A multi-paradigm, whole system view of health and social care for age-related macular degeneration

This paper presents a hybrid simulation model for the management of an eye condition called age-related macular degeneration, which particularly affects the elderly. The model represents not only the detailed clinical progression of disease in an individual, but also the organization of the hospital clinic in which patients with this condition are treated and the wider environment in which these patients live (and their social care needs, if any, are met). The model permits a `whole system´ societal view which captures the interactions between the health and social care systems.