Using system dynamics to develop policies that matter: global management of poliomyelitis and beyond

We offer an example of modeling that influenced global health policy related to polio and we provide some insights about the modeling process. Although system dynamics lies at the heart of our modeling, we emphasize that downplaying the modeling to focus on the policy questions played a critical role in the use of the results by decision makers. Here we provide details of the system dynamics modeling that underlies our research on polio, and discuss the process we followed to bring scientific modeling of a highly complex issue to policymakers. We hope that providing a better understanding of our efforts and describing our continuing analytical journey provides useful insights for others who seek to use system dynamics to develop policies that matter. Copyright © 2009 John Wiley & Sons, Ltd.

[1]  Christina Cameli,et al.  The Cutter Incident: How America's First Polio Vaccine Led to the Growing Vaccine Crisis , 2006 .

[2]  Leslie Roberts,et al.  Polio: No Cheap Way Out , 2007, Science.

[3]  Scott Barrett,et al.  Optimal disease eradication , 2004, Environment and Development Economics.

[4]  Kimberly M Thompson,et al.  Development and Consideration of Global Policies for Managing the Future Risks of Poliovirus Outbreaks: Insights and Lessons Learned Through Modeling , 2006, Risk analysis : an official publication of the Society for Risk Analysis.

[5]  Cleotilde González,et al.  Why don ’ t well-educated adults understand accumulation ? A challenge to researchers , educators , and citizens , 2008 .

[6]  Kimberly M Thompson,et al.  Global Surveillance and the Value of Information: The Case of the Global Polio Laboratory Network , 2006, Risk analysis : an official publication of the Society for Risk Analysis.

[7]  Kimberly M Thompson,et al.  Variability and Uncertainty Meet Risk Management and Risk Communication , 2002, Risk analysis : an official publication of the Society for Risk Analysis.

[8]  David C. Lane,et al.  Steering without Circe: attending to reinforcing loops in social systems , 2008 .

[9]  J. Sterman,et al.  Cloudy Skies: Assessing Public Understanding of Global Warming , 2002 .

[10]  Kimberly M Thompson,et al.  The case for cooperation in managing and maintaining the end of poliomyelitis: stockpile needs and coordinated OPV cessation. , 2008, Medscape journal of medicine.

[11]  Kimberly M Thompson,et al.  Eradication versus control for poliomyelitis: an economic analysis , 2007, The Lancet.

[12]  Kimberly M Thompson,et al.  Retrospective Cost‐Effectiveness Analyses for Polio Vaccination in the United States , 2006, Risk analysis : an official publication of the Society for Risk Analysis.

[13]  Kimberly M Thompson,et al.  Evaluation of Response Scenarios to Potential Polio Outbreaks Using Mathematical Models , 2006, Risk analysis : an official publication of the Society for Risk Analysis.

[14]  John D. Sterman,et al.  System Dynamics: Systems Thinking and Modeling for a Complex World , 2002 .

[15]  Nelson P. Repenning,et al.  Selling system dynamics to (other) social scientists , 2003 .

[16]  David M. Oshinsky Polio: An American Story , 2005 .

[17]  David N. Ford,et al.  System Dynamics Applied to Project Management: A Survey, Assessment, and Directions for Future Research , 2007, System Dynamics.

[18]  Jay W. Forrester,et al.  System dynamics—the next fifty years , 2007 .

[19]  P. Geoffard,et al.  Disease Eradication: Private versus Public Vaccination , 1997 .

[20]  Jill Turner,et al.  WORLD HEALTH ASSEMBLY , 1989, The Lancet.

[21]  Kimberly M Thompson,et al.  A dynamic model of poliomyelitis outbreaks: learning from the past to help inform the future. , 2005, American journal of epidemiology.

[22]  Kimberly M Thompson,et al.  Poliomyelitis and the Role of Risk Analysis in Global Infectious Disease Policy and Management , 2006, Risk analysis : an official publication of the Society for Risk Analysis.

[23]  Kimberly M Thompson,et al.  Risks of Paralytic Disease Due to Wild or Vaccine‐Derived Poliovirus After Eradication , 2006, Risk analysis : an official publication of the Society for Risk Analysis.

[24]  Kimberly M Thompson,et al.  The Costs of Future Polio Risk Management Policies , 2006, Risk analysis : an official publication of the Society for Risk Analysis.

[25]  T. Fiddaman Dynamics of climate policy , 2007 .

[26]  G. Box Robustness in the Strategy of Scientific Model Building. , 1979 .

[27]  Arnab Acharya,et al.  Global health goals: lessons from the worldwide effort to eradicate poliomyelitis , 2003, The Lancet.

[28]  Werner Rothengatter,et al.  Megaprojects and Risk: Conventional megaproject development , 2003 .

[29]  Kim Warren,et al.  Improving strategic management with the fundamental principles of system dynamics , 2005 .

[30]  Frank Fenner,et al.  Public health. Is polio eradication realistic? , 2006, Science.

[31]  Kimberly M Thompson,et al.  Risk Management in a Polio‐Free World , 2006, Risk analysis : an official publication of the Society for Risk Analysis.

[32]  Steffen Bayer,et al.  Business dynamics: Systems thinking and modeling for a complex world , 2004 .

[33]  Kimberly M. Thompson,et al.  Priority Shifting and the Dynamics of Managing Eradicable Infectious Diseases , 2009, Manag. Sci..

[34]  黄亚明 MedScape , 2009 .

[35]  John D. Graham,et al.  Going beyond the single number: Using probabilistic risk assessment to improve risk management , 1996 .

[36]  Frank Fenner,et al.  Is Polio Eradication Realistic? , 2006, Science.

[37]  J. Sterman Risk Communication on Climate: Mental Models and Mass Balance , 2008, Science.

[38]  John D. Sterman,et al.  All models are wrong: reflections on becoming a systems scientist† , 2002 .

[39]  J. M. Underwood FOREIGN DEBT AND EXCHANGE RATE STABILITY IN A DEVELOPING COUNTRY , 1984 .

[40]  F. Fenner Smallpox and its eradication , 1988 .

[41]  Bent Flyvbjerg,et al.  Design by Deception: The Politics of Megaproject Approval , 2005 .

[42]  Dorota Kurowicka,et al.  Uncertainty and Sensitivity Analyses of a Dynamic Economic Evaluation Model for Vaccination Programs , 2008, Medical decision making : an international journal of the Society for Medical Decision Making.

[43]  Adam M. Finkel Stepping out of your own shadow: A didactic example of how facing uncertainty can improve decision-making , 1994 .

[44]  Global eradication of poliomyelitis by the year 2000. , 1988, Canada diseases weekly report = Rapport hebdomadaire des maladies au Canada.

[45]  J. Treanor,et al.  The Cutter Incident: How America’s First Polio Vaccine Led to the Growing Vaccine Crisis , 2006, Environmental Health Perspectives.

[46]  David Satcher,et al.  Recommendations of the International Task Force for Disease Eradication. , 1993, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[47]  Kimberly M Thompson,et al.  Uncertainty and Sensitivity Analyses of a Decision Analytic Model for Posteradication Polio Risk Management , 2008, Risk analysis : an official publication of the Society for Risk Analysis.

[48]  Eric Wolstenholme,et al.  Using generic system archetypes to support thinking and modelling , 2004 .

[49]  Kimberly M Thompson,et al.  The risks, costs, and benefits of possible future global policies for managing polioviruses. , 2008, American journal of public health.

[50]  Kimberly M Thompson,et al.  Policy decision options during the first 5 years following certification of polio eradication. , 2003, MedGenMed : Medscape general medicine.