Evidence map›Paper›PMID 34036444›Full record

ArticleHealth care management science2021

Patients, primary care, and policy: Agent-based simulation modeling for health care decision support.

Martin Comis, Catherine Cleophas, Christina Büsing

Open access · hybridAbstract read
In one paragraph

Article in Health care management science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Martin ComisLehrstuhl II für Mathematik, RWTH Aachen University, Pontdriesch 10-12, 52062, Aachen, Germany. comis@math2.rwth-aachen.de.ORCID http://orcid.org/0000-0002-3038-9294
Catherine CleophasWorking Group Service Analytics, Christian-Albrechts-Universität zu Kiel, Westring 425, 24118, Kiel, Germany.ORCID http://orcid.org/0000-0002-3676-2782
Christina BüsingLehrstuhl II für Mathematik, RWTH Aachen University, Pontdriesch 10-12, 52062, Aachen, Germany.ORCID http://orcid.org/0000-0002-3394-2788
RWTH Aachen University · DEChristian-Albrechts-Universität zu Kiel · DE

Funding

Deutsche Forschungsgemeinschaft (DFG) Research Training Group 2236 UnRAVeLVolkswagen Foundation Freigeist-Fellowship
6 · The paper itself

Abstract

Primary care systems are a cornerstone of universally accessible health care. The planning, analysis, and adaptation of primary care systems is a highly non-trivial problem due to the systems' inherent complexity, unforeseen future events, and scarcity of data. To support the search for solutions, this paper introduces the hybrid agent-based simulation model SiM-Care. SiM-Care models and tracks the micro-interactions of patients and primary care physicians on an individual level. At the same time, it models the progression of time via the discrete-event paradigm. Thereby, it enables modelers to analyze multiple key indicators such as patient waiting times and physician utilization to assess and compare primary care systems. Moreover, SiM-Care can evaluate changes in the infrastructure, patient behavior, and service design. To showcase SiM-Care and its validation through expert input and empirical data, we present a case study for a primary care system in Germany. Specifically, we study the immanent implications of demographic change on rural primary care and investigate the effects of an aging population and a decrease in the number of physicians, as well as their combined effects.

Indexed as

Delivery of Health CarePrimary Health CareAgedComputer SimulationGermanyHumansPolicyAgent-based modelingDecision supportDiscrete-event simulationHybrid simulationOperations researchPrimary care

Identifiers

PMID34036444
PMCPMC8147912
OpenAlexW2981591887

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.