skip to main content
US FlagAn official website of the United States government
dot gov icon
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
https lock icon
Secure .gov websites use HTTPS
A lock ( lock ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.


Title: Discrete-Event Simulation in Healthcare Settings: A Review
We review and define the current state of the art as relating to discrete event simulation in healthcare-related systems. A review of published literature over the past five years (2017–2021) was conducted, building upon previously published work. PubMed and EBSCOhost were searched for journal articles on discrete event simulation in healthcare resulting in identification of 933 unique articles. Of these about half were excluded at the title/abstract level and 154 at the full text level, leaving 311 papers to analyze. These were categorized, then analyzed by category and collectively to identify publication volume over time, disease focus, activity levels by country, software systems used, and sizes of healthcare unit under study. A total of 1196 articles were initially identified. This list was narrowed down to 311 for systematic review. Following the schema from prior systematic reviews, the articles fell into four broad categories: health care systems operations (HCSO), disease progression modeling (DPM), screening modeling (SM), and health behavior modeling (HBM). We found that discrete event simulation in healthcare has continued to increase year-over-year, as well as expand into diverse areas of the healthcare system. In addition, this study adds extra bibliometric dimensions to gain more insight into the details and nuances of how and where simulation is being used in healthcare.  more » « less
Award ID(s):
1946391
PAR ID:
10421463
Author(s) / Creator(s):
;
Date Published:
Journal Name:
Modelling
Volume:
3
Issue:
4
ISSN:
2673-3951
Page Range / eLocation ID:
417 to 433
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
More Like this
  1. Objective: Explore deep learning applications in predictive analytics for public health data, identify challenges and trends, and then understand the current landscape. Materials and Methods: A systematic literature review was conducted in June 2023 to search articles on public health data in the context of deep learning, published from the inception of medical and computer science databases through June 2023. The review focused on diverse datasets, abstracting applications, challenges, and advancements in deep learning. Results: 2004 articles were reviewed, identifying 14 disease categories. Observed trends include explainable-AI, patient embedding learning, and integrating different data sources and employing deep learning models in health informatics. Noted challenges were technical reproducibility and handling sensitive data. Discussion: There has been a notable surge in deep learning applications on public health data publications since 2015. Consistent deep learning applications and models continue to be applied across public health data. Despite the wide applications, a standard approach still does not exist for addressing the outstanding challenges and issues in this field. Conclusion: Guidelines are needed for applying deep learning and models in public health data to improve FAIRness, efficiency, transparency, comparability, and interoperability of research. Interdisciplinary collaboration among data scientists, public health experts, and policymakers is needed to harness the full potential of deep learning. 
    more » « less
  2. IntroductionHealthcare providers and systems increasingly utilize telehealth modalities to address barriers and challenges for healthcare delivery. Specialties, such as psychiatry, are testing asynchronous methods for telehealth delivery. The National Quality Forum (NQF) developed a framework with which to assess the quality of telemedicine according to measures and measure concepts within four domains. This review assesses existing asynchronous telepsychiatry (ATP) research according to the telehealth domains established by NQF, evaluates the prevalence and quality of ATP, and identifies the areas in which more research must be conducted. MethodsA systematic review of ATP methods was conducted according to PRISMA guidelines. Studies were categorized according to NQF telehealth domains and subdomains to further examine study outcomes. ResultsThe review initially identified 205 studies that were narrowed down to a final sample of 11 articles. Of the final articles, most studies addressed the effectiveness of ATP or users’ experience with ATP. DiscussionThe initial investigation of published ATP literature suggests promising results. ATP studies suggest that these services improve access to care, can be feasibly implemented by the clinical team, maintain patient/family satisfaction, and potentially reduce the cost of services. The limited sample of published literature necessitates further study of the practice in order to assess ATP according to the quality domains identified by NQF, especially access to care for patients and caregivers, the financial costs incurred by both providers and patients, and barriers to uptake. 
    more » « less
  3. Climate change leads to frequent extreme temperature events, making cities vulnerable to severe heatwaves. Therefore, this study aims to provide a systematic and overarching review of the urban planning and design policy interventions for heatwave management. This study used a series of key terms to search for relevant studies in three databases, including Web of Science, ScienceDirect, and Wiley, and then identified 28 articles published between 2007 and 2023 after several inclusion and exclusion criteria. After a systematic review, 15 policy interventions for heatwave management were summarized from the built environment level and building level. Cooling mechanisms and the scope of application were discussed. The results of this study provide policymakers with comprehensive guidance on sustainable urban design and planning for heatwave management. 
    more » « less
  4. IntroductionWhile vaccines are crucial for disease prevention, disparities in vaccination coverage persist among youths aged 10 to 29 years, including within the United States. Serious games are emerging as a new strategy to address vaccine hesitancy. This systematic review aimed to aggregate and assess the current evidence on game-based interventions to improve youth vaccination rates, evaluating their impact and identifying factors influencing their effectiveness. MethodsThis systematic review was conducted through a meticulous search and evaluation of literature from databases including PubMed, Cumulative Index to Nursing and Allied Health Literature database, ProQuest platform, Cochrane Library, and Google Scholar. Studies were included if they (a) were designed with the purpose of improving youth vaccination rates; (b) were published in English; (c) were published between January 2011 and June 2023; and (d) evaluated the effect of game-based interventions. Search terms included Medical Subject Headings terms and keywords of the eligible articles. ResultsOut of 269 studies, 11 were included in the final analysis of this review. The earliest study dated back to 2013, with 5 being randomized controlled trial and 6 studies incorporating theoretical models in their design or outcome measures. The findings indicated a generally positive effect of game-based interventions on vaccine-related knowledge. However, the impact on actual vaccine uptake was limited. In-game avatar customization and collaboration games were found as effective tools for player engagement. ConclusionThe review findings indicated that serious games boost vaccine knowledge but lack strong evidence for influencing youth vaccine uptake. More rigorous research and tailored game designs are needed to determine the effectiveness of game-based interventions and effectively address the diverse needs of youth in vaccine decision-making. 
    more » « less
  5. Parkinson’s disease (PD) is a neurological disorder with complicated and disabling motor and non-motor symptoms. The complexity of PD pathology is amplified due to its dependency on patient diaries and the neurologist’s subjective assessment of clinical scales. A significant amount of recent research has explored new cost-effective and subjective assessment methods pertaining to PD symptoms to address this challenge. This article analyzes the application areas and use of mobile and wearable technology in PD research using the PRISMA methodology. Based on the published papers, we identify four significant fields of research: diagnosis, prognosis and monitoring, predicting response to treatment, and rehabilitation. Between January 2008 and December 2021, 31,718 articles were published in four databases: PubMed Central, Science Direct, IEEE Xplore, and MDPI. After removing unrelated articles, duplicate entries, non-English publications, and other articles that did not fulfill the selection criteria, we manually investigated 1559 articles in this review. Most of the articles (45%) were published during a recent four-year stretch (2018–2021), and 19% of the articles were published in 2021 alone. This trend reflects the research community’s growing interest in assessing PD with wearable devices, particularly in the last four years of the period under study. We conclude that there is a substantial and steady growth in the use of mobile technology in the PD contexts. We share our automated script and the detailed results with the public, making the review reproducible for future publications. 
    more » « less