Start with the shock
Represent where and when a climate hazard occurs, as an externally declared episode or observed weather evidence.
Risk maps show where. CHRS tests what happens next. Heat can raise health need, but that does not reveal who will seek care, who can reach a service, or whether capacity is left when they arrive. The model follows each step as its own mechanism — from exposure through need, seeking, access and facility choice to finite capacity and served, delayed or unmet care.
Current stage: the simulation framework is software-verified. A controlled synthetic benchmark makes every mechanism inspectable. A Barcelona structural implementation now incorporates selected official city inputs for population, geography, facilities and context — while behavioural and service mechanisms remain uncalibrated, and historical validation has not begun.
Maps can show heat, vulnerability and service locations, but not what happens between them. A person may need care and never seek it. They may seek care but fail to reach a suitable facility. They may arrive and still wait because capacity has run out. CHRS keeps those steps separate so each one can be examined — and challenged — on its own.
Represent where and when a climate hazard occurs, as an externally declared episode or observed weather evidence.
Generate care need before any decision about seeking, access or allocation — so the denominator never depends on how the service system responds.
Need does not automatically become healthcare use. Recognition, seeking, mobility, access and facility choice are separate steps.
Facilities have finite effective capacity. Queues, disruption and rerouting produce served, delayed or unmet care.
CHRS separates the research process into four stages. The project is currently strongest in the first three: exploring what belongs in the model, describing what it produces, and explaining which mechanisms cause it. Prescription waits until empirical calibration and historical validation exist.
What variables, pathways and assumptions matter enough to include? Synthetic experiments probe the model and show where its behaviour is sensitive, surprising or incomplete.
What is happening, where, and to whom? CHRS describes exposure, care need, access, queues, service receipt and subgroup differences without treating them as the same thing.
Which mechanisms produce the pattern? Scenario contrasts isolate pathways such as heat exposure, transport access, opening hours, mobile services and infrastructure disruption.
This is the destination, not the current claim. Responsible prescriptive use needs calibrated parameters, withheld validation data and a defensible link between model outputs and real decisions.
An externally defined heat episode or observed weather evidence.
Place- and time-specific environmental exposure by zone.
Heterogeneous susceptibility, chronic burden and social context.
Routine, urgent or emergency need generated before service constraints.
Recognition, behaviour, mobility, accessibility and facility selection.
Effective capacity, queues, disruption, allocation and rerouting.
Served, delayed or unmet care; service-pressure and equity outcomes.
Adaptation strategies can intervene at multiple points in the chain: reducing exposure, improving accessibility, protecting capacity or targeting support to populations at higher risk.
CHRS now rests on three layers that should not be confused with one another. The engineering layer is verified. The synthetic benchmark is controlled and inspectable. The Barcelona implementation incorporates real city structure — but structure is not calibration, and calibration is not validation.
Deterministic named random streams, a frozen daily event order, demand-ledger reconciliation and strict output artifacts are covered by the repository test suite. Engineering verification supports claims about implementation consistency — nothing more.
A 1,000-resident population runs through seven scenario contrasts, thirty paired replications each. It exists precisely because it isolates model mechanics from city-specific evidence.
Official population margins, geography and crosswalks, facility identity, type and location, area-level socioeconomic context and AEMET weather evidence are incorporated for selected structural components. Need, seeking, capacity, queue and heat-response mechanisms remain assumed.
The Barcelona implementation incorporates selected official observed inputs for city structure and context. Behavioural, capacity, queue and heat-response mechanisms remain uncalibrated. That distinction is the whole point of the pilot: it shows exactly which parts of the pathway rest on evidence, and which still rest on assumption.
Official population-register margins and a deterministic sampled simulation population.
Official district and area boundaries with harmonised crosswalks.
Observed facility identity, type and location. Capacity is not observed.
Area-level income context used for stratification, not individual behaviour.
A historical spatial proxy — not current individual vulnerability.
Observed AEMET station records inform heat-event evidence and episode parameterisation.
The code runs reproducibly and controlled runs activate the intended mechanisms. That supports the implementation. It does not support claims about any real city — those require empirical targets, calibration and withheld historical validation.
CHRS is designed for counterfactual questions: what changes if access improves, service hours are extended, transport fails, or several pressures arrive at once? The model is meant to show why an outcome changed, not simply produce another map.
Examine how climate-related health need may vary across populations and places.
Stress-test service continuity, queues and finite capacity under disruption.
Compare downstream consequences of exposure, accessibility and capacity interventions.
Use an auditable framework for mechanism tests, sensitivity analysis and empirical validation.
Connect vulnerability and service access to transparent spatial priorities.
Test how infrastructure or service disruption propagates through population-health pathways.
CHRS is an independent research project. The most useful help right now is specific: pointing to epidemiological need evidence, conditional care-seeking surveys, daily or weekly service-use data, or operational capacity records for Barcelona; reviewing the calibration and identifiability reasoning; or testing reproducibility. Experience in climate health, healthcare use, service resilience or spatial adaptation is especially welcome.