Relation maintenance behavior model of patients-caregiver for healthcare designs and management
Principle Investigator Yongjun Song (Master thesis project, Inha University)
Advisor Professor Seung Wan Hong, Inha University
Funding details This thesis was supported by the National Research Foundation of Korea (NRF) grants funded by the Ministry of Education (Grant Number NRF-2021R1A2C1004608), and the Korea Agency for Infrastructure Technology Advancement(KAIA) grant funded by the Ministry of Land, Infrastructure and Transport (Grant Number RS-2021-KA163269).
This study was awarded the Honorable Mention at the 2023 Best Thesis Award hosted by the Architectural Institute of Korea.
This thesis develops three types of agent behavior models to address the complex design issues in modern hospitals, focusing on the needs and experiences of patients. These models simulate the physical and social interactions of patients and caregivers during hospital visits, offering a new approach to evaluating patient-centered hospital performance. Patient-caregiver independent schedule model [1] is a basic model simulating the use of hospital facilities based on outpatient procedures and interactions with the hospital environment and medical staff. Tag-based relationship cognition model [2] and behavioral semantic-based relationship cognition model [3] are advanced models that reflect social factors among hospital visitors, calculating behaviors for maintaining patient-caregiver relationships and social distancing by observing and responding to other agents' conditions. Hospital experts applied these models to hospital projects to evaluate their performance. The findings indicated that Model [2] was rated higher in terms of reliability, applicability, and usefulness, making it a better tool for evaluating hospital performance, including patient and caregiver satisfaction. This thesis aims to assist hospital experts in evaluating patient-centered designs and analyzing complex social interactions among hospital visitors and to contribute to the advancement of patient-centered and evidence-based design practices in healthcare settings.
Development
Behavior Mechanism: Interactions between Hospital Visitors-Staff
Behavior Mechanism: Interactions between Patient-Caregiver
Default Agent Model [1]: Patient-Caregiver Independent Schedule Model
Model [1] is a fundamental model that simulates hospital facility usage based on outpatient procedures and interactions with the hospital environment and medical staff.
Activity Flow of Hospital Visitors
Activity Flow of Hospital Staff
Advanced Agent Models [2] & [3]: Patient-Caregiver Relationship Cognition Model
Model [2] and Model [3] are more advanced models that incorporate social factors among hospital visitors. These advanced models calculate behaviors to maintain patient-caregiver relationships and ensure social distancing by observing and responding to the conditions of other agents.
Comparison 1 | Patient -Caregiver behavior patterns during moving & waiting activities depending on the models
Comparison 2 | Patient -Caregiver behavior patterns of social avoidance & distancing depending on the models
Implementation
Outpatient Department: Hospital I
Diagnosis Department: Hospital S
Examination Department: Hospital E
Simulation Result: Hospital S (top: circulation, bottom: space usage and density)
In interviews, experts state that the Agent Model [2] calculates circulation, space usage and density most reliably. The reason is that the immediate relationship recognition and reactive behavioral calculations of the agent model [2] reflect authentic hospital users well.
Simulation Result: Quantitative Performance
Depending on the agent model, hospital performance measured in simulations is significantly different. In statistical results, experts evaluate the simulation results of the agent model [2] as more reliable than the other two models.
Contact
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