Participatory Modeling with Discrete-Event Simulation: A Hybrid Approach to Inform Policy Development to Reduce Emergency Department Wait Times
We detail a case study using a participatory modeling approach in the development and use of discrete-event simulations to identify intervention strategies aimed at reducing emergency department (ED) wait times in a Canadian health policy setting. A four-stage participatory modeling approach specifi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Systems |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2079-8954/11/7/362 |
| _version_ | 1797587413327937536 |
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| author | Yuan Tian Jenny Basran James Stempien Adrienne Danyliw Graham Fast Patrick Falastein Nathaniel D. Osgood |
| author_facet | Yuan Tian Jenny Basran James Stempien Adrienne Danyliw Graham Fast Patrick Falastein Nathaniel D. Osgood |
| author_sort | Yuan Tian |
| collection | DOAJ |
| description | We detail a case study using a participatory modeling approach in the development and use of discrete-event simulations to identify intervention strategies aimed at reducing emergency department (ED) wait times in a Canadian health policy setting. A four-stage participatory modeling approach specifically adapted to the local policy environment was developed to engage stakeholders throughout the modeling processes. The participatory approach enabled a provincial team to engage a broad range of stakeholders to examine and identify the causes and solutions to lengthy ED wait times in the studied hospitals from a whole-system perspective. Each stage of the approach was demonstrated through its application in the case study. A novel and key feature of the participatory modeling approach was the development and use of a multi-criteria framework to identify and prioritize interventions to reduce ED wait times. We conclude with a discussion on lessons learned, which provide insights into future development and applications of participatory modeling methods to facilitate policy development and build multi-stakeholder consensus. |
| first_indexed | 2024-03-11T00:36:38Z |
| format | Article |
| id | doaj.art-e2d19ad6e1ab4f55b27547338db01970 |
| institution | Directory Open Access Journal |
| issn | 2079-8954 |
| language | English |
| last_indexed | 2024-03-11T00:36:38Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Systems |
| spelling | doaj.art-e2d19ad6e1ab4f55b27547338db019702023-11-18T21:36:09ZengMDPI AGSystems2079-89542023-07-0111736210.3390/systems11070362Participatory Modeling with Discrete-Event Simulation: A Hybrid Approach to Inform Policy Development to Reduce Emergency Department Wait TimesYuan Tian0Jenny Basran1James Stempien2Adrienne Danyliw3Graham Fast4Patrick Falastein5Nathaniel D. Osgood6Department of Computer Science, University of Saskatchewan, Saskatoon, SK S7N 5C9, CanadaCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5E5, CanadaCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5E5, CanadaSaskatchewan Health Authority, Saskatoon, SK S7K 0M7, CanadaSaskatchewan Health Authority, Saskatoon, SK S7K 0M7, CanadaSaskatchewan Health Quality Council, Saskatoon, SK S7N 3R2, CanadaDepartment of Computer Science, University of Saskatchewan, Saskatoon, SK S7N 5C9, CanadaWe detail a case study using a participatory modeling approach in the development and use of discrete-event simulations to identify intervention strategies aimed at reducing emergency department (ED) wait times in a Canadian health policy setting. A four-stage participatory modeling approach specifically adapted to the local policy environment was developed to engage stakeholders throughout the modeling processes. The participatory approach enabled a provincial team to engage a broad range of stakeholders to examine and identify the causes and solutions to lengthy ED wait times in the studied hospitals from a whole-system perspective. Each stage of the approach was demonstrated through its application in the case study. A novel and key feature of the participatory modeling approach was the development and use of a multi-criteria framework to identify and prioritize interventions to reduce ED wait times. We conclude with a discussion on lessons learned, which provide insights into future development and applications of participatory modeling methods to facilitate policy development and build multi-stakeholder consensus.https://www.mdpi.com/2079-8954/11/7/362participatory modelingdiscrete-event simulationemergency departmentpatient flow |
| spellingShingle | Yuan Tian Jenny Basran James Stempien Adrienne Danyliw Graham Fast Patrick Falastein Nathaniel D. Osgood Participatory Modeling with Discrete-Event Simulation: A Hybrid Approach to Inform Policy Development to Reduce Emergency Department Wait Times Systems participatory modeling discrete-event simulation emergency department patient flow |
| title | Participatory Modeling with Discrete-Event Simulation: A Hybrid Approach to Inform Policy Development to Reduce Emergency Department Wait Times |
| title_full | Participatory Modeling with Discrete-Event Simulation: A Hybrid Approach to Inform Policy Development to Reduce Emergency Department Wait Times |
| title_fullStr | Participatory Modeling with Discrete-Event Simulation: A Hybrid Approach to Inform Policy Development to Reduce Emergency Department Wait Times |
| title_full_unstemmed | Participatory Modeling with Discrete-Event Simulation: A Hybrid Approach to Inform Policy Development to Reduce Emergency Department Wait Times |
| title_short | Participatory Modeling with Discrete-Event Simulation: A Hybrid Approach to Inform Policy Development to Reduce Emergency Department Wait Times |
| title_sort | participatory modeling with discrete event simulation a hybrid approach to inform policy development to reduce emergency department wait times |
| topic | participatory modeling discrete-event simulation emergency department patient flow |
| url | https://www.mdpi.com/2079-8954/11/7/362 |
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