System dynamics applications to European health care issues

Taking a European perspective, a review is made of some system dynamics models which address health care issues. Suggestions are made for the types of role which these models should take, bearing in mind the strategic orientation of system dynamics modelling. Examples are described of qualitative models where in ̄uence diagrams are the main analytical tool. Quantitative system dynamics models have a contribution to make in epidemiological studies and have been used to analyse the AIDS epidemic. A detailed example of one aspect of model formulation is given. This concerns the AIDS incubation time distribution and shows how real-world complications arising from virological staging and treatment effects are handled in a model of AIDS spread.

[1]  Susan R. Wilson,et al.  Bayesian projection of the acquired immune deficiency syndrome epidemic , 2002 .

[2]  R G Coyle,et al.  System Dynamics Modelling: A Practical Approach , 1996 .

[3]  D. Lane,et al.  Simulation Applied to Health Services: Opportunities for Applying the System Dynamics Approach , 1998, Journal of health services research & policy.

[4]  N. Bailey.  A Study of Queues and Appointment Systems in Hospital Out‐Patient Departments, with Special Reference to Waiting‐Times , 1952 .

[5]  E F Wolstenholme,et al.  Qualitative vs quantitative modelling: the evolving balance , 1999, J. Oper. Res. Soc..

[6]  R. Harris.  Hospital bed requirements planning , 1986 .

[7]  I. Longini,et al.  Role of the primary infection in epidemics of HIV infection in gay cohorts. , 1995, Journal of acquired immune deficiency syndromes.

[8]  E Wolstenholme.  Organizational re-engineering using systems modelling: rediscovering the physics of the health service. , 1995, IMA journal of mathematics applied in medicine and biology.

[9]  R. G. Coyle,et al.  The Development of System Dynamics as a Methodology for System Description and Qualitative Analysis , 1983 .

[10]  B. Dangerfield,et al.  Modelling the Epidemiological Consequences of HIV Infection and AIDS: A Contribution from Operational Research , 1990 .

[11]  R G Coyle.  A systems approach to the management of a hospital for short-term patients. , 1984, Socio-economic planning sciences.

[12]  John D. W. Morecroft,et al.  Strategy Support Models , 2018 .

[13]  Charlotte A. Roberts,et al.  An Overview of Strategy and Tactics in System Dynamics Optimization , 1996 .

[14]  M. Brahimi,et al.  Queueing Models for Out-Patient Appointment Systems — a Case Study , 1991 .

[15]  Brian Dangerfield,et al.  A role for system dynamics in modelling the spread of AIDS , 1989 .

[16]  D J Worthington,et al.  Queueing Models for Hospital Waiting Lists , 1987, The Journal of the Operational Research Society.

[17]  Eric F. Wolstenholme.  A Case Study in Community Care Using Systems Thinking , 1993 .

[18]  Peter C. Smith,et al.  Making Static Models Dynamic: The Case of the National Health Service , 1997 .