A work in progress conceptual model based on Using system dynamics principles for conceptual modelling of publicly funded hospitals by HJ Wong et al Journal of the Operational Research Society advance online publication, 27 April 2011 doi:10.1057/jors.2010.164. Linked concepts with annotated definitions.
ED Crowding Hospitals and Beyond Linked Concepts
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
Swamping Insight
Changing Organization Structures and Behaviours based on Paul Holmstrom's work . Link to CLDs
Organization Structure (HealthCare Managers)
WIP for Whole of Hospital Program
Hospital Timeline Study
A Medical Imaging View of Patient Flows through ED Imaging Workup. See IM-375 for an extended map
ED-Imaging Patient Flow 1
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
Genes environment and physical activity interplay
WIP Social determinants of health from Michael Marmot's ABC 2016 Boyer Lectures on Social Justice and the Health Gap See US Data website for data and AIHW website for concepts. See also IM-83417 Marmot Essay 2017
Social Justice and the Health Gap
Based on Gunderson Holling and Light. Barriers and Bridges to the Renewal of Ecosystems and Institutions book Columbia University Press 1995. esp Fig 12.1 p499 Table 12.1 p 502 and FIg 12.4 p 521 and IM-11581 Managing mess
Institutional adaptive cycles
Kidney replacement therapy dynamics: causal loop diagram of the kidney dialysis and transplant model extended to Chronic Kidney Disease from MOTOHASHI and NISHI Int. J. Epidemiology1991; 20: 1032-1036
End Stage Kidney Disease CLD
A simple generic rich picture WIP view of interactions among social structures and agents and Boonstra's 2016 conceptualizing power article from Ecology and Society
Power and Health Interests
Unfolding story on social effects of stress and abuse, based on integrating cycles of alienation, emotional regulation in brain development, addiction, and violence/abuse, inspired by Harry Burns IHI London 2015 keynote video on Glasgow alienation due to housing estates. Also Peggy Thoits 2010 Stress and Health article
Stress Emotion and Control
eHealth Project Development Roadmap from Center for eHealth Research and Disease Management http://www.ehealthresearchcenter.org/wiki/index.php/Main_Page
eHealth Framework CEHRES
Adapted from Lane, David C. and Husemann, E. (2008) Steering without Circe: attending to reinforcing loops in social systems. System dynamics review, 24 (1). pp. 37-61. ISSN 0883-706 paper abstract See also Conceptual hybrid mapping IM
Structure Agency
See stella video for population example WIP Simplest Innovation diffusion model from Sterman Business Dynamics Ch9, with Correlation coefficients added, from Taylor TRB et al. (2010) Improving model understanding using statistical screening WSC paper See also System Dynamics Review 26 (1) p 73-87 and earlier 2005 SDR paper with CCtemplateExcel
Innovation Diffusion Model with Correlation
Arthur Kleinman's book p228 the remaking of moral life
What Really Matters
Clone of IM Health Expenditure australia 2015-6 (Table A3 with past year change) with 2015-6 detail added from NH Funding pool annual report website. Also current and emerging IHPA pricing classifications See also combined performance and activity stock flow IM IHPA and NHPA
Public hospital funding 2015-6 detail Australia
WIP Elements from macroeconomics, neoliberalism and commercial determinants of health frameworks to provide a background to the effects of the universal basic income on health and wellbeing for the first 1000 days. UBI diagram modified from Johnson2021 article Expanded in Insight 2
Employment and Welfare Interventions Effect on the first 1000 days 1
WIP Map as a basis for a future simulation that extends IM-319 to include KPIs
Renal Care Key Performance Indicators
Effect of rewards on the selection promotion and retirement of scholars in universities. Based on Geoffrey Brennan's Selection and the Currency of Reward chapter10 in The Theory of Institutional Design ed. RG Goodwin Cambridge University Press 1996 See also IM-2016
Scholars and Expedients 1
Business case for investment in national eHealth Infrastructure Programs
National eHealth Program Benefits
Clone of IM-24317 for adding other funding insights Im-633 and 636 and contrasting economic drivers of mental health with other health care based on JHPPL David Mechanic 2016 issue articles, esp Glied article (paywalled) Backed up generic version at IM-59166
Political Economy of Mental Health Services
Adapted from Fig.4, 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
Health and Social Circumstances across Generations
