the creation of an Agent-Based Simulation that modeled the introduction of care coordination capabilities into a complex system of care for patients with Serious and Persistent Mental Illness. The model describes the engagement between patients and the medical, social and criminal justice services they interact with in a complex ecosystem of care. We outline the challenges involved in developing the model, including process mapping and the collection and synthesis of data to support parametric estimates, and describe the controls built into the model to support analysis of potential changes to the system. We also describe the approach taken to calibrate the model to an observable level of system performance. Preliminary results from application of the simulation are provided to demonstrate how it can provide insights into potential improvements deriving from introduction of care coordination technology.
本文讨论了基于主体的模拟模型的创建,该模型模拟了将护理协调能力引入严重和持续性精神疾病患者复杂护理系统的过程。该模型描述了患者与他们在复杂护理生态系统中互动的医疗、社会和刑事司法服务之间的参与情况。我们概述了开发该模型所涉及的挑战,包括流程映射以及数据的收集与综合以支持参数估计,并描述了模型中为支持对系统潜在变化的分析而构建的控制措施。我们还描述了将模型校准到可观察系统性能水平所采用的方法。提供了模拟应用的初步结果,以展示它如何能够深入了解引入护理协调技术可能带来的潜在改进。