Young Terry, Soorapanth Sada, Wilkerson Jim, Millburg Lance, Roberts Todd, Morgareidge David
Department of Computer Science, Brunel University, Uxbridge, UK.
Department of Decision Sciences, San Francisco State University, San Francisco, CA, USA.
Health Syst (Basingstoke). 2018 Nov 26;9(3):253-262. doi: 10.1080/20476965.2018.1548255.
In the nineties and noughties, Hollocks surveyed the use of Discrete Event Simulation (DES) in industry and listed (although he could not quantify the value of) benefits. This paper explores how DES is now used to design healthcare facilities and services, developing a value-for-money case with a protocol on collecting information. We present a set of five DES case studies from the US care system and, following Hollocks, focus on modelling as part of a rigorous design process, capturing as many of the benefits as possible. Healthcare offers the possibility of ascribing value to health improvement, but in these cases it is primarily the operational benefits of a better service that are reported and monetarised. By estimated the cost of modelling and the value of the operation gains, this paper contributes significantly to the literature. We conclude with a protocol for collecting information and a discussion of methods by which different types of benefit may be captured.
在九十年代和零年代，霍洛克斯调查了离散事件模拟（DES）在工业中的应用，并列出了（尽管他无法量化其价值的）益处。本文探讨了DES如今如何用于设计医疗设施和服务，通过一个收集信息的协议来构建性价比案例。我们展示了来自美国医疗系统的五个DES案例研究，并遵循霍洛克斯的方法，将重点放在作为严谨设计过程一部分的建模上，尽可能多地获取益处。医疗保健提供了为健康改善赋予价值的可能性，但在这些案例中，主要报告和货币化的是更好服务的运营益处。通过估算建模成本和运营收益的价值，本文对相关文献做出了重要贡献。我们最后给出了一个收集信息的协议，并讨论了获取不同类型益处的方法。
