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Record W4413406314 · doi:10.1080/17477778.2025.2549092

Combining simulation and machine learning in healthcare: a literature review

2025· article· en· W4413406314 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueJournal of Simulation · 2025
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare Operations and Scheduling Optimization
Canadian institutionsDalhousie University
Fundersnot available
KeywordsComputer scienceHealth careDiscrete event simulationData scienceArtificial intelligenceMachine learningManagement scienceHuman–computer interactionSimulation

Abstract

fetched live from OpenAlex

Healthcare is a complex and intricate system where multiple factors interact to affect outcomes. Accordingly, simulation is a key tool to help healthcare researchers account for this complexity and explore “what if” scenarios. Similarly, machine learning is gaining popularity in healthcare as it can also account for this complexity and offers the potential to solve problems that are intractable for traditional methods. Given that both methods have conceptually similar objectives (both predict system responses), it begs a series of questions: Can they be used together to solve healthcare challenges and, if so, how can they be incorporated? What benefits and inspiration can such a combination bring to healthcare? This paper reviews the literature to help address these questions. First, the literature is broadly categorized into six types based on how they combined simulation and machine learning. Each type is then discussed and identified research gaps are presented.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: Simulation or modeling
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.574
Threshold uncertainty score0.419

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.067
GPT teacher head0.469
Teacher spread0.401 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it