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Hybrid Simulation for modelling the impact of implementing Telehealth in the Brazilian Primary Care

Horsti dos Santos, Vivianne, Kotiadis, Kathy, Scaparra, Maria Paola, Cyrino Oliveira, Fernando Luiz (2021) Hybrid Simulation for modelling the impact of implementing Telehealth in the Brazilian Primary Care. In: The OR Society's 63rd Annual Conference, 16 Sep 2021, Queen's University Belfast. (Unpublished) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:95928)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
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Abstract

Ageing population increases the demand for primary care and long-term care and requires adequacies on social systems, such as healthcare systems. In Brazil, the number of people over 60 years old has been growing at a higher pace than in European countries, such as France and Belgium. In Sao Paulo, the Brazilian state with higher GDP is estimated that in 20 years, 20% of its current 12.3 million people will be over 60 years old. One possible solution to tackle the increase in demand for primary care is the implementation of telehealth for health and teleconsultation. Nonetheless, in developing countries, the effort required in a telemedicine project is likely to be higher in complexity, accuracy, and performance than in developed countries. The use of teleconsultation is not regulated in Brazil; however, this practice was temporally allowed during the Covid-19 pandemic, raising the debate around its sanction. Its adoption might be a potential solution to tackle the future demographic trends (e.g., ageing population) and contribute to the 2030 Agenda for Sustainable Development. In this sense, this research aims to use simulation to evaluate the impacts of telehealth on delivering primary care service offered by public health in a southern region of Sao Paulo city, Brazil. Discrete Event Simulation (DES) and Agent-based Simulation (ABS) are combined in a hybrid model and coded in the commercial software package Simul8. We simulate the primary care offered by the Sao Paulo council, with DES representing the operation of health centres and patients also modelled as agents dictating the demand for health care services. The model supports decision-making around implementing telehealth in public health in Brazil and evaluating a new healthcare delivery impact on patient access to care.

Item Type: Conference or workshop item (Proceeding)
Uncontrolled keywords: hybrid simulation, conceptual framework, PartiSim
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Divisions > Kent Business School - Division > Department of Analytics, Operations and Systems
Depositing User: Vivianne Horsti-Dos-Santos
Date Deposited: 26 Jul 2022 07:46 UTC
Last Modified: 12 Aug 2022 09:08 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/95928 (The current URI for this page, for reference purposes)

University of Kent Author Information

Horsti dos Santos, Vivianne.

Creator's ORCID: https://orcid.org/0000-0002-5824-2374
CReDIT Contributor Roles:

Kotiadis, Kathy.

Creator's ORCID: https://orcid.org/0000-0001-8004-5708
CReDIT Contributor Roles:

Scaparra, Maria Paola.

Creator's ORCID: https://orcid.org/0000-0002-2725-5439
CReDIT Contributor Roles:
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