Hybrid simulation in healthcare: New concepts and new tools

Until relatively recently, developing hybrid simulation models using more than one simulation paradigm was a challenging task which required a degree of ingenuity on behalf of the modeler. Generally speaking, such hybrid models either had to be coded from scratch in a programming language, or developed using two (or more) different off-the-shelf software tools which had to communicate with each other through a user-written interface. Nowadays a number of simulation tools are available which aim to make this task easier. This paper does not set out to be a formal review of such software, but it discusses the increasing popularity of hybrid simulation and the rapidly developing market in hybrid modeling tools, focusing specifically on applications in health and social care and using experience from the Care Life Cycle project and elsewhere.