Title
The case for incorporating heterogeneity and malleability of patient screening behavior in simulation models
Abstract
Simulation models have been used extensively to evaluate and aid in planning of health screening strategies in health care. In typical simulation models, patient screening behavior is often assumed as homogeneous (patient characteristics do not influence the probability of undergoing screening) and rigid (invariant with time, and not malleable by screening interventions), and modeled as such. However, patient screening behavior in reality is heterogeneous and malleable. Disregarding these realities affect the model functionality and modeling outcomes. We propose two general simulation model structures: one representing a typical existing simulation model and another representing a simulation model that incorporates heterogeneity and malleability of patient screening behavior. We then illustrate both model structures by implementing it in the case of Diabetic Retinopathy eye screening. Comparison of the two resulting models indicate that heterogeneity and malleability of patient screening behavior should be addressed in simulation models to improve model functionality and precision of outcome estimates.
Year
DOI
Venue
2014
10.1109/WSC.2014.7020007
WSC '14: Winter Simulation Conference Savannah Georgia December, 2014
Keywords
Field
DocType
patient care,simulation,diabetic retinopathy eye screening,health care,health screening strategy,homogeneous behavior,model functionality,modeling outcome,patient screening behavior heterogeneity,patient screening behavior malleability,rigid behavior,simulation model
Health care,Homogeneous,Simulation,Computer science,Simulation modeling,Malleability
Conference
ISSN
ISBN
Citations 
0891-7736
978-1-4673-9741-4
0
PageRank 
References 
Authors
0.34
3
2
Name
Order
Citations
PageRank
Irene Vidyanti100.34
Shin-Yi Wu241431.59