This is a high level system dynamics model which is built to determine the dynamic relationships of the FSA and Followups capacity. Therefore, it can help clinicians to find out the optimistic method in order to reduce the waiting list. At past clinicians were seeing more FSA patients, however, after few months, the followups patients overwhelmed the clinics. Therefore waiting list has been built up again. By running this model, clinicians can find out the balanced leverage point(s). New Model has been developed, this is a very draft model.

Decision making accuracy depends on ecological validity of indicator uses and subjective use of cues (fallible tangible indicators) Extended to clinical risk and action in IM-62657 See medical decision making 2016 article abstract

Clusters of interacting methods for improving health services network design and delivery. Includes Forrester quotes on statistical vs SD methods and the Modeller's dilemma. Simplified version of IM-14982 combined with IM-17598 and IM-9773

From Rudolph JW Morrison JB and Carroll JS (2009) The Dynamics of Action-Oriented Problem Solving: Linking Interpretation and Choice. Academy of Management Review 34 (4) p733-756 Available online . This paper won the Forrester Award for 2012 and the presentation talk video is available. The presentation  paper abstract is available in System Dynamics Review 2013 here

Gavan Lintern's Decision Ladder of Cognitive states and processes associated with the Ladder of Inference IM-351 

WIP based on Emery Roe's 2013 book. See also Dynamics in Action IM-3239 for more on behavior and The Art of the State IM-11962 for more on Grid-Group Cultural Theory

WIP notes on Stress and Abuse, based on integrating cycles of alienation, emotional regulation in brain development, addiction, and violence/abuse, inspired by harry burns keynote video on Glasgow alienation due to housing estates. Peggy Thoits 2010 Stress and Health article added

Based on Nate Osgood's April 2014 Singapore Presentation Youtube video and Lyle Wallis material Gojii at DecisioTech See also Complex Decison Technologies IM as a more polished version

Fig 4.1 p 86 of Beyond Pleasure and Pain: How Motivation Works Book by E Tory Higgins OUP (2011).

Illustration of the relations among variables that contribute to the value experience. See also Effectiveness IM-2806

WIP See also IM-2806 Value and Effectiveness and IM-616 Learning and Stress Emotion and Control IM

A generic stock and flow map of Cancer Screening and Treatment. See also IM-1525 for a specific Prostate PSA Map and Reference  See IM-107014 for a more detailed prostate cancer specific map 

Mental Health Platform Post-Covid June 2021 including revisiting Wiser Health Decisions

Fritjof Capra said that from a systems perspective, ethical behavior is always related to community; it is behaviour for the common good. Using this perspective, I would define Meta-Values as those values that promote the well-being of human beings and safeguard the biosphere on which that well-being ultimately depends.  Considering meta-values as an overriding criteria and rejecting an automatic acceptance the narrow options offered by doctrines and ideologies provides a much larger choice on which to base decisions.  Doctrines and ideologies could then serve to provide explanations, views of how the world works, that could be used if found appropriate in a particular situation -  but  viewed from an agnostic stance and not from a quasi religious belief in their truth. As Donella Meadows once said, 'No paradigm is true'. Actions based on aspects of  doctrinal beliefs that are false are very likely to lead to unintended negative consequences.  Can carefully considered decisions based on Meta-Values avoid most of these negative side effects? The CLD shows the dynamic that could be at work if this assumption is true. 

​Book (large pdf) by Alicia Juarrero subtitled intentional behavior as a complex system. Behaviour is action and change in the world, consisting of the external, mental and social world. Human action is intentional, meaningful  and hopefully effective. 

Behaviours can be:
Reactive: sense and respond
Adaptive: anticipate and learn
Generative: innovate and transform.
Which models help produce effective action?

Based on diagrams in the NAP 2015 Report Improving diagnosis in health care process Compare with IM-885 Clinical judgment to provide context and and Decision Ladder IM-689 to provide decision process task detail

From Schluter et al 2017 article A framework for mapping and comparing behavioural theories in models of social-ecological systems COMSeS2017 video. See also Balke and Gilbert 2014 JASSS article How do agents make decisions? (recommended by Kurt Kreuger U of S)

Based on TBH presentation to AIHI  Jan 30 2014

Rich picture version of Tanner's Clinical Judgment Model, with the addition of clinical reasoning cycle concepts from T Levett-Jones et al Nurse Education Today 30 (2010) 515-520

WIP for Continuity of care ISO Old Version From Wikipedia Replaced by IM-4008

Festinger's theory of cognitive dissonance represented in feedback loops from p256 Fig 4.23 of George Richardson (1991) Book Feedback Thought in Social Science and Systems Theory reviewed here May be relevant to goal conflict in pct and mental health

The cyclical scientific process described by Gary An.

Overview of Myers Briggs mental preferences based on Jim Rogers MBTI Manual and Gifts Differing Book. Compare with Thinking feeling acting and interacting representation of human behaviour based on BPSD (dementia) work by Victor Vickland, PCT, Sapience and Gary Smith

THE NEW SCIENCE OF PLEASURE Daniel L. McFadden NBER Working Paper 18687

WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys

Patient statechart split off at IM-4010