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Dynamic modeling approaches to characterize the functioning of health systems: A systematic review of the literature

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  • Chang, Angela Y.
  • Ogbuoji, Osondu
  • Atun, Rifat
  • Verguet, Stéphane

Abstract

Universal Health Coverage (UHC) is one of the targets for the United Nations Sustainable Development Goal 3. The impetus for UHC has led to an increased demand for time-sensitive tools to enhance our knowledge of how health systems function and to evaluate impact of system interventions. We define the field of “health system modeling” (HSM) as an area of research where dynamic mathematical models can be designed in order to describe, predict, and quantitatively capture the functioning of health systems. HSM can be used to explore the dynamic relationships among different system components, including organizational design, financing and other resources (such as investments in resources and supply chain management systems) – what we call “inputs” – on access, coverage, and quality of care – what we call “outputs”, toward improved health system “outcomes”, namely increased levels and fairer distributions of population health and financial risk protection.

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  • Chang, Angela Y. & Ogbuoji, Osondu & Atun, Rifat & Verguet, Stéphane, 2017. "Dynamic modeling approaches to characterize the functioning of health systems: A systematic review of the literature," Social Science & Medicine, Elsevier, vol. 194(C), pages 160-167.
    • Handle: RePEc:eee:socmed:v:194:y:2017:i:c:p:160-167
    DOI: 10.1016/j.socscimed.2017.09.005
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    2. Reda Lebcir & Rifat Atun, 2021. "Resources management impact on neonatal services performance in the United Kingdom: A system dynamics modelling approach," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(3), pages 793-812, May.
    3. Jalali, Mohammad S. & Rahmandad, Hazhir & Bullock, Sally Lawrence & Lee-Kwan, Seung Hee & Gittelsohn, Joel & Ammerman, Alice, 2019. "Dynamics of intervention adoption, implementation, and maintenance inside organizations: The case of an obesity prevention initiative," Social Science & Medicine, Elsevier, vol. 224(C), pages 67-76.
    4. Singh, Neha S. & Kovacs, Roxanne J. & Cassidy, Rachel & Kristensen, Søren R. & Borghi, Josephine & Brown, Garrett W., 2021. "A realist review to assess for whom, under what conditions and how pay for performance programmes work in low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 270(C).

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