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An Agent-Based Approach for Patient Satisfaction and Collateral Health Effects

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Book cover Advances in Computational Social Science

Part of the book series: Agent-Based Social Systems ((ABSS,volume 11))

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Abstract

The purpose of this study is to clarify the collateral health effects of health care , especially the relationship between patients and their families, using agent-based simulation. To this end we describe the general appearance of our simulation model and the simulation settings. The results of six model scenarios, each involving differing combinations of patient agents, patient’s family agents, doctor agents, a government agent, and nonprofit organization (NPO) agents, are then explained and discussed. We conclude with a summary that touches on the tasks that lie ahead, including an appropriate subset of health care policies that involve the participation of NPO agents.

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Notes

  1. 1.

    For example, see [1] and [2].

  2. 2.

    See Ref. [3].

  3. 3.

    Quoted from Ref. [4].

  4. 4.

    See Ref. [5].

  5. 5.

    Social cost is generally defined in economics as “the cost to society as a whole from an event.” Here we narrowly define social cost as the financial and mental cost incurred by a patient’s family in supporting that patient.

  6. 6.

    In the field of medical care, early studies that deal with patient satisfaction are [8] and [9].

  7. 7.

    Other studies that deal with Japanese patient satisfaction using a structural equation model are [14] and [15]. An example of a study that deals with patient satisfaction in another country is [16].

  8. 8.

    According to [10], the goodness-of-fit index (GFI) is 0.861 and the adjusted goodness-of-fit index (AGFI) is 0.781.

  9. 9.

    The average number of people per family is based on [17, p. 3].

  10. 10.

    In order to analyze the rate of decrease in health care resources in our other models, we implement the mechanism of a government health care system in Models 1 and 2, although in these models no government health care resources are distributed to patients.

  11. 11.

    In our simulation model we use artisoc 3.0, which is produced by Kozo Keikaku Engineering, Inc.

  12. 12.

    In 2009 the average number of hospitals per a population of 100,000 was 6.9; on the other hand, the average number of NPOs per a population of 100,000 was 31.3. These numbers are published by each of the administrative districts of Japan. See, for example, the websites of [18] and [19].

  13. 13.

    Model 6 is based on Model 4. The number of simulation times is 10.

References

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Acknowledgements

This work was partially supported as “a Promotion Project for Distinctive Joint Research” by the Ministry of Education, Culture, Sports, Science and Technology (MEXT), April 2012–March 2013. The second author gratefully acknowledges the support of Kansai University’s Overseas Research Program for the year 2010. We are also pleased to acknowledge the helpful comments of the referees.

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Correspondence to Masatoshi Murakami .

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Murakami, M., Tanida, N. (2014). An Agent-Based Approach for Patient Satisfaction and Collateral Health Effects. In: Chen, SH., Terano, T., Yamamoto, R., Tai, CC. (eds) Advances in Computational Social Science. Agent-Based Social Systems, vol 11. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54847-8_13

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