Health Care System Dynamics Insights

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== Overview ==
== Overview ==
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Mark Heffernan and Geoff McDonnell have collected system dynamics insights over the past two decades. We believe that often more can be gained by ‘zooming out’ on a problem and expanding the boundary of analysis, focusing on interactions with the wider context rather than the internal details of a part of the system. These insights are progressively built up to show health care practitioners and researchers how structure determines behavior. The insights are then used to perform ‘in silico’ virtual experiments as a way to learn more rigorously about complex interventions in complex systems.   
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Mark Heffernan and Geoff McDonnell have collected system dynamics insights over the past two decades. We believe that often more can be gained by ‘zooming out’ on a problem and expanding the boundary of analysis, focusing on interactions with the wider context rather than the internal details of a part of the system. These insights are progressively built up to show health care practitioners and researchers how we think about how structure determines behavior. Some of these insights are then used to perform ‘in silico’ virtual experiments as a way to learn more rigorously about complex interventions in complex systems.
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[[file:Evans_health_model3.jpg|center|frame|<center>Fig. 1 - [[Producing Health Consuming Health Care]]</center>]]
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We hope the use of relevant generic structures will help health care students, researchers and practitioners to become more familiar with the principles of health system dynamics. We also hope they gain insights into how structures constrain behavior and how actions can result in unintended consequences. We encourage the wider use of these tools and structures as a starter kit and a scaffold for building and sharing more complex models that combine theory and data sets among disciplines.  
We hope the use of relevant generic structures will help health care students, researchers and practitioners to become more familiar with the principles of health system dynamics. We also hope they gain insights into how structures constrain behavior and how actions can result in unintended consequences. We encourage the wider use of these tools and structures as a starter kit and a scaffold for building and sharing more complex models that combine theory and data sets among disciplines.  
This collection might be included in a range of self-directed or formal learning activities in systems science, management science, health policy, public health, health services, operations research or health systems design.
This collection might be included in a range of self-directed or formal learning activities in systems science, management science, health policy, public health, health services, operations research or health systems design.
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[[Why Health Care Insights are Needed|'''Why Health Care Insights are Needed''']]
[[Why Health Care Insights are Needed|'''Why Health Care Insights are Needed''']]
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== Sections ==
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== Suggested Section Order ==
*[[Systems Approaches to Health and Health Care|'''Systems Approaches to Health and Health Care''']]
*[[Systems Approaches to Health and Health Care|'''Systems Approaches to Health and Health Care''']]
*[[Patient flows in Emergency and Hospital|'''Patient flows in Emergency and Hospital''']]
*[[Patient flows in Emergency and Hospital|'''Patient flows in Emergency and Hospital''']]
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*[[The Body and The Self|'''The Body and The Self''']]
*[[The Body and The Self|'''The Body and The Self''']]
*[[Health Care Supply and Resources|'''Health Care Supply and Resources''']]
*[[Health Care Supply and Resources|'''Health Care Supply and Resources''']]
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**[[Technology Dynamics|'''Technology''']]
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**[[Workforce Dynamics|'''Workforce''']]
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**[[Health Care Funding|'''Funding''']]
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**[[Medicines Supply and Use|'''Medicines''']]
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**[[Information Technology and eHealth Dynamics|'''Health Information''']]
*[[Health Care Systems |'''Health Care Systems''']]
*[[Health Care Systems |'''Health Care Systems''']]
*[[Health Policy and Planning|'''Health Policy and Planning''']]
*[[Health Policy and Planning|'''Health Policy and Planning''']]
*[[Health Politics and Governance|'''Health Politics and Governance''']]
*[[Health Politics and Governance|'''Health Politics and Governance''']]
*[[Managing Health Care Performance|'''Managing Health Care Performance''']]
*[[Managing Health Care Performance|'''Managing Health Care Performance''']]
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*[[Social Determinants of Health|'''Social Determinants of Health''']]
*[[System Dynamics Classics|'''Relevant System Dynamics Classics ''']]
*[[System Dynamics Classics|'''Relevant System Dynamics Classics ''']]
*[[The Future of Health Systems Modeling|'''The Future of Health Systems Modeling''']]
*[[The Future of Health Systems Modeling|'''The Future of Health Systems Modeling''']]
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*[[Kidney Disease and Treatment|'''Kidney Disease and Treatment''']]
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*[[Hospital Resilience to Extreme Weather Events]]
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==Health Care Categories==
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<categorytree>Health Care</categorytree>
== References ==
== References ==
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*[http://www.ted.com/talks/atul_gawande_how_do_we_heal_medicine.html How do we heal medicine?] TED Talk Video by Atul Gawande
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*http://www.khanacademy.org/#healthcare-and-medicine
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* [http://whqlibdoc.who.int/publications/2009/9789241563895_eng.pdf Systems thinking for health systems strengthening] Editors: Don de Savigny; Taghreed Adam World Health Organization 2009 - ISBN: 978 924 156389 5 
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* [http://www.biomedcentral.com/1471-2458/12/774/abstract Health systems frameworks in their political context: framing divergent agendas] overview of the development in health systems thinking over time
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*[[Health System Dynamics References]]
{{Footer-HC}}
{{Footer-HC}}
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[[Category: Health Care]]
[[Category: Health Care]]
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[[Category: Model]]
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[[Category: Causal Loop]]
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[[Category: Insight Maker]]

Current revision as of 03:13, 22 September 2017

Contents

Overview

Mark Heffernan and Geoff McDonnell have collected system dynamics insights over the past two decades. We believe that often more can be gained by ‘zooming out’ on a problem and expanding the boundary of analysis, focusing on interactions with the wider context rather than the internal details of a part of the system. These insights are progressively built up to show health care practitioners and researchers how we think about how structure determines behavior. Some of these insights are then used to perform ‘in silico’ virtual experiments as a way to learn more rigorously about complex interventions in complex systems.

We hope the use of relevant generic structures will help health care students, researchers and practitioners to become more familiar with the principles of health system dynamics. We also hope they gain insights into how structures constrain behavior and how actions can result in unintended consequences. We encourage the wider use of these tools and structures as a starter kit and a scaffold for building and sharing more complex models that combine theory and data sets among disciplines. This collection might be included in a range of self-directed or formal learning activities in systems science, management science, health policy, public health, health services, operations research or health systems design. The system dynamics approach offers a ‘top down’ computer simulation method for understanding and designing complex health systems. It has the advantage of an elegant aggregate view which shows the accumulations, feedbacks, delays and non-linear relationships that produce surprising results when intervening in health systems. Future collections will focus on useful multi-method models that produce effective action, including

  • combining other simulation methods,
  • agent based individual behavioral modeling,
  • process centric discrete event approaches, and
  • multi-scale models.

Why Health Care Insights are Needed

Suggested Section Order

Health Care Categories

References

Questions & Comments to Geoff McDonnell
Personal tools