id author title date pages extension mime words sentences flesch summary cache txt cord-287953-prn8cnvo Shin, Nina Effects of operational decisions on the diffusion of epidemic disease: A system dynamics modeling of the MERS-CoV outbreak in South Korea 2017-05-21 .txt text/plain 6245 302 41 However, a number of hypotheses were generated to explain the spread, including: excessive patients' freedom in seeking medical care at only large hospitals, inadequate quarantine, questionable government transparency, such as belated reports of infected hospital names, and the cultural social norm of visiting patients as standard etiquette ( Choe, 2015a ( Choe, , 2015b ; Korea Centers for Disease Control and Prevention, 2015 ) . Using a macro-level system dynamics modeling approach, our study intends to investigate the effect of operational decisions, such as patient-room design, occupancy control at emergency room and patient-visitor management, on the patient-care performance, such as number of infected patients (secondary infections) and financial burden on patients. The model illustrated in Fig. 3 depicts a high-level overview dynamics model of causal relationships between operational decisions (patient room designs, occupancy control at emergency room, patient-visitor management) and patient care performance (number of infected patients and average cost per patient). ./cache/cord-287953-prn8cnvo.txt ./txt/cord-287953-prn8cnvo.txt