Discrete event simulation for performance modelling in health care: a review of the literature

Abstract

Discrete Event Simulation (DES) has been widely used in modelling health-care systems for many years and a simple citation analysis shows that the number of papers published has increased markedly since 2004. Over the last 30 years several significant reviews of DES papers have been published and we build on these to focus on the most recent era, with an interest in performance modelling within hospitals. As there are few papers that propose or illustrate general approaches, we classify papers according to the areas of application evident in the literature, discussing the apparent lack of genericity. There is considerable diversity in the objectives of reported studies and in the consequent level of detail: We discuss why specificity dominates and why more generic approaches are rare.

Keywords:

• conceptual model
• emergency department
• waiting lists
• outpatients
• inpatients

Acknowledgements

This review stems from the DGHPSim project funded by EPSRC-funded (ref EP/C010752/1) in which research collaborators are Professor Gwyn Bevan & Dr Alec Morton (London School of Economics) and Professor Peter C Smith (University of York).