Hybrid simulation for modelling large systems: An example of integrated care model

Developing models for large systems is not a trivial task. Using only Discrete Event Simulation (DES) as a modelling technique may mean that the complexity of the underlying model will increase exponentially with the size of the model. An alternative to this is the use of System Dynamics (SD) for modeling large systems using the positive and negative feedback loops. However, for modelling a human-centric system like healthcare, DES is important as it provides individuality analysis; similarly, SD is important as it facilitates the whole systems approach. The combined application of OR/Simulation methods enable the symbiotic realization of the strengths of individual techniques, while reducing their limitations; in this paper it is suggested that a combined SD-DES approach (also referred to as hybrid technique) can be effectively used for modelling large systems. The example being used in this context is the modelling of an Integrated Care (IC) system in healthcare.