scholarly journals Simulation modeling to assess performance of integrated healthcare systems: Literature review to characterize the field and visual aid to guide model selection

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254334
Author(s):  
Nicolas Larrain ◽  
Oliver Groene
Keyword(s):  
Model Selection ◽  
Performance Assessment ◽  
System Performance ◽  
Simulation Modeling ◽  
Simulation Models ◽  
Healthcare Systems ◽  
Triple Aim ◽  
Integrated Healthcare ◽  
Modeling Techniques

Background The guiding principle of many health care reforms is to overcome fragmentation of service delivery and work towards integrated healthcare systems. Even though the value of integration is well recognized, capturing its drivers and its impact as part of health system performance assessment is challenging. The main reason is that current assessment tools only insufficiently capture the complexity of integrated systems, resulting in poor impact estimations of the actions taken towards the ‘Triple Aim’. We describe the unique nature of simulation modeling to consider key health reform aspects: system complexity, optimization of actions, and long-term assessments. Research question How can the use and uptake of simulation models be characterized in the field of performance assessment of integrated healthcare systems? Methods A systematic search was conducted between 2000 and 2018, in 5 academic databases (ACM D. Library, CINAHL, IEEE Xplore, PubMed, Web of Science) complemented with grey literature from Google Scholar. Studies using simulation models with system thinking to assess system performance in topics relevant to integrated healthcare were selected for revision. Results After screening 2274 articles, 30 were selected for analysis. Five modeling techniques were characterized, across four application areas in healthcare. Complexity was defined in nine aspects, embedded distinctively in each modeling technique. ‘What if?’ & ‘How to?’ scenarios were identified as methods for system optimization. The mean time frame for performance assessments was 18 years. Conclusions Simulation models can evaluate system performance emphasizing the complex relations between components, understanding the system’s adaptability to change in short or long-term assessments. These advantages position them as a useful tool for complementing performance assessment of integrated healthcare systems in their pursuit of the ‘Triple Aim’. Besides literacy in modeling techniques, accurate model selection is facilitated after identification and prioritization of the complexities that rule system performance. For this purpose, a tool for selecting the most appropriate simulation modeling techniques was developed.

Progress in Waste Package and Engineered Barrier System Performance Assessment and Design

1992 ◽  
Vol 294 ◽  
Author(s):  
Abraham Van LUIK ◽  
David Stahl ◽  
Diane Harrison
Keyword(s):  
Environmental Impact ◽  
Performance Assessment ◽  
System Performance ◽  
Site Suitability ◽  
Waste Package ◽  
Waste Repository ◽  
Engineered Barrier ◽  
High Level ◽  
The U.S

ABSTRACTAs part of the U.S. Department of Energy's evaluation of site suitability for a potential high-level radioactive waste repository, long-term interactions between the engineered barrier system and the site must be determined. This requires a waste-package/engineered-system design, a description of the environment around the emplacement zone, and models that simulate operative processes describing these engineered/natural system interactions. Candidate designs are being evaluated, including a more robust, multi-barrier waste package, and a drift emplacement mode. Tools for evaluating designs and emplacement mode are the currently available waste-package/engineered-system performance assessment codes developed for the project. For assessments that support site suitability, environmental impact, or licensing decisions, more capable codes are needed. Code capability requirements are being written, and existing codes are to be evaluated against those requirements. Recommendations are being made to focus waste-package/engineered-system code-development.

Process simulation modeling of phytophagans' influence on the yield of seed fruit crops

2019 ◽  
pp. 138-143
Author(s):  
V. A. Shishkin ◽  
E. P. Rybalkin ◽  
E. B. Balykina
Keyword(s):  
Process Simulation ◽  
Simulation Modeling ◽  
Software Package ◽  
Development Process ◽  
Simulation Models ◽  
Vegetation Period ◽  
Fruit Crops ◽  
Generational Change ◽  
Apple Trees ◽  
Nonlinear Characteristics

Simulation modeling of phytophagans’ influence on the yield of seed fruit crops, in particular apple trees, was carried out. By means of simulation models the importance of phytophagans’ influence at different stages of the vegetation period and the period of fruit ripening was revealed. The software package Matlab was used to build simulation models. As a result, simulation models with nonlinear characteristics were obtained, which maximally reflected the studied processes. The developed models imitate the process of phytophagans’ development. Generation change of pests and all stages of their development are simulated. Their respective numbers are recorded at each stage for all generations. The development process at each stage is modeled by separate subsystems of the simulation model. To simulate the development of one generation of pests, these subsystems are connected by external links. In addition, part of the relationships provides a simulation of generational change. There are a number of input parameters that allow to configure the simulation of the process of changing generations, taking into account the peculiarities of the development of various phytophagans.

scholarly journals Long-Term Performance Assessment of an Operative Post-Tensioned Timber Frame Structure

2019 ◽  
Vol 145 (5) ◽  
pp. 04019034 ◽  
Author(s):  
G. Granello ◽  
C. Leyder ◽  
A. Frangi ◽  
A. Palermo ◽  
E. Chatzi
Keyword(s):  
Performance Assessment ◽  
Frame Structure ◽  
Timber Frame ◽  
Long Term Performance ◽  
Term Performance ◽  
Post Tensioned

Forest Management Decision-Making: Art or Science?

1981 ◽  
Vol 57 (5) ◽  
pp. 233-238 ◽  
Author(s):  
T. H. Hall
Keyword(s):  
Decision Making ◽  
Forest Management ◽  
Simulation Modeling ◽  
Forest Planning ◽  
Management Decision ◽  
Creative Design ◽  
Management Decision Making ◽  
Evaluation Techniques ◽  
Making Art

This paper describes an approach to forest management decision-making. Acknowledging both objective and subjective elements, the approach offers a methodology to encourage more creative design in forest planning. It uses the descriptive capabilities of simulation modeling in tandem with the prescriptive capabilities of graphical evaluation techniques, to facilitate the use and interpretation of technical forestry information in decision-making problems. It emphasizes a need for an overview of long-term resource behavior as a prerequisite to, and a framework for, forest planning.

scholarly journals Closest and long-term prospects of 3D-printing for obstetrics and gynecology

2021 ◽  
Vol 20 (1) ◽  
pp. 76-81
Author(s):  
E. V. Kudryavtseva ◽  
V. V. Kovalev ◽  
E. S. Zakurinova ◽  
G. Muller-Kamskii ◽  
V. V. Popov
Keyword(s):  
3D Printing ◽  
Scientific Literature ◽  
Simulation Models ◽  
Surgical Instruments ◽  
Obstetrics And Gynecology ◽  
Scientific Review ◽  
Advantages And Disadvantages ◽  
The Creation ◽  
Dimensional Printing

Introduction. Despite the notable and rapid progress in the development of medical 3D printing in recent years, not much is known about the use of this technology in obstetrics and gynecology.The purpose of our review of scientific literature was to determine the current level of 3D printing development, discuss the closest and long term prospects for using this technology in obstetrics and gynecology, and analyze its potential advantages and disadvantages.Materials and methods. We searched for scientific literature. 378 papers passed a three-step screening, as a result of which 42 sources were selected for the final scientific review.Results and discussion. The main areas in which dimensional printing can be used in this area of medicine is the creation of simulation models and training for students, the creation of anatomical models for preoperative preparation, the surgical instruments, the creation of new dosage drug forms (including transvaginal ones), and bioprinting of organs and tissues.Conclusion. The presented literary review allows us to conclude that 3D printing the obstetrics and gynecology is a current rapidly developing direction. The organization of 3D modeling and printing laboratories can significantly increase the efficiency of teaching students and residents. In addition, obstetricians-gynecologists and surgeons should be informed about the possibility of 3D printing surgical instruments according to an individual design. It can inspire them to implement their own ideas and develop domestic innovative developments. Three-dimensional printing of dosage forms and bioprostheses requires more complex technological solutions, and is not yet used in clinical practice. However, given the enormous prospects for these areas, various grants should be envisaged for their development in Russia

scholarly journals Perancangan Decision Support System Penilaian Kinerja Dosen Berdasarkan Penilaian Prestasi Kerja Pegawai dan Beban Kinerja Dosen

MATICS ◽  
2016 ◽  
Vol 8 (2) ◽  
pp. 48
Author(s):  
Rizal Furqan Ramadhan ◽  
Herman Tolle ◽  
Muhammad Aziz Muslim
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Performance Assessment ◽  
Support System ◽  
System Performance ◽  
Normal Medium ◽  
Higher Education System ◽  
Final Output ◽  
University Lecturers ◽  
Education Concept

<span>The lecturer is one of the essential<br />components in the Higher Education system. Performance<br />assessment of lecturer needs to be conducted to measure<br />the lecturer capability based on the Tri Darma’s Higher<br />Education concept. Related to the nowadays technology<br />development, to conduct performance assessment of<br />lecturer can use the Decision Support System based on<br />several criteria as the assessment material. The provided<br />criteria in this paper seem to be the obtained criteria from<br />P2KP and BKD component. P2KP is performance<br />assessment of lecturer under the Badan Kepegawaian<br />Negara (BKN) supervision. Meanwhile BKD is<br />performance assessment of lecturer under the DIKTI<br />supervision. The lecturer criteria are taken from those two<br />components because the lecturers’ status cannot be<br />separated from the officer under BKN and educator under<br />the DIKTI support. It is expected that the criteria coming<br />from both components integration will be able to produce<br />performance assessment of lecturer objectively. The<br />method to proceed the assessment was Weighted Product<br />(WP). The examined data of the lecturers were the<br />Brawijaya University lecturers’ data. The final<br />examination data was conducted by taking the data<br />randomly from 20 Brawijaya University lecturers. The<br />final output from this Decision Support System is the<br />lecturers which are selected from three categories, which<br />are, less, normal, and good. It is expected that Decision<br />Support System is able to categorize the standard eligible<br />lecturer (Normal/medium category), and the lecturer<br />surpassing the standard (good category).<br /></span>

scholarly journals Empirical Study on Enhancing Medical Service Performance with Intellectual Capital through Process Capability

2020 ◽  
pp. 57-63
Author(s):  
Ya-Ping Hu ◽  
Yi-Ming Chiang
Keyword(s):  
Empirical Study ◽  
Intellectual Capital ◽  
Structural Equation ◽  
Medical Service ◽  
Process Capability ◽  
Service Performance ◽  
Equation Modeling ◽  
Modeling Techniques ◽  
Synergistic Relationships

This study investigates the synergistic relationships among intellectual capital, process capability, and medical service performance. An empirical study was conducted by using a second-order research framework. Data were collected through a questionnaire survey, and structural equation modeling techniques were used to analyze the data. An empirical analysis revealed that intellectual capital is a major factor influencing final medical service performance. This major factor should be carefully improved to increase process capability in hospitals in the long term. Hospitals account for a substantial proportion of the intellectual capital in the health-care industry, and, thus, should improve their process capability to achieve high medical service performance.

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