Systems Thinking and Modeling for Public Health Practice

Leischow, Scott J.; Milstein, Bobby

doi:10.2105/ajph.2005.082842

Cited by 249 publications

(165 citation statements)

References 4 publications

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“…[28] A system's performance depends on how well the parts fit together, not how well they perform individually. [29,30] The emergent theory in this study supports this finding, as the theory implies that the collaborative integration of the components and the interaction between them is the best means to achieve the best outcome in terms of quality. It also provides a basis for change when we consider healthcare organisations to be complex adaptive systems [31,32] where rather than imposing prescriptive rules, change is best achieved by identifying and working with the values and behaviours that people are drawn towards and the use of minimum specifications or principles for action through which change in a specified…”

Section: Discussionsupporting

confidence: 68%

A quality framework for health services developed through an inclusive approach

Markham¹,

Butler

McNamara

2015

JNEP

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Objective: This study set out to explore and define the concept of "quality" from the perspective of health service managers and health professionals in Ireland, and to develop a theory to inform the development of a quality framework for the Irish health system. Methods: Design: The study design was based on Strauss and Corbin's (1990) grounded theory approach. This provided a method of social inquiry with the purpose of developing a theory through a systematic and rigorous approach to examine and advance emerging concepts. Setting and participants: Fifty health service managers and professionals employed by the Health Service Executive (HSE) in Ireland participated in this study. Interventions: In-depth interviews were used to explore with participants their experiences of quality in Irish health services, definitions of quality and the elements necessary for a quality framework. Main outcomes: This study produced a substantive theory that identified the need for a holistic approach to quality across three domains (the patient, workforce and organisation).Results: The quality framework comprises an integrated set of domains, values, approaches, processes and enablers. Across the domains, the approaches and processes provide the mechanisms to achieve quality. These are supported by values (that promote quality) and a set of enablers (which underpin the elements, providing the platform for change). Conclusions:The emergent theory provides the basis for a quality framework for health services for Ireland in the 21 st Century.Unlike most extant quality frameworks, the framework was derived empirically through an inclusive approach with key care providers, supporting the relevance and potential utility of the framework.

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Section: Discussionsupporting

confidence: 68%

A quality framework for health services developed through an inclusive approach

Markham¹,

Butler

McNamara

2015

JNEP

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“…Public health is a typical area in which the prevailing approaches tend to locate problems within the biology and behaviour of the individual person while a systemic approach focuses attention on the wider processes and contexts that shape individual susceptibilities (Leischow and Milstein 2006). Particular studies have looked at adolescent obesity (Pronk and Boucher 1999), cervical cancer (Suba et al 2006), mental health (McCubbin and Cohen 1999), malaria control (Temel 2005) and maternal health (Parkhurst et al 2005).…”

Section: Medicine and Healthmentioning

confidence: 99%

A review of the recent contribution of systems thinking to operational research and management science

Mingers

White

2010

European Journal of Operational Research

350

226

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The systems approach, or systems thinking, has been intimately connected with the development of OR and management science initially through the work of founders such as Churchman and Ackoff and latterly through innovations such as soft systems. In this paper we have undertaken a review of the contribution that systems thinking has been making more recently, especially to the practice of OR. Systems thinking is a discipline in its own right, with many theoretical and methodological developments, but it is also applicable to almost any problem area because of its generality, and so such a review must always be selective. We have looked at the literature from both a theoretical and an applications orientation. In the first part we consider the main systems theories and methodologies in terms of their recent developments and also their applications. This covers: the systems approach, complexity theory, cybernetics, system dynamics, soft OR and PSMs, critical systems and multimethodology. In the second part we review the main domains of application: strategy, information systems, organisations, production and operations, ecology and agriculture, and medicine and health. Our overall conclusion is that while systems may not be well established institutionally, in terms of academic departments, it is incredibly healthy in terms of the quantity and variety of its applications.

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“…Moreover, good communication and respectful working alliances with service users are common factors in recovery and healing 6 . On the other hand, increased attention to how new knowledge is gained, managed, exchanged, interpreted and integrated, and emphasis on a network-centric approach that encourages relationship-building among and between individuals and organizations across traditional disciplines and fields in order to achieve relevant goals and objectives are two fundamental systems-thinking perspectives and approaches that are shared across fields 7,8 . Systemic thinking offers the theory and methods for partnership working, across the boundaries of team and family relationships, and the professional boundaries within teams 9 .…”

Section: Introductionmentioning

confidence: 99%

Systemic Thinking and Working Partnership: A Cross Sectional Study in the South of Iran, 2015

Khammarnia

Kassani

Peyvand

et al. 2017

Bangladesh J Med Sci

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Abstract:Background: Systemic thinking can provide practice in multidisciplinary team working and improve organizational efficacy. This study aimed to determine the association between systemic thinking and working partnership in the employees of a medical sciences university in the south of Iran. Methods: A cross-sectional study was performed in Zahedan University of Medical Sciences (ZAUMS) in 2015. The study population consisted of all employees in ZAUMS; 370 participants were selected through stratified random sampling. Two standard questionnaires were used for data gathering. The data were analyzed in SPSS (v21) using Pearson, One way ANOVA and logistic regression. The level of significance was considered as 0.05. Results: In this study, 225 participants (60.8%) were female and the mean age of the participants' was 34.7±8.7. The mean of working partnership for 362 participants was higher than the standard mean. Systemic thinking had a positive association with working partnership (p=0.001) and married status of the participants (p=0.04). Working partnership in male and older staff was more than others in ZAUMS (p<0.001 and 0.01, respectively). Conclusion: Systematic thinking had a positive association with the employees' working partnership. Moreover, the male staff had better systematic thinking. It is recommended that the managers should promote systematic thinking in staff especially in females for better partnership and efficacy in organizations.

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Systems Thinking and Modeling for Public Health Practice

Cited by 249 publications

References 4 publications

A quality framework for health services developed through an inclusive approach

A quality framework for health services developed through an inclusive approach

A review of the recent contribution of systems thinking to operational research and management science

Systemic Thinking and Working Partnership: A Cross Sectional Study in the South of Iran, 2015

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