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Digital Library of the
European Council for Modelling and Simulation |
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Title: |
Tactical Versus Operational Discrete Event Simulation: A
Breast Screening Case Study |
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Authors: |
Andrea Lodi, Paolo Tubertini, Roberto Grilli,
Francesca Senese |
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Published in:
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(2014).ECMS 2014 Proceedings edited
by: Flaminio Squazzoni,
Fabio Baronio, Claudia Archetti,
Marco Castellani European Council for
Modeling and Simulation. doi:10.7148/2014 ISBN:
978-0-9564944-8-1 28th
European Conference on Modelling and Simulation, Brescia,
Italy, May 27th – 30th,
2014 |
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Citation
format: |
Andrea
Lodi, Paolo Tubertini, Roberto Grilli,
Francesca Senese (2014). Tactical Versus Operational Discrete Event Simulation: A Breast
Screening Case Study, ECMS 2014 Proceedings edited by: Flaminio
Squazzoni, Fabio Baronio,
Claudia Archetti, Marco Castellani European
Council for Modeling and Simulation. doi:10.7148/2014-0769 |
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DOI: |
http://dx.doi.org/10.7148/2014-0796 |
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Abstract: |
The Regional Agency for
Health and Social Care, (ASSR) of Emilia Romagna, a regional research center for
innovation and improvement, is trying to understand how Discrete Event
Simulation (DES) technique can be incorporated to support decision making in
the field of health services. Most of decision support systems used by
regional and local health planners face problems from the epidemiological
point of view whereas few studies are focused on dynamic capacity planning. The
aim of this work is to study how two different DES software packages can be
effectively applied to support tactical and operational decision-making
processes. In order to validate our DES model we built a breastscreening
pathway and we showed how this model could predict lead
time performances with different capacity settings. We focused our
work on the inclusion in 2010 breast screening program of 45-49 and 70-74
women age bands, by showing how simulation can help to understand resource
re-sizing needs as a consequence of an increase in the demand of services. We
analyzed the breast program with two DES software packages in order to show
how different tools can help stakeholders that operate at different decision
levels (local vs regional). Both simulation models
were tested over a one year time horizon, we distinguish the operational from
the tactical level as a consequence of the different potential degree of
detail that we can reach in the care pathway modeling |
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