name:"Sobolev, Boris" found 2 records - Provincial Hospitals Library Catalogue

Over the past decades, health services research has informed policy for improving health care delivery. Computer simulations have great potential to drive full scale improvement, yet the technology has rarely been used to evaluate proposed changes before they are implemented in health care systems. Health Care Evaluation Using Computer Simulation describes a new interdisciplinary approach, one that incorporates the simulation of health system operations into the paradigm of health services res…

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Author: Sobolev, Boris

Other Authors: Sanchez, Victor; Kuramoto, Lisa

Responsibility: Boris Sobolev, Victor Sanchez, Lisa Kuramoto

Place of Publication: New York, NY

Publisher: Springer

Date of Publication: c2012

Physical Description: 1 online resource (xxv, 406 p. : 55 ill.)

ISBN: 9781461422334

Subjects (MeSH): Computer Simulation; Health Services Research; Program Evaluation; Research Design

Subjects (LCSH): Public health; Computer science

Abstract: Over the past decades, health services research has informed policy for improving health care delivery. Computer simulations have great potential to drive full scale improvement, yet the technology has rarely been used to evaluate proposed changes before they are implemented in health care systems. Health Care Evaluation Using Computer Simulation describes a new interdisciplinary approach, one that incorporates the simulation of health system operations into the paradigm of health services research. Beginning by reviewing the processes of health care evaluation and simulation experiments, the book presents a complete methodology for conducting simulation studies for evaluating policy alternatives. Unified Modeling Language and Statechart diagramming are introduced as a means for developing realistic requirements of discrete-event models and policies. And to clearly illustrate simulation modeling in context, an extended series of examples illustrates the use of simulations throughout a single department in a busy hospital. Chapters take the reader through each step of the methodology, featuring: A comparison of approaches to constructing simulation models of health care systems; An overview geared toward developing research questions; A framework for determining model requirements and designing simulations; Methods for evaluating simulation experiments at the cluster and individual levels; Guidelines for clear reporting of simulation studies; Examples of computer simulation in surgical services, from appointment booking to discharge planning. As a research reference and a hands-on blueprint, Health Care Evaluation Using Computer Simulation breaks innovative new ground for researchers and graduate students in health services research and health care management.health care management.

Contents: [Machine generated contents note] Pt. I. Concepts -- 1. Intervention Research in Health Care -- 1.1. Intervention Studies -- 1.2. Causal Perspective -- 1.3. Analytical Framework -- 1.4. Study Designs -- 1.5. Statistical Reasoning -- 1.6. Types of Questions -- 2. Simulation Studies -- 2.1. Computer Simulation Modeling -- 2.2. Causal Reasoning -- 2.3. Types of Factors -- 2.4. Types of Outcomes -- 2.5. Reporting Results -- 3. Framing the Process of Care -- 3.1. Functional View -- 3.2. Taxonomy of Activities -- 3.3. Diagnostic Stage -- 3.4. Preoperative Stage -- 3.5. Operative Stage -- 3.6. Postoperative Stage -- 3.7. Resource Allocation -- 3.8. Reactive Nature of Surgical Care -- 4. Simulation Models -- 4.1. Types of Models -- 4.2. Monte Carlo Simulation -- 4.3. System Dynamics -- 4.4. Markov Models -- 4.5. Discrete-Event Simulation -- 4.6. Agent-Based Models -- 4.7. Choice of Modeling Technique -- 5. UML Diagrams for the Process of Care -- 5.1. Overview of Diagrams -- 5.2. Class Diagrams -- 5.3. Use Case Diagrams -- 5.4. Activity Diagrams -- 5.5. State Diagrams -- 5.6. Sequence Diagrams -- 5.7. Timing Diagrams -- 6. Statecharts for Patient Flow -- 6.1. Visual Formalism -- 6.2. Representing Reactive Systems -- 6.3. Representing Patient Flow -- 6.4. Modeling Requirements -- 6.5. Modeling Assumptions -- 6.6. Input Parameters -- 6.7. Output Data -- Pt. II. Methods -- 7. Design of a Simulation Study -- 7.1. Simulation Study as Intervention Research -- 7.2. Analytical Framework -- 7.3. Experimental Design -- 7.4. Plan of Analysis -- 8. Planning a Study at the Cluster Level -- 8.1. Cluster-Level Proportions -- 8.2. Measuring Performance with Proportions -- 8.3. Comparing Proportions -- 8.4. Number of Runs for Comparing Proportions -- 8.5. Cluster-Level Averages -- 8.6. Measuring Performance with Averages -- 8.7. Comparing Averages -- 8.8. Number of Runs for Comparing Averages -- 9. Planning a Study at the Individual Level -- 9.1. Individual-Level Proportions -- 9.2. Measuring Performance with Proportions -- 9.3. Comparing Proportions -- 9.4. Number of Runs for Comparing Proportions -- 9.5. Individual-Level Rates -- 9.6. Measuring Performance with Rates -- 9.7. Comparing Rates -- 9.8. Number of Runs for Comparing Rates -- 10. Reporting on a Simulation Study -- 10.1. CONSORT Guidelines -- 10.2. Reporting the Study Question -- 10.3. Reporting the Study Methods -- 10.4. Reporting the Results -- 10.5. Reporting with Effective Tables -- 11. Evaluations at the Cluster Level -- 11.1. Scenario Involving Proportions -- 11.2. Preparing Data for Analysis of Proportions -- 11.3. Adjusting Effect Size for Proportions -- 11.4. Reporting Results for Proportions -- 11.5. Scenario Involving Averages -- 11.6. Preparing Data for Analysis of Averages -- 11.7. Adjusting Effect Size for Averages -- 11.8. Reporting Results for Averages -- 12. Evaluations at the Individual Level -- 12.1. Scenario Involving Proportions -- 12.2. Preparing Data for Analysis of Proportions -- 12.3. Adjusting Effect Size for Proportions -- 12.4. Reporting Results for Proportions -- 12.5. Scenario Involving Rates -- 12.6. Preparing Data for Analysis of Rates -- 12.7. Adjusting Effect Size for Rates -- 12.8. Reporting Results for Rates -- Pt. III. Applications -- 13. Simulation Model for Surgical Service -- 13.1. Modeled Process -- 13.2. Modeling Requirements -- 13.3. Modeling Assumptions -- 13.4. Implementation Details -- 13.5. Describing Patient Flow with Statecharts -- 14. Booking Consultation Appointments -- 14.1. Simulation Study -- 14.2. Simulation Model -- 14.3. Plan of Experiment -- 14.4. Evaluation of Experiment -- 14.5. Three-Way Comparison -- 15. Managing Presurgical Screening -- 15.1. Simulation Study -- 15.2. Simulation Model -- 15.3. Plan of Experiment -- 15.4. Evaluation of Experiment -- 16. Booking Elective Surgery -- 16.1. Simulation Study -- 16.2. Simulation Model -- 16.3. Plan of Experiment -- 16.4. Evaluation of Experiment -- 17. Booking Anesthesiology Consultations -- 17.1. Background -- 17.2. Management Alternatives -- 17.3. Simulation Model -- 17.4. Plan of Experiment -- 17.5. Plan of Evaluation -- 18. Managing Postoperative Care -- 18.1. Background -- 18.2. Management Alternatives -- 18.3. Simulation Model -- 18.4. Plan of Experiment -- 18.5. Plan of Evaluation -- 19. Discharge Planning -- 19.1. Background -- 19.2. Management Alternatives -- 19.3. Simulation Model -- 19.4. Plan of Experiment -- 19.5. Evaluation of Experiment -- Appendices -- A. Framing the Questions -- B. Determining the Sufficient Number of Simulation Runs -- C. Specifications of the Statechart Diagram -- D. Data Dictionaries for Case Studies.

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