A simple generic rich picture view of interactions among concerned people with needs services and resources and abilities (including learning), which can be used as a pattern for many individual health care insights.

Based on Mangone 2018 Book on revisiting Sorokin's work

Rich Picture Version of Insight 386 The Dynamics of Human Service Delivery General Theory from the Book by Levin, Roberts, Hirsch et al. Ballinger 1976 ISBN 0-88410-132-0

Adapted from Fig 2, from Ana V Diez Roux (2011) Complex Systems Thinking May Help Us Transcend Current Impasses in Health Disparities Research Am J Public Health 2011;101 1627-1634  http://ajph.aphapublications.org/cgi/content/abstract/101/9/1627?etoc

Adapted from Fig.3, from Ana V Diez Roux (2011) Complex Systems Thinking May Help Us Transcend Current Impasses in Health Disparities Research Am J Public Health 2011;101 1627-1634  http://ajph.aphapublications.org/cgi/content/abstract/101/9/1627?etoc

Model of Factors Affecting Ebola

WIP to show some relevant CLDs

eHealth Project Development Roadmap from Center for eHealth Research and Disease Management http://www.ehealthresearchcenter.org/wiki/index.php/Main_Page

An adaptation of the URBAN1 Model from Navid Ghaffarzadegan, John Lyneis and George P Richardson's How small system dynamics models can help the public policy process. System Dynamics Review 27: 22-44 (2011) Conference version at http://bit.ly/HlxtZj  and LA Alfeld and AK Graham's Introduction to Urban Dynamics 1974 p 195.

Extension of IM-13989 to include the tension between disease guideline checklist and holistic medicine within the clinical encounter in primary care See also moments of truth IM-2275

The transitions from home to supported accommodation for people with Intellectual Disability (ID) from birth to death in order to plan future services as they survive longer.

Modelo simplificado para ilustrar una epidemia o pandemia, como la del Coronavirus.

Concept map of patient flow through ED

Downstream and upstream responses, from Jack Homer , Gary HIrsch and Bobby Milstein. Chronic Illness in a Complex Health Economy  Syst. Dyn. Rev. 23, 313-343 (2007). Conference paper available at  http://bit.ly/JCO68V

The current Causal loop diagram

Kidney replacement therapy dynamics: causal loop diagram of the kidney dialysis and transplant model

Components of behaviour organised into domains, from NIMH Research Domain Criteria website and BMC paper and 2013 series on current controversies in psychiatry.

WIP based on Choice modelling and Mark Paich's Book and NZ work focus on Pre-ED Presentation choices, with ED and Post-ED care. Extended based on IM-998 4 hour rule context. Can be replicated to add interventions, as in IM-6167. See IM-9178 for Addition of After hours 'as is' and 'to be' flow models for Medicare Locals

Go to Gene Bellinger's insight version with video link This common archetype of systems that include relapse or recidivism allows exploration of the unintended effects of increasing upstream capacity and swamping downstream capacity. The increase in the relapse rate eventually returns to swamp upstream capacity as well. A social welfare example, based on a TANF case study, from How Small System Dynamics Models Can Help the Policy Process. N. Ghaffarzadegan, J. Lyneis, GP Richardson. System Dynamics Review 27,1 (2011) 22-44 abstract Conference version here

Insight synthesis of exchanges to better understand the basis of this decision. Unstructured additions from GMcD

• SystemsWiki Focus Page
• LinkedIn VSI Discussion

Hannon and Ruth Modeling Dynamic Biological Systems p67 adapted to Bond Graph Kinetic Modeling Metabolic Map Alternate Layout of insight IM-857 Here Join and Split Flows are unfolded rather than using folders around the Stocks.

Stock Flow Map of MIT SDM Seminar Presentation on Improving an Eye Clinic in India. Compare with Service work pressure insight CLS

DIabetes incidence inflow, Prevalence stock and deaths outflow

Services planning for people with intellectual disability concept map. Stock and FLow model is Insight 668 and  RIch Picture is Insight  746