Evidence map›Paper›PMID 35871248›Full record

ArticleNature communications2022

Stress-testing the resilience of the Austrian healthcare system using agent-based simulation.

Michaela Kaleta, Jana Lasser, Elma Dervic, Liuhuaying Yang, Johannes Sorger, D Ruggiero Lo Sardo, Stefan Thurner, Alexandra Kautzky-Willer, Peter Klimek

Abstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Designing social media content recommendation algorithms for societal good.Annals of the New York Academy of Sciences · 2025
    Article
  2. Review
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

9 authors.

Michaela Kaleta *Complexity Science Hub Vienna, Josefstädter Straße 39, 1080, Vienna, Austria.ORCID 0000-0002-9027-2266
Jana Lasser *Complexity Science Hub Vienna, Josefstädter Straße 39, 1080, Vienna, Austria.ORCID 0000-0002-4274-4580
Elma DervicComplexity Science Hub Vienna, Josefstädter Straße 39, 1080, Vienna, Austria.
Liuhuaying YangComplexity Science Hub Vienna, Josefstädter Straße 39, 1080, Vienna, Austria.ORCID 0000-0003-1279-4736
Johannes SorgerComplexity Science Hub Vienna, Josefstädter Straße 39, 1080, Vienna, Austria.
D Ruggiero Lo SardoComplexity Science Hub Vienna, Josefstädter Straße 39, 1080, Vienna, Austria.
Stefan ThurnerComplexity Science Hub Vienna, Josefstädter Straße 39, 1080, Vienna, Austria.ORCID 0000-0003-2495-6819
Alexandra Kautzky-WillerDepartment of Internal Medicine III, Clinical Division of Endocrinology and Metabolism, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria.ORCID 0000-0002-3520-4105
Peter KlimekComplexity Science Hub Vienna, Josefstädter Straße 39, 1080, Vienna, Austria. peter.klimek@meduniwien.ac.at.ORCID 0000-0003-1187-6713

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients do not access physicians at random but rather via naturally emerging networks of patient flows between them. As mass quarantines, absences due to sickness, or other shocks thin out these networks, the system might be pushed to a tipping point where it loses its ability to deliver care. Here, we propose a data-driven framework to quantify regional resilience to such shocks via an agent-based model. For each region and medical specialty we construct patient-sharing networks and stress-test these by removing physicians. This allows us to measure regional resilience indicators describing how many physicians can be removed before patients will not be treated anymore. Our model could therefore enable health authorities to rapidly identify bottlenecks in access to care. Here, we show that regions and medical specialties differ substantially in their resilience and that these systemic differences can be related to indicators for individual physicians by quantifying their risk and benefit to the system.

Indexed as

Delivery of Health CarePhysiciansAustriaComputer SimulationHumans

Identifiers

PMID35871248
PMCPMC9308034

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.