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A simulation-based modeling framework to deal with clinical pathways

Published: 11 December 2011 Publication History

Abstract

In this paper we focus our attention on the analysis and management of Clinical Pathways (CPs) in health care systems. From an operational point of view, the CP is "the path" followed by a patient with a given pathology through the health-care system. We start by a global vision and propose a modeling framework based on a discrete event simulation model to identify the critical activities and scarce resources that represent the process bottlenecks both from a patient-centered and facility-centered point of view. Moreover, we face the challenging problem of integrating simulation and optimization in order to put together the capability of the simulation in the scenario analysis ("what-if" analysis) and in describing the dynamics of the system considered and the decisional strength of the optimization, i.e., the "what-best" analysis. The framework is applied to a case study for the thyroid surgical treatment.

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Cited By

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  • (2018)Ontology for Healthcare Systems Modeling and SimulationProceedings of the 50th Computer Simulation Conference10.5555/3275382.3275387(1-12)Online publication date: 9-Jul-2018
  • (2018)A model-driven framework for multi-paradigm modeling and holistic simulation of healthcare systemsSimulation10.1177/003754971774488894:3(235-257)Online publication date: 1-Mar-2018
  • (2017)Treatment pathways as petri nets in patient workflow managementProceedings of the 19th International Conference on Information Integration and Web-based Applications & Services10.1145/3151759.3151778(511-518)Online publication date: 4-Dec-2017
  • Show More Cited By

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      cover image ACM Conferences
      WSC '11: Proceedings of the Winter Simulation Conference
      December 2011
      4336 pages

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      Winter Simulation Conference

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      Published: 11 December 2011

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      WSC'11: Winter Simulation Conference 2011
      December 11 - 14, 2011
      Arizona, Phoenix

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      WSC '11 Paper Acceptance Rate 203 of 270 submissions, 75%;
      Overall Acceptance Rate 3,413 of 5,075 submissions, 67%

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      View all
      • (2018)Ontology for Healthcare Systems Modeling and SimulationProceedings of the 50th Computer Simulation Conference10.5555/3275382.3275387(1-12)Online publication date: 9-Jul-2018
      • (2018)A model-driven framework for multi-paradigm modeling and holistic simulation of healthcare systemsSimulation10.1177/003754971774488894:3(235-257)Online publication date: 1-Mar-2018
      • (2017)Treatment pathways as petri nets in patient workflow managementProceedings of the 19th International Conference on Information Integration and Web-based Applications & Services10.1145/3151759.3151778(511-518)Online publication date: 4-Dec-2017
      • (2017)A Literature Review on Validated Simulations of the Surgical ServicesJournal of Medical Systems10.1007/s10916-017-0711-x41:4(1-11)Online publication date: 1-Apr-2017
      • (2014)Patient flow modelling and performance analysis of healthcare delivery processes in hospitalsComputers and Industrial Engineering10.1016/j.cie.2014.04.01678:C(299-312)Online publication date: 1-Dec-2014

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