Three Essays on Advancing the System Dynamics Modeling Approach for Analyzing Policies and Interventions for Improvement of Women's Health PDF Download

Author: Fatima Irshaidat
Publisher:
ISBN: 9781369483772
Category : Electronic books
Languages : en
Pages : 314

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Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583

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Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Author: Jack Homer
Publisher: Mdpi AG
ISBN: 9783036578415
Category :
Languages : en
Pages : 0

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System dynamics is a simulation modeling approach to strategic and policy analysis that has been applied to many health care and public health issues since the 1960s and has become increasingly prevalent since the 2000s. The ten articles in this reprint appeared in a Special Issue of Systems and cover a broad cross-section of relevant methodological topics as well as applications to specific health problems. One methodological article describes the use of cascaded system archetypes, with an application to reducing hospital congestion. Another discusses Monte Carlo uncertainty analysis, with an application to the US opioid crisis. Three of the articles describe models of community response to severe shocks, including recovery from the COVID-19 pandemic. Two other articles address strategies for dealing with myriad chronic diseases and risk factors in a population. Other papers include in-depth analyses of prostate cancer screening, digital prosthetic services for lower-limb amputees, and the complex behavioral health challenge of youth homelessness. This reprint provides an excellent snapshot of the current state of practice in system dynamics as it is applied to public health, health care delivery, and health policy. It offers practical policy guidance and will be of interest to both experienced practitioners and those new to the field.

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309378486
Category : Medical
Languages : en
Pages : 121

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In April 2015, the Institute of Medicine convened a workshop to explore the potential uses of simulation and other types of modeling for the purpose of selecting and refining potential strategies, ranging from interventions to investments, to improve the health of communities and the nation's health. Participants worked to identify how modeling could inform population health decision making based on lessons learned from models that have been, or have not been, used successfully, opportunities and barriers to incorporating models into decision making, and data needs and opportunities to leverage existing data and to collect new data for modeling. This report summarizes the presentations and discussions from this workshop.

Author: Peter S. Hovmand
Publisher: Springer Science & Business Media
ISBN: 1461487633
Category : Psychology
Languages : en
Pages : 117

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Community Based System Dynamics introduces researchers and practitioners to the design and application of participatory systems modeling with diverse communities. The book bridges community- based participatory research methods and rigorous computational modeling approaches to understanding communities as complex systems. It emphasizes the importance of community involvement both to understand the underlying system and to aid in implementation. Comprehensive in its scope, the volume includes topics that span the entire process of participatory systems modeling, from the initial engagement and conceptualization of community issues to model building, analysis, and project evaluation. Community Based System Dynamics is a highly valuable resource for anyone interested in helping to advance social justice using system dynamics, community involvement, and group model building, and helping to make communities a better place.

Author: National Academies of Sciences Engineering and Medicine
Publisher:
ISBN: 9780309685061
Category :
Languages : en
Pages :

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The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536

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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Author: Carlo Stefan Davila Payan
Publisher:
ISBN:
Category : Food supply
Languages : en
Pages :

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This work builds on the use of several Mathematical Modeling tools to develop approaches that address relevant, real and previously unanswered questions related to the improvement of Public Health Systems, in three particular instances. First, this thesis analyzes the variation in state-level vaccination coverage during the emergency response to the 2009 H1N1 pandemic influenza outbreak in the United States. The analysis considers the overall adults population and two priority sub-populations: children and high-risk adults. We focus on quantifying the association between vaccination coverage and the supply chain and distribution system decisions, during the vaccine shortage period, while controlling for other commonly recognized factors such as previous vaccinations, socio-economic characteristics, health seeking behavior and health infrastructure. The variables analyzed are generally correlated, and the problem has a limited sample size with a much larger number of independent variables. The findings of this research have been published in Vaccine and presented to the Centers for Disease Control and Prevention. Second, the research approaches the problem of estimating childhood obesity prevalence in small geographic areas in the U.S. Obesity is recognized as one of the major health problems in the country, and attending this condition in children is of major importance to deal with the sources of the overall problem. The ability to target interventions to the most affected children populations is necessary to achieve cost effective solutions. But local accurate obesity data is hard to obtain and missing for most of the small areas in the country. The research focuses on estimating prevalence of obesity and overweight status in children in small geographical areas in the absence of surveillance and detailed sampling. Our modeling approach is built in two stages. The first one uses a logistic regression model that links individual characteristics to high-BMI status, and generates samples of the empirical distribution of its coefficients though bootstrap re-sampling. The second uses simulation to generate virtual population samples of the small areas, which are then combined with the logistic model samples to estimate prevalence. Confidence intervals are built though re-sampling. A very important feature of our approach is that all of its inputs are from publicly available data, which gives availability for the replication of the methodology to any health stakeholder in the US. The model estimates were validated by using separate models for adults and children in a state with available data. Estimates obtained from our modeling approach were used by a large healthcare provider to geographically target interventions for pediatric obesity. Third, the thesis presents an introductory analysis of the possible effects of partial disruptions to critical supply chains due to absenteeism caused by a generalized flu-like illness in the US. For this analysis, we first construct a plausible national food supply chain for milk and then we simulate its disruption. To build the supply chain we used public information regarding production, consumption, and major milk processors and bottlers, and fitted it into a supply network though optimization. Then, to analyze the effects of flow disruptions of the supply chain, we built a simulation of the operation of the network and virtually generated absenteeism, mildly disrupting the supply chain flows by the proportional absences. We used information on potential absenteeism in work groups from an influenza simulator. Our initial analysis shows that absenteeism may create variations along the supply chain, similar to those described in the bullwhip effect analysis literature, even in the absence of supply shortages and without variations in pricing or demand, for which we find no prior reference in the literature.

Author: Peter Hovmand
Publisher: Wiley
ISBN: 9781118733486
Category : Mathematics
Languages : en
Pages : 288

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This book provides a critical approach to building and simulating computer models of social determinants of health and draws primarily on system dynamics due to the availability of rich examples of system dynamics models that have been developed around the world using participatory models. Also, the diverse set of case studies feature examples from around the world in both less developed and more developed countries, discuss rural and urban health issues, and are inclusive of a broad range of participants (from villagers in India t residents in St, Louis, MO to policy makers engaged in statewide mental health reform). Using a system dynamics approach to represent and explore impacts of complex interrelationships, this book discusses the social construction of categories of thought that shape how a system is defined and its various relationships. Participatory modeling offers a cricial point of leverage in increasingly complex stakeholder sets that affect and are affected by governmental and community policies and services. As such, this book illuminates how the method of participatory modeling reveals the socially constructed nature of social determinants and its potential for revealing alternative ways of framing and perserving problems. Chapter coverage includes: social determinants of health; system dynamics and participatory model building; social determinants as community characteristics; social determinants as feedback structures; social determinants as category structures; social determinants as model boundaries; social determinants as system behavior; and limitations and extensions to other system approaches such as agent based modeling, social network analysis, geographic information systems, and hybrid methods.

Author: Ellen Annandale
Publisher:
ISBN:
Category : Health & Fitness
Languages : en
Pages : 232

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'... a very useful addition to teaching material in the medical sociology/health studies field that will also be of value for teachers and students in women's studies.' - Mary Ann Elston, Royal Holloway University of London, UK '... Established wisdom about gender inequalities is due for critical questioning. This authoritative and challenging collection ... from some of the most respected names in the field ... will be essential reading for students and researchers in gender studies and medical sociology.' - Professor Mildred Blaxter, University of East Anglia, UK This state-of-the-art collection reflects critically upon the current status of our knowledge about gender inequalities in health and develops an agenda for future research. Leading experts address a range of themes that are central to the development of the field. These include recent theoretical and methodological developments in sociology and social policy, and the significance of changes in gender relations following wide-scale economic and social changes with respect to the mental and physical health status of men and women. The collection focuses upon gender and health within industrialized nations including Britain, North America, Western and Eastern Europe. It will be of particular interest to students and practitioners of sociology, health policy, health studies and gender studies.