Barker Lisa T, Meguerdichian Michael, Walker Katie, Janssens Sarah, Szabo Rebecca A, Lopez Connie, Henricksen Jared W, Symon Ben
Jump Simulation, OSF HealthCare and University of Illinois College of Medicine at Peoria Collaboration, Peoria, IL, USA.
Simulation Center, NYC Health + Hospitals, New York, NYC, USA.
Adv Simul (Lond). 2025 Jul 28;10(1):41. doi: 10.1186/s41077-025-00368-w.
Healthcare simulation services are increasingly expected to demonstrate their value-a term that remains highly context-dependent and frequently misunderstood. While traditional models such as Kirkpatrick and Phillips have supported early evaluation efforts, they embed hierarchical assumptions about which types of data matter most. These assumptions can constrain recognition of simulation's broader contributions and lead to misguided or inefficient measurement practices.
In this paper, we propose the value-based simulation in healthcare (VBSH) model, an adaptation of Phillips' framework that offers simulation-specific nomenclature and a service-level lens. Structured as a taxonomy rather than a hierarchy, the VBSH model comprises six freestanding but interdependent categories: Service Products, Program Perceptions, Acquired Expertise, Workplace Performance, System Benefit, and Value Analyses. This model is designed to support simulation teams and organizational leaders in selecting relevant measurement strategies, aligning simulation work with institutional goals, and co-creating metrics that are operationally meaningful.
By reframing simulation as a vector for insight, improvement, and transformation-not just training delivery-the VBSH model aims to shift the conversation from metric power to metric relevance, fostering a more accurate, efficient, and context-aware narrative of simulation's value in healthcare.
医疗模拟服务越来越需要证明其价值——这一术语高度依赖具体情境且常常被误解。虽然柯克帕特里克和菲利普斯等传统模型支持早期评估工作，但它们嵌入了关于哪种类型的数据最重要的层级假设。这些假设可能会限制对模拟更广泛贡献的认识，并导致误导性或低效的测量实践。
在本文中，我们提出了医疗保健领域基于价值的模拟（VBSH）模型，这是对菲利普斯框架的一种改编，提供了针对模拟的术语和服务层面的视角。VBSH模型构建为一种分类法而非层级结构，包括六个独立但相互依存的类别：服务产品、项目认知、获得的专业知识、工作场所绩效、系统效益和价值分析。该模型旨在支持模拟团队和组织领导者选择相关的测量策略，使模拟工作与机构目标保持一致，并共同创建具有实际操作意义的指标。
通过将模拟重新定义为洞察、改进和转型的载体——而不仅仅是培训交付——VBSH模型旨在将讨论从指标的影响力转向指标的相关性，培养对模拟在医疗保健领域价值更准确、高效和情境化的描述。
