Main description:

Achieving value-based healthcare, increasing quality, reducing cost, and spreading access, has proven to be extremely challenging, in part due to research that is siloed and largely focused on singular risk factors, ineffective care coordination resulting from service fragmentation, and costly unintended consequences of reform that have emerged due to the complexity of healthcare systems. Understanding the behaviour of the overall system is becoming a major concern among healthcare managers and decision-makers intent on increasing value for their systems.

This book fills a gap in the literature that is becoming more evident as reform efforts proliferate: a holistic Modeling and Simulation (M&S) approach to value-based healthcare within a framework that enables designing, testing and implementing concepts to integrate resource allocations, health phenomenon dynamics, individual behaviour, and population dynamics. It presents a pathways-based efficient coordination of care model involving all stakeholders including patients, providers, care deliverers, managers, and payers. It shows how M&S can help design a better service infrastructure and describes the information technologies that are necessary to implement it successfully. It also presents global and national healthcare perspectives from Europe, USA, Asia and Africa, as well as research directions needed to realize the value-based M&S healthcare vision.

Contents:

Part I - Modeling and simulation framework for value-based healthcare systems

Chapter 1: Healthcare systems modeling and simulation
Chapter 2: Multi-perspective architecture for holistic healthcare M&S
Chapter 3: Formalization of the multi-perspective architecture
Chapter 4: Methodological elements for simulation-based healthcare management

Part II - Modeling and simulation of pathways-based care coordination

Chapter 5: DEVS methodology for coordination modeling
Chapter 6: Care coordination and pathways-based experimental frames
Chapter 7: Pathways-based care coordination simulation example
Chapter 8: Health information technology support for pathways-based care

Part III - Application of the framework

Chapter 9: Pathways-based coordination of care in rural France
Chapter 10: Surveillance of avian influenza in Vietnam
Chapter 11: Multi-perspective modeling in relation to complex adaptive systems
Chapter 12: Extending the framework to value-based coordination architectures
Epilogue: Where do we go from here - Global and National Healthcare Maturity