The use of computer simulation for building theoretical models in social science is introduced. It is proposed that agent-based models have potential as a “third way” of carrying out social science, in addition to argumentation and formalisation. With computer simulations, in contrast to other methods, it is possible to formalise complex theories about processes, carry out experiments and observe the occurrence of emergence. Some suggestions are offered about techniques for building agent-based models and for debugging them. A scheme for structuring (...) a simulation program into agents, the environment and other parts for modifying and observing the agents is described. The article concludes with some references to modelling tools helpful for building computer simulations. (shrink)

In this paper we argue that knowledge in health care is a multidimensional dynamic construct, in contrast to the prevailing idea of knowledge being an objective state. Polanyi demonstrated that knowledge is personal, that knowledge is discovered, and that knowledge has explicit and tacit dimensions. Complex adaptive systems science views knowledge simultaneously as a thing and a flow, constructed as well as in constant flux. The Cynefin framework is one model to help our understanding of knowledge as a personal construct (...) achieved through sense making. Specific knowledge aspects temporarily reside in either one of four domains – the known, knowable, complex or chaotic, but new knowledge can only be created by challenging the known by moving it in and looping it through the other domains. Medical knowledge is simultaneously explicit and implicit with certain aspects already well known and easily transferable, and others that are not yet fully known and must still be learned. At the same time certain knowledge aspects are predominantly concerned with content, whereas others deal with context. Though in clinical care we may operate predominately in one knowledge domain, we also will operate some of the time in the others. Medical knowledge is inherently uncertain, and we require a context-driven flexible approach to knowledge discovery and application, in clinical practice as well as in health service planning. (shrink)

Formidable difficulties face anyone trying to model social phenomena using a formal system, such as a computer program. The differences between formal systems and complex, multi-facetted and meaning-laden social systems are so fundamental that many will criticise any attempt to bridge this gap. Despite this, there are those who are so bullish about the project of social simulation that they appear to believe that simple computer models, that are also useful and reliable indicators of how aspects of society works, are (...) not only possible but within our grasp. This paper seeks to pour water on such optimism but, on the other hand, show that useful computational models might be ‘evolved’ In this way it is disagreeing with both naive positivist and relativistic post-modernist positions. However this will require a greater ‘selective pressure’ against models that are not grounded in evidence, ‘floating models’, and will result in a plethora of complex and context-specific models. (shrink)