Journal of Medical Systems

, Volume 35, Issue 1, pp 1–16 | Cite as

Systematic Review of the Use of Computer Simulation Modeling of Patient Flow in Surgical Care

  • Boris G. Sobolev
  • Victor Sanchez
  • Christos Vasilakis
Original Paper


Computer simulation has been employed to evaluate proposed changes in the delivery of health care. However, little is known about the utility of simulation approaches for analysis of changes in the delivery of surgical care. We searched eight bibliographic databases for this comprehensive review of the literature published over the past five decades, and found 34 publications that reported on simulation models for the flow of surgical patients. The majority of these publications presented a description of the simulation approach: 91% outlined the underlying assumptions for modeling, 88% presented the system requirements, and 91% described the input and output data. However, only half of the publications reported that models were constructed to address the needs of policy-makers, and only 26% reported some involvement of health system managers and policy-makers in the simulation study. In addition, we found a wide variation in the presentation of assumptions, system requirements, input and output data, and results of simulation-based policy analysis.


Literature review Computer simulation Patient flow Surgical care Policy analysis 



The selection of databases was based on suggestions made by Mimi Doyles, MLIS, an information specialist, and by librarian Robert Stibravy.


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Boris G. Sobolev
    • 1
  • Victor Sanchez
    • 2
  • Christos Vasilakis
    • 3
  1. 1.School of Population and Public HealthThe University of British ColumbiaVancouverCanada
  2. 2.Centre for Clinical Epidemiology and EvaluationVancouver Coastal Health Research InstituteVancouverCanada
  3. 3.Clinical Operational Research UnitUniversity College LondonLondonUK

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