Models of evaluation under ceteris imparibus: System dynamics and the example of emergency care
| Autor: | Andrew Staib, Susan McAvoy, Stephen Birch |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Information Systems and Management
Computer science business.industry Strategy and Management Complexity theory and organizations Value proposition Ceteris paribus 05 social sciences General Social Sciences 050905 science studies System dynamics Risk analysis (engineering) 0502 economics and business Economic evaluation Health care Systems thinking 0509 other social sciences business 050203 business & management Qualitative research |
| Zdroj: | Systems Research and Behavioral Science. 37:211-222 |
| ISSN: | 1092-7026 |
| Popis: | Traditional and current approaches to modelling the impacts of health care interventions have focused on detail complexity and been ceteris paribus dependent and thereby ignored the wider system impacts. In this study, we have demonstrated that system dynamics (SD) offers theoretical and practical advantages over conventional methodologies and the qualitative assessment tools that have informed the business of emergency care. We translate the key findings of qualitative research, existing literature reviews and studies of the use of simulation and economic evaluation models into a value proposition for using SD tools. We conclude that there is growing evidence of a strong value proposition for the use of SD tools to investigate interventions targeting improved emergency care access. SD models can incorporate dynamic and organizational complexity and fill a gap beyond the microscope of the conventional methodologies informing health care. This potential to strengthen health care systems warrants further investigation. |
| Databáze: | OpenAIRE |
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