在R中使用"Simmer"健康经济建模包进行离散事件模拟:结肠癌的教程和插图
Koen Degeling1,2, Jonathan Karnon3, Michiel van de Ven4,5
1Cancer Health Services Research, Centre for Cancer Research and Centre for Health Policy, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia.
Applied health economics and health policy
|June 17, 2025
概括
离散事件模拟 (DES) 为复杂路径的健康经济建模提供了更大的灵活性. 本教程指导R用户通过与simmer包实现DES,简化其应用.
科学领域:
- 卫生经济学 卫生经济学
- 计算建模计算建模
- 生物统计学 生物统计学
背景情况:
- 离散事件模拟 (DES) 是复杂的临床途径的灵活的健康经济建模技术.
- DES可以结合资源和能力限制,适用于各种研究问题.
- DES通常被认为比传统的状态过渡模型更复杂.
研究的目的:
- 为使用simmer包在R中实现DES提供实用教程.
- 为了解决DES对健康经济评估的感知复杂性.
- 以概念模型指导用户实现实际的DES实现.
主要方法:
- 用开源simmer包在R中展示了DES的实现.
- 使用结肠癌病例研究进行实践演示.
- 涵盖方法学方面,概念模型结构,伪代码,数据分析和模型分析 (确定性和概率).
主要成果:
- 为各种DES模型提供了记录的R代码和构建块.
- 提供了在健康经济学中实施DES的实用指导.
- 展示了DES在特定的临床环境 (结肠癌) 中的应用.
结论:
- 该教程简化了DES在R的实施,用于健康经济研究.
- 提供的代码和指导方便了复杂的DES模型的开发.
- 使研究人员能够利用DES进行细微的健康经济评估.
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