A conceptual framework for hybrid system dynamics and discrete event simulation for healthcare

Abstract

Purpose

The purpose of this paper is to develop a generic framework for hybrid (integrated deployment of system dynamics and discrete event simulation) simulation which can be applied in the healthcare domain.

Design/methodology/approach

As hybrid simulation in an organisational context is a new topic with limited available data on deployment of hybrid simulation in organisational context, an inductive approach has been applied. On the basis of knowledge induced from literature, a generic conceptual framework for hybrid simulation has been developed. The proposed framework is demonstrated using an explanatory case study comprising an accident and emergency (A&E) department.

Findings

The framework provided detailed guidance for the development of a hybrid model of an A&E case study. Findings of this case study suggest that the hybrid model was more efficient in capturing behavioural impact on operational performances.

Research limitations/implications

The framework is limited to only SD and DES; as agent‐based is another simulation method which is emerging as a promising tool for analysing problems such as spread of infectious diseases in healthcare context, inclusion of this into the framework will enhance the utility of the framework.

Practical implications

This framework will aid in the development of hybrid models capable of comprehending both detail as well as dynamic complexity, which will contribute towards a deeper understanding of the problems, resulting in more effective decision making.

Social implications

It is expected that this research will encourage those engaged in simulation (e.g. researchers, practitioners, decision makers) to realise the potential of cross‐fertilisation of the two simulation paradigms.

Originality/value

Currently, there is no conceptual framework which provides guidance for developing hybrid models. In order to address this gap, this paper contributes by proposing a conceptual framework for hybrid simulation for the healthcare domain.

Citation

Chahal, K., Eldabi, T. and Young, T. (2013), "A conceptual framework for hybrid system dynamics and discrete event simulation for healthcare", Journal of Enterprise Information Management, Vol. 26 No. 1/2, pp. 50-74. https://doi.org/10.1108/17410391311289541