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Managing health care decisions and improvement through simulation modeling
Linköping University, Department of Management and Engineering, Logistics Management. Linköping University, The Institute of Technology.
Karolinskan Institutet, Stockholm. (LIME)
Karolinska institutet, Stockholm. (LIME)
Högskolan i Jönköping.
2011 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 20, no 1, 15-29 p.Article in journal (Refereed) Published
Abstract [en]

Simulation modeling is a way to test changes in a computerized environment to give ideas for improvements before implementation. This article reviews research literature on simulation modeling as support for health care decision making. The aim is to investigate the experience and potential value of such decision support and quality of articles retrieved. A literature search was conducted, and the selection criteria yielded 59 articles derived from diverse applications and methods. Most met the stated research-quality criteria. This review identified how simulation can facilitate decision making and that it may induce learning. Furthermore, simulation offers immediate feedback about proposed changes, allows analysis of scenarios, and promotes communication on building a shared system view and understanding of how a complex system works. However, only 14 of the 59 articles reported on implementation experiences, including how decision making was supported. On the basis of these articles, we proposed steps essential for the success of simulation projects, not just in the computer, but also in clinical reality. We also presented a novel concept combining simulation modeling with the established plan-do-study-act cycle for improvement. Future scientific inquiries concerning implementation, impact, and the value for health care management are needed to realize the full potential of simulation modeling.

Place, publisher, year, edition, pages
2011. Vol. 20, no 1, 15-29 p.
Keyword [en]
decision making, health care learning, value, simulation
National Category
Business Administration Health Care Service and Management, Health Policy and Services and Health Economy
URN: urn:nbn:se:liu:diva-67941DOI: 10.1097/QMH.0b013e3182033bdcOAI: diva2:414366
Available from: 2011-05-03 Created: 2011-05-03 Last updated: 2011-05-11

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Aronsson, Håkan
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Logistics ManagementThe Institute of Technology
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