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Learning from simulating with system dynamics in healthcare: evaluating closer care strategies for elderly patients
Jönköping University, School of Engineering, JTH, Industrial Product Development, Production and Design. Department of Intelligent Production Systems, School of Engineering Science, University of Skövde, Skövde, Sweden.ORCID iD: 0000-0001-8188-7288
Department of Intelligent Production Systems, School of Engineering Science, University of Skövde, Skövde, Sweden.
2023 (English)In: Journal of Simulation, ISSN 1747-7778, E-ISSN 1747-7786, Vol. 17, no 5, p. 557-579Article in journal (Refereed) Published
Abstract [en]

This paper presents results from a simulation case study analyzing care strategies for elderly patients in a regional healthcare system (HCS) in Sweden. Three strategies to reduce emergency visits, hospitalisations, and stays were evaluated: care coordinators at emergency departments, mobile health clinics visiting fragile patients in their homes, and proactive primary care. Using system dynamics modelling and empirical data, the impact on the regional HCS was explored considering the reduced care demand and demographic changes. Subsequently, the impact on the population's health status was assessed. Combining strategies yielded the best outcome, but improving patients' health status may increase long-term care demand. The study emphasizes the importance of implementing these strategies to offer better care for elderly patients and reduce healthcare costs. Findings highlight the potential long-term effects of improving health status and the need for a comprehensive approach to address the evolving care demands of an ageing population.

Place, publisher, year, edition, pages
Taylor & Francis, 2023. Vol. 17, no 5, p. 557-579
Keywords [en]
System dynamics, elderly care, healthcare, decision-making, policy making
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-62193DOI: 10.1080/17477778.2023.2232768ISI: 001024594300001Scopus ID: 2-s2.0-85165205590Local ID: HOA;;897418OAI: oai:DiVA.org:hj-62193DiVA, id: diva2:1789057
Funder
Region Västra GötalandAvailable from: 2023-08-17 Created: 2023-08-17 Last updated: 2024-01-15Bibliographically approved

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