WIP Ideas from Science Special Issue May 2014

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.

Simple Health Care Supply and Demand Interactions

Attempting to outdo an opponent leads to escalation. A weaker response leads to De-escalation. A slightly more complex  form of Insight 972.  ​Z508 p36-38 System Zoo 3 by Hartmut Bossel.

From Werner Ulrich's JORS Articles Operational research and critical systems thinking – an integrated perspective. Part 1: OR as applied systems thinking. Journal of the Operational Research Society advance online publication (14 December 2011). and Part 2 :OR as argumentative practice.

See also insight on Boundary Critique

Model of Buffer Margin from Robert Wears thesis WIP

From David Rees PhD dissertation "Developing a Theory of Implementation for Better Chronic Health Management" Health Services Research Centre, Victoria University of Wellington, New Zealand

"Seeing is believing" and "Believing is seeing". How the reduction of doubt can lead to holding on to initially helpful beliefs that later turn out to be false but are difficult to change. Or as I believe Bertrand Russell might once have put it, "The trouble with the world is that fools are so sure of themselves and the wise are so uncertain."

A model of the ladder of inference which shows how we short circuit reality based on the beliefs we develop. A picture version of the parameter version of Insight 351 for an academic audience. Here Consequences, intent and learning loops have been added

Prenatal, infant and early child development based on The First Thousand Days: early, integrated and evidence-based approaches to improving child health: coming to a population near you? Darling JC, et al. Arch Dis Child 2020;0:1–5. doi:10.1136/archdischild-2019-316929 article 

Based on a book chapter by Rosemarie Sadsad based on her PhD Thesis. See also other Insights tagged Multiscale and Realist ( IM-3546 and IM-3834 are embedded here)

Prochaska's transtheoretical model (TTM) of behavior change. See also Agent Based VersionIM-11578

Created in James Madison University's ISAT 341 Simulation and Modeling course by Joseph Straub and Andrew Funkhouser. Based on Mark Heffernan's Glucose-Insulin Insight Maker

Glucose Insulin Model Info:

Translated from Hormone.stm in Dynamic Modeling in the Health Sciences James L hargrove, Springer 1998, Ch 24 p255-261, by Mark Heffernan.

Based on Psychological Medicine Dec 2015 article Depression as a systemic syndrome: mapping the feedback loops of major depressive disorder by A. K. Wittenborn, H. Rahmandad, J. Rick and N. Hosseinichimeh, mentioned here. See also 2018 N. Hosseinichimeh Plos ONE article for rumination focussed SD simulation

From MIT ESD work (de Weck Ilities ) esp on Survivability (Medecki) http://bit.ly/HVsceb and Unarticulated Value (Ross) 2006 PhD pdf

Health Care Decisions Launchpad, showing Policy and Clinical Decisions using A Decision Ladder and Problem Knowledge coupling, supported by Digital Learning Infrastructure.

Kermack–McKendrick Epidemic SIR Infectious Disease Model - Metrics by Guy Lakeman

This is a simple SIR infectious diseases 3 stock model with Susceptibles, Infectives and Recovereds stocks. In the initial description the R signified Removed and could include Deaths, Recovered with immunity to infection (Resistant) or those who had fled the epidemic. Note the need to initiate the epidemic by adding a pulse of a single infected person at time 0.

From A Philosophical Basis of Medical Practice Toward a Philosophy and Ethic of the Healing Professions Edmund D Pellegrino David C Thomasma OUP Oxford 1981 Ch6 The Anatomy of Clinical Judgments p119-152 Note judgments have consequences of action, decisions can separate out the knowledge used. 

Summary of several AIHW reports on Aged Care Pathways from 2011-2017

Based on Psychological Medicine Dec 2015 article Depression as a systemic syndrome: mapping the feedback loops of major depressive disorder by A. K. Wittenborn, H. Rahmandad, J. Rick and N. Hosseinichimeh, mentioned here

Clone of IM-93836 with Health Expenditure australia 2016-7 Table A3 added with change

Created in James Madison University's ISAT 341 Simulation and Modeling course by Joseph Straub and Andrew Funkhouser. Based on Mark Heffernan's Glucose-Insulin Insight Maker

Glucose Insulin Model Info:

Translated from Hormone.stm in Dynamic Modeling in the Health Sciences James L hargrove, Springer 1998, Ch 24 p255-261, by Mark Heffernan.

This models the progressive decline of the ability for self-reliance and the growing dependence on outside help. ​Z508 p39-42 System Zoo 3 by Hartmut Bossel. Strong outside help causes a collapse of self-help capacity. Weak outside help produces a stable combination of wellbeing and self-help capacity.

Physician agents interacting with delegate agents for emergency department assessment diagnosis and treatment. From BMC paper May 2013, combining figs 1 and 2