Abstract
This paper presents a hybrid simulation model for the management of an eye condition called age-related macular degeneration, which particularly affects the elderly. The model represents not only the detailed clinical progression of disease in an individual, but also the organization of the hospital clinic in which patients with this condition are treated and the wider environment in which these patients live (and their social care needs, if any, are met). The model permits a ‘whole system’ societal view which captures the interactions between the health and social care systems
Contents
1. INTRODUCTION
1.1 Clinical & Social Context
2. METHODOLOGY
2.1 Stakeholder Interaction
2.2 Scenarios
3. DETAILS OF THE MODEL
3.1 Overall Structure
3.2 Eye Clinic DES Model
3.3 Sight Loss and AMD Progression (State-Transition and Embedded SD Models)
3.4 Individual Care, Mortality and AMD Development
3.5 Current Output Measures
4.EXPERIMENTATION
4.1 Scenarios Tested
4.2 Results
5. FUTURE WORK
6. CONCLUSIONS