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Pathways-based coordination of care in rural France

Pathways-based coordination of care in rural France

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In this chapter, we proposed a new architecture that covers two different aspects: technical aspect related to the interoperability between BPMN and DEVS and a health aspect related to the inequality of the geographical physicians' distribution, and to the long waiting times.

Chapter Contents:

  • 9.1 Introduction
  • 9.2 Problem statement
  • 9.3 Case model
  • 9.3.1 Physicians' distribution
  • 9.3.1.1 The French case
  • 9.3.1.2 Focus on the French Dordogne county
  • 9.3.2 Population
  • 9.3.2.1 Population pyramid in Dordogne
  • 9.3.2.2 Generating Dordogne population
  • 9.3.3 Care pathways
  • 9.3.3.1 Patient pathway modeled with BPMN
  • 9.3.3.2 Simplified model of the patient pathway
  • 9.3.4 Management rules
  • 9.3.5 Patient's satisfaction
  • 9.3.5.1 Measurement of the patient's satisfaction
  • 9.3.5.2 Our definition of the patient's satisfaction
  • 9.4 General overview of the proposed architecture
  • 9.4.1 Patient behavior and connection to multilayer network
  • 9.4.2 Class diagram of the architecture
  • 9.4.3 XmlManager behavior
  • 9.4.4 Scenarios and simulation results
  • 9.5 Conclusion and perspectives
  • References
  • Appendix B.1 Architecture modeling and simulation of propagation phenomena
  • Appendix B.2 Background and general architecture
  • Appendix B.2.1 Context
  • Appendix B. 2.2 General architecture
  • Appendix B.3 Population generation for network simulation
  • Appendix B.3.1 General presentation
  • Appendix B.3.2 Dimensions and algorithms
  • Appendix B. 3.3 Nodes
  • Appendix B.3.4 The family dimension
  • Appendix B.4 Conclusion
  • Appendix B.5 Simulation of information propagation module:simulation
  • Appendix B.5.1 Operational modeling agent
  • Appendix B.5.2 Representation of agent behavior
  • Appendix B. 5.3 Simulation environment
  • Appendix B. 5.3.1 Presentation of the VLE
  • Appendix B. 5.3.2 Implementation of propagation phenomenon models in a multilayer social network
  • Appendix B.6 Conclusion
  • References

Inspec keywords: medical administrative data processing; business data processing; health care; open systems

Other keywords: rural France; long waiting times; geographical physician distribution; discrete event system specification; pathway-based coordination; DEVS; business process modeling and notation tool; BPMN

Subjects: Medical administration; Distributed systems software

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