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System Dynamics Applications to European Healthcare Issues

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Part of the book series: The OR Essentials series ((ORESS))

Abstract

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 influence 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.

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References

  1. Office of Health Economics (1997). Compendium of Health Statistics, 10th Edn, (Table 2.1: 1998 estimates), Office of Health Economics, UK.

    Google Scholar 

  2. Bailey NTJ (1952). A study of queues and appointment systems in hospital out-patient departments. JR Statist Soc 14: 185–199.

    Google Scholar 

  3. Brahimi M and Worthington DJ (1991). Queueing models for out-patient appointment systems—a case study. J Opl Res Soc 42: 746–766.

    Google Scholar 

  4. Moores B and Sissouras AA (1975). The optimum number of beds in an emergency care unit. Omega 4: 59–65.

    Google Scholar 

  5. Harris RA (1986). Hospital bed requirements planning. Eur J Opl Res 25: 121–126.

    Article  Google Scholar 

  6. Wolstenholme EF (1993). A case study in community care using systems thinking. J Opl Res Soc 44: 925–934.

    Article  Google Scholar 

  7. Wolstenholme EF (1995). Organisational re-engineering using systems modelling: rediscovering the physics of the health service. IMA J Med Biol 12: 283–296.

    Article  Google Scholar 

  8. Coyle RG (1984). A systems approach to the management of a hospital for short-term patients. Socio-Econ Plan Sci 18: 219–226.

    Article  Google Scholar 

  9. van Ackere A and Smith P (1997). Making static models dynamic: the case of the National Health Service. Technical Paper 9, Centre for Health Economics, University of York, UK.

    Google Scholar 

  10. Bronkhorst EM, Wiersma T and Truin GJ (1990). Using complex system dynamics models: an example concerning the Dutch dental health care system. In: Andersen DF, Richardson GP and Sterman JD (eds). Proceedings of the 1990 Interna tional System Dynamics Conference—Volume 1. System Dynamics Society: Cambridge, Massachusetts, pp 155–163.

    Google Scholar 

  11. Postma MJ, Smits MT, Terpstra S and Takkenberg CATh (1992). Personnel planning in health care: an example in the field of rheumatology. In: Vennix JAM, Faber J, Scheper WJ and Takkenberg CATh (eds). Proceedings of the 1992 International System Dynamics Conference. System Dynamics Society: Cambridge, Massachusetts, pp 515–524.

    Google Scholar 

  12. Morecroft JDW (1984). Strategy support models. Strut Mgmt J 5: 215–229.

    Article  Google Scholar 

  13. Wolstenholme EF and Coyle RG (1983). The development of system dynamics as a methodology for system description and qualitative analysis. J Opl Res Soc 34: 569–581.

    Article  Google Scholar 

  14. Wolstenholme EF (1999). Qualitative versus quantitative modelling: the evolving balance. J Opl Res Soc 50: 422–429.

    Article  Google Scholar 

  15. Balle M (1994). Managing with Systems Thinking. McGraw-Hill: Maidenhead.

    Google Scholar 

  16. Wolstenholme EF and Crook J (1997). A management flight simulator for community care. In: Cropper S and Forte P (eds). Enhancing Health Services Management: the Role of Decision Support Systems. Open University Press: Buckingham, 217–244.

    Google Scholar 

  17. Ellis BW (1991). Factors influencing waiting lists and cost of surgical treatment. Annals of the Roy Coll of Surg of Engl 73: 74–77.

    Google Scholar 

  18. Worthington DJ (1987). Queueing models for hospital waiting lists. J Opl Res Soc 38: 413–422.

    Article  Google Scholar 

  19. Frankel S and West R (eds) (1993). Rationing and Rationality in the NHS: the Persistence of Waiting Lists. Macmillan: Basing stoke.

    Google Scholar 

  20. Anderson RM and May RM (1991). Infectious Diseases of Humans. OUP: Oxford.

    Google Scholar 

  21. Isham V and Medley G (eds). Models for Infectious Human Diseases: Their Structure and Relation to Data. CUP: Cambridge.

    Google Scholar 

  22. Jacquez JA, Koopman JS, Simon CP and Longini IM (1994). Role of the primary infection in epidemics of HIV infection in gay cohorts. J AIDS 7: 1169–1184.

    Google Scholar 

  23. Dangerfield BC and Roberts CA (1989). A role for system dynamics in modelling the spread of AIDS. Trans Inst Msmt Ctrl 11: 187–195.

    Article  Google Scholar 

  24. Dijkgraaf MGW, van Griensven GJP and Geurts JLA (1988). Interactive simu-lation as a tool in the decision-making process to prevent HIV incidence among homosexual men in the Netherlands: a proposal. In: Jager JC and Ruitenberg EJ (eds). Statistical Analysis and Mathematical Modelling of AIDS. OUP: Oxford, pp 112–122.

    Google Scholar 

  25. Lagergren M (1992). A family of models for analysis and evaluation of strate-gies for preventing AIDS. In: Jager JC and Ruitenberg EJ (eds). AIDS Impact Assessment: Modelling and Scenario Analysis. Elsevier: Amsterdam, 117–145.

    Google Scholar 

  26. Bailey NTJ (1977). Mathematics, Statistics and Systems for Health. Wiley: Chichester.

    Google Scholar 

  27. Roberts CA and Dangerfield BC (1990). Modelling the epi demiological consequences of HIV infection and AIDS: a contribution from operational research. J Opl Res Soc 41: 273–289.

    Article  Google Scholar 

  28. Dangerfield BC and Roberts CA (1994). Fitting a model of the spread of AIDS to data from five European countries. In: Dangerfield BC and Roberts CA (eds). O.R. Work in HIV/AIDS, 2nd edn. Operational Research Society: Birmingham, 7–13.

    Google Scholar 

  29. Dangerfield BC and Roberts CA (1996). Relating a transmis sion model of AIDS spread to data: some international comparisons. In: Isham V and Medley G (eds). Models for Infectious Human Diseases: Their Structure and Relation to Data. CUP: Cambridge, 473–476.

    Chapter  Google Scholar 

  30. Wolstenholme EF (1990). System Enquiry. Wiley: Chichester.

    Google Scholar 

  31. Coyle RG (1996). System Dynamics Modelling: a Practical Approach. Chapman & Hall: London.

    Book  Google Scholar 

  32. Dangerfield BC and Roberts CA (1996). An overview of strategy and tactics in system dynamics optimisation. J Opl Res Soc 47: 405–423.

    Article  Google Scholar 

  33. Hamilton MS (1980). Estimating lengths and orders of delays in system dynamics models. In: Randers J (ed). Elements of the System Dynamics Method. MIT Press: Cambridge, Massachusetts, pp 162–183.

    Google Scholar 

  34. De Angelis D, Gilks WR and Day NE (1998). Bayesian projection of the acquired immune deficiency syndrome epidemic. Appl Statist 47: 447–448.

    Google Scholar 

  35. Roberts CA and Dangerfield BC (1991). System dynamics and statistics: recovering the AIDS incubation time distribution from right-censored data. In: Saeed K, Andersen D and Machuca J (eds). Proceedings of the 1991 International System Dynamics Conference. System Dynamics Society: Cambridge, Massachusetts, pp 504–514.

    Google Scholar 

  36. Taylor KS and Lane DC (1998). Simulation applied to health services: some experiences so far and opportunities for applying the system dynamics approach. J of Health Services Res and Policy 3: 226–232.

    Google Scholar 

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Dangerfield, B.C. (2016). System Dynamics Applications to European Healthcare Issues. In: Mustafee, N. (eds) Operational Research for Emergency Planning in Healthcare: Volume 2. The OR Essentials series. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-137-57328-5_13

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