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Investigating Discrete Event Simulation Method to Assess the Effectiveness of Wearable Health Monitoring Devices

机译:调查离散事件仿真方法来评估可穿戴健康监测设备的有效性

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The current primary care units of the US healthcare system are strained by supply-demand deficiency. Last 12 years have seen a decline in number of US medical students opting for primary care after their medical education. Research studies have recommended solutions targeting, primary care payment reform, investment in primary care infrastructure and organization, and attracting more US medical students to primary care. Such reforms demand expensive implementation plans and might take years to yield benefits. Meanwhile, the generation of baby boomers and the healthcare reform under current US administration (insuring additional 33-43 million patients) may stress out the primary care providers in near future. In this paper, we investigate the usefulness of wearable health monitoring devices, to alleviate primary care patient load. To conduct our study, we adopted the discrete event simulation method to simulate the proposed model and analyze the behaviour of the same in terms of performance measures. We simulated three scenarios with different vital sign measurement time and physician consultation time. In addition we varied the percentage of patient population adopting the wearable device health monitoring (WHMS) program. In all the three scenarios, the WHMS system yielded beneficial results in absorbing more patients and reducing patient denials than the current primary care system irrespective of adoption percentages. However the average patient wait times were sensitive to the adoption percentages. On the whole the simulation results indicated that wearable health monitoring devices could act as a potential solution in reducing the patient load across the primary care system.
机译:美国医疗保健系统的当前初级保健单位受到供需缺陷的应力。过去12年来看,在医学教育后,美国医科学生数量有所下降。研究研究推荐了解决方案瞄准,初级保健改革,初级保健基础设施和组织的投资,并吸引更多美国医学生给初级保健。这种改革需要昂贵的实施计划,可能需要数年才能产生福利。与此同时,婴儿潮一代的一代和当前美国管理局下的医疗改革(保险额外33-4300万名患者)可能会在不久的将来强调初级保健提供者。在本文中,我们研究了可穿戴健康监测装置的有用性,缓解初级保健患者负荷。要进行我们的研究,我们采用了离散事件仿真方法来模拟所提出的模型,并在性能措施方面分析相同的行为。我们模拟了三种情景,具有不同的生命体验时间和医师咨询时间。此外,我们改变了采用可穿戴设备健康监测(WHMS)程序的患者人口的百分比。在所有三种场景中,WHMS系统产生的有益导致吸收更多患者,并减少患者否定而不是当前初级保健系统,而不管采用百分比。然而,平均患者等待时间对采用百分比敏感。在整个整体上,仿真结果表明,可穿戴的健康监测设备可以作为减少初级保健系统患者负荷的潜在解决方案。

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