caa a22 4500 397500106 CHVBK 20180308164530.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/imammb/12.3-4.315 doi (NATIONALLICENCE)oxford-10.1093/imammb/12.3-4.315 Pathways of coronary care—a computer-simulation model of the potential for health gain [Elektronische Daten] [D. C. BENSLEY, P. S. WATSON, G. W. MORRISON] A computer-simulation model of the need for cardiology services is described. The model simulates the potential for health gain, in terms of a fall in mortality, determining the effect of alterations in prevention and treatment rates. The model was initially developed from a pathways-of-care flow chart, which originated from a working group consisting of a consultant cardiac surgeon, cardiologists, and public-health physicians, together with statisticians and an operational-research analyst. The original purpose of the model was as a communication tool, to help nonclinicians to have a better understanding of how and why doctors work as they do, but it has since been developed for use in setting and meeting health targets. It enables quantification of the effects of changing different combinations of key variables over time. It is designed to answer ‘what if?' questions of the type 'What would the effect of a 10% reduction in the incidence of angina be on the number of deaths, angiograms, angioplasties, and coronary-artery bypass grafts. The model has been made available in a form which only requires a Lotus 123 spreadsheet package to enable it to run, and it is designed to be easy to use with the assistance of simple two-key commands throughout. The model has been used by district health authorities to calculate the response required in their own local areas to achieve targets for the year 2000. © 1995 Oxford University Press Part 3: Simulation and Modelling nationallicence coronary heart disease nationallicence simulation nationallicence model nationallicence health gain nationallicence BENSLEY D. C. Northern and Yorkshire Regional Health Authority Park Parade Harrogate HG1 5AH, UK aut WATSON P. S. Wakefield Health Care Wakefield, UK aut MORRISON G. W. Bradford Hospitals NHS Trust Bradford, UK aut Mathematical Medicine and Biology: A Journal of the IMA Oxford University Press 12/3-4(1995-09), 315-328 1477-8599 12:3-4<315 1995 12 imammb https://doi.org/10.1093/imammb/12.3-4.315 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/imammb/12.3-4.315 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- BENSLEY D. C. Northern and Yorkshire Regional Health Authority Park Parade Harrogate HG1 5AH, UK aut NATIONALLICENCE 700 1- WATSON P. S. Wakefield Health Care Wakefield, UK aut NATIONALLICENCE 700 1- MORRISON G. W. Bradford Hospitals NHS Trust Bradford, UK aut NATIONALLICENCE 773 0- Mathematical Medicine and Biology: A Journal of the IMA Oxford University Press 12/3-4(1995-09), 315-328 1477-8599 12:3-4<315 1995 12 imammb Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford