A system dynamics evaluation model: implementation of health information exchange for public health reporting

Abstract

System dynamics techniques clarified endogenous and exogenous factors at play in a highly complex technology implementation, which may inform other states engaged in implementing HIE supported by federal Health Information Technology for Economic and Clinical Health (HITECH) legislation.

A System Dynamics Simulation Model of Hierarchical Medical Care System Reform in China

“…It may provide us with optimized interventions to promote CHSs primary diagnosis, since it can set various levels of patient's visiting behaviour-influencing factors. It may improve the reliability of the model, by setting constraints according to the real world, for instance, increased population generating new demands and the available resource restricting medical service supplying [5][6][7][8][9]. The SD model is built with software Vensim 5.6a (USA, Ventana Systems, Inc.).…”

Defining Health Information Exchange: Scoping Review of Published Definitions

“…‘Health information’,2 , 5 , 45 , 49 , 54 – 98 ‘clinical information’,21 , 33 , 37 , 46 , 61 , 71 , 88 , 97 , 99 – 120 ‘clinical data’,23 , 30 , 33 , 87 , 110 , 111 , 121 – 131 ‘health data’,17 , 24 , 43 , 69 , 70 , 76 , 100 , 132-140 ‘patient data’,31 , 33 , 55 , 107 , 141 – 145 ‘healthcare information’,35 , 72 , 84 , 110 , 115 , 126 , 146 – 148 ‘clinical patient data’,1 , 149 ‘patient clinical data’,150 ‘patient health information’,151 – 158 ‘patient information’,16 , 26 , 29 , 40 , 41 , 47 , 66 , 97 , 116 , 159 – 165 ‘medical information’,21 , 28 , 34 , 97 , 107 , 129 , 166 – 171 ‘health-related information’,16 , 81 , 82 , 121 , 163 , 172 – 182 ‘patient-medical information’,183 , 184 ‘personal health information’,185 ‘clinical and demographic data’,186 , 187 ‘healthcare-related data’, 188 – 190 ‘health surveillance data’,191 ‘clinical and other patient data’...…”

“…Information security,25 , 30 , 43 , 60 , 70 , 89 , 95 , 98 , 100 , 127 , 153 , 157 , 164 , 173 , 182 , 191 , 198 , 227 , 234 , 238 , 255 ‘coded’,41 , 195 improved capacity for informed ‘decisions’,17 , 27 , 38 , 47 , 65 , 69 , 83 , 109 , 116 , 152 , 229 , 245 , 247 , 253 ‘effective’,21 , 71 , 103 , 115 , 121 , 129 , 160 , 234 , 252 ‘efficient’,33 , 84 , 95 , 121 , 148 , 160 , 233 – 235 ‘safer’,37 , 71 , 87 , 110 , 111 , 121 , 233 ‘coordinated’,81 , 234 ‘equitable’,37 , 71 , 110 , 111 , 115 , 121 , 129 , 130 ‘timelier’,103 , 121 patient-centred healthcare,37 , 71 , 84 , 110 , 111 , 115 , 121 , 129 , 130 ‘real-time’ information transfer,27 , 99 , 139 , 164 , 198 , 256 enhance ‘quality’ of healthcare,53 , …”

Systems thinking and system dynamics: A primer

“…On the other hand there are those who argue such methods, of themselves, have the capacity to generate insight and can help form a consensus for policy change in a problem system. See for instance the testimony from Merrill et al (2013) concerning a health application. They state: 'As a tool for strategic thinking on complicated and intense processes, qualitative models can be produced with fewer resources than a full simulation, yet still provide insights that are timely and relevant.'…”