Influencing Factors of Medical Decision-making Delay Based on System Dynamics in Patients with Acute Ischemic Stroke
Objective To build a system dynamic simulation model for medical decision-making delay in patients with acute ischemic stroke,and to analyze the influence of key variables on decisional delay.Meth-ods The system dynamics simulation model was built with the AnyLogic simulation platform,based on the cross-sectional survey data and carried out to verify the validity of the simulation model by calculating the relative error and the mean square percent error.Results The deviation of the relative error in the sim-ulation model from that of the real data was less than 10％,and the mean square percentage error was 3％,indicating that the model fit well.The results of the system dynamics simulation experiment showed that knowledge on stroke,health literacy,family adaptability and cohesion,social support,and accessibility of medical services affected the medical decision-making delay of patients,with their effectiveness ranked from high to low as social support,family adaptability and cohesion,stroke knowledge level,health litera-cy,and accessibility of medical services.Conclusions Medical institutions and medical staff should work out relevant intervention and measures to improve patients'knowledge on stroke,health literacy,family cohe-sion and adaptability,social support,and medical service accessibility.
NETL
NSTL
万方数据
维普
