Primary Healthcare Delivery Network Simulation Using Stochastic Metamodels

Abstract

A discrete-event simulation (DES) of the network of primary health centers (PHCs) in a region can be used to evaluate the effect of changes in patient flow on operational outcomes across the network, and can also form the base simulation to which simulations of secondary and tertiary care facilities can be added. We present a DES of a network of PHCs using stochastic metamodels developed from more detailed DES models of PHCs (‘parent’ simulations), which were developed separately for comprehensively analyzing individual PHC operations. The stochastic metamodels are DESs in their own right. They are simplified versions of the parent simulation with full-featured representations of only those components relevant to the analysis at hand. We show that the outputs of interest from the metamodels and the parent simulations (including the network simulations) are statistically similar and that our metamodel-based network simulation yields reductions of up to 80% in runtimes.