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Assessment of health service systems: a case study of metamodelling to explore options for future health service provision
by Ann Taket, Leroy White
International Journal of Services Technology and Management (IJSTM), Vol. 1, No. 4, 2000
Abstract: Within health services, debates about the future configuration of services often involve a variety of stakeholders. Operational research or systems models can be used to inform such debates. The paper introduces our notion of metamodelling as a process of modelling with the stakeholder(s), i.e. an interactive process for involving them in: (1) eliciting model structures and parameters for use in a particular situation, and (2) using some model(s) to explore a particular decision situation. This involves working with a combination of different forms of representation, selected according to the context and according to the preferences of the stakeholders. The paper presents a case study involving the use of a simulation model, specifically an attraction constrained spatial interaction model, to provide information to assist in the exploration of different options for the future provision of inpatient hospital facilities in a region of the UK.

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