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- Title
Simulation of performance evaluation model for medical-elderly care integrated institutions based on system dynamics.
- Authors
Shi, Yongqiang; Fan, Fangfang; Zhang, Zhiyong
- Abstract
<bold>Background: </bold>Based on the Chinese model of medical-elderly care integration, this paper aims to explore the impact of different investment levels on the performance of the medical-elderly care integrated institutions.<bold>Methods: </bold>Using the method of system dynamics, this paper establishes the performance evaluation model of medical-elderly care integrated institutions, sets the system element input, service level, and policy support as the key factors, and uses Vensim PLE software for simulation.<bold>Results: </bold>The three key factors have different degrees of positive impact on the performance of medical-elderly care integrated institutions. On the whole, policy support has the most significant impact on the performance of institutions, followed by the level of medical-elderly care integrated services. Institutional input mainly has a great impact on the performance of institutions in the early stage. In addition, the model simulation results also show the emergence effect: the improvement rate of institutional performance under the comprehensive simulation is higher than the sum of the improvement rates under the separate action of single factor.<bold>Conclusion: </bold>Government policies have played an important role in promoting the development of medical-elderly care integrated institutions. The service level and resource input can effectively promote the performance of medical-elderly care integrated institutions. Institutions should formulate development strategies from a systematic perspective, and pay attention to the integration of "medical" and "elderly care" resources.
- Subjects
INTEGRATIVE medicine; SYSTEM dynamics; SIMULATION software; ELDER care; MEDICAL simulation; MEDICAL software
- Publication
BMC Health Services Research, 2022, Vol 22, Issue 1, p1
- ISSN
1472-6963
- Publication type
Article
- DOI
10.1186/s12913-022-08835-0