Revealing the Complexities of Health Care Renewal: A System Dynamics Approach

Hannamaija Määttä, Sampsa Ruutu, Marja Toivonen

    Research output: Chapter in Book/Report/Conference proceedingConference article in proceedingsScientificpeer-review

    Abstract

    Health care systems are under significant development pressure due to the ageing of population and the problems of public financing. As an answer, a new model of chronic care, and integrated care programs based on it, has been applied in several countries. These renewals have a systemic focus: they aim at simultaneously developing organizations, technologies, services, and partner relationships. Empowerment of citizens and multidisciplinary collaboration among professionals play central roles in them. This paper examines the challenge of combining the system view with the multiple operational improvements that are needed at the practical level when the chronic care model is implemented. Using an empirical case from Finland and the method of system dynamics modeling, we show that established routines are not easy to break down even though the organization is committed to change, set clear goals and concretized their content. Paying attention to the complex causal relations and feedback s typical of human systems is necessary in order engthen each other. Recognizing the most crucial points that foster either “a vicious or a virtuous circle” in care processes, and analyzing them in terms of influential factors, supports the raising of awareness and facilitates changes.

    Original languageEnglish
    Title of host publicationProceedings of the 5th International Conference on Applied Human Factors and Ergonomics AHFE 2014
    Edition4th
    Publication statusPublished - 2014
    MoE publication typeA4 Article in a conference publication
    Event5th International Conference on Applied Human Factors and Ergonomics AHFE 2014 - Kraków, Poland
    Duration: 19 Jul 201423 Jul 2014
    Conference number: 5

    Conference

    Conference5th International Conference on Applied Human Factors and Ergonomics AHFE 2014
    Abbreviated titleAHFE 2014
    CountryPoland
    CityKraków
    Period19/07/1423/07/14

    Fingerprint

    Healthcare
    Renewal
    System dynamics
    Finland
    Influential factors
    System dynamics modeling
    Financing
    Breakdown
    Health care system
    Integrated
    Empowerment

    Cite this

    Määttä, H., Ruutu, S., & Toivonen, M. (2014). Revealing the Complexities of Health Care Renewal: A System Dynamics Approach. In Proceedings of the 5th International Conference on Applied Human Factors and Ergonomics AHFE 2014 (4th ed.)
    Määttä, Hannamaija ; Ruutu, Sampsa ; Toivonen, Marja. / Revealing the Complexities of Health Care Renewal : A System Dynamics Approach. Proceedings of the 5th International Conference on Applied Human Factors and Ergonomics AHFE 2014. 4th. ed. 2014.
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    title = "Revealing the Complexities of Health Care Renewal: A System Dynamics Approach",
    abstract = "Health care systems are under significant development pressure due to the ageing of population and the problems of public financing. As an answer, a new model of chronic care, and integrated care programs based on it, has been applied in several countries. These renewals have a systemic focus: they aim at simultaneously developing organizations, technologies, services, and partner relationships. Empowerment of citizens and multidisciplinary collaboration among professionals play central roles in them. This paper examines the challenge of combining the system view with the multiple operational improvements that are needed at the practical level when the chronic care model is implemented. Using an empirical case from Finland and the method of system dynamics modeling, we show that established routines are not easy to break down even though the organization is committed to change, set clear goals and concretized their content. Paying attention to the complex causal relations and feedback s typical of human systems is necessary in order engthen each other. Recognizing the most crucial points that foster either “a vicious or a virtuous circle” in care processes, and analyzing them in terms of influential factors, supports the raising of awareness and facilitates changes.",
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    Määttä, H, Ruutu, S & Toivonen, M 2014, Revealing the Complexities of Health Care Renewal: A System Dynamics Approach. in Proceedings of the 5th International Conference on Applied Human Factors and Ergonomics AHFE 2014. 4th edn, 5th International Conference on Applied Human Factors and Ergonomics AHFE 2014, Kraków, Poland, 19/07/14.

    Revealing the Complexities of Health Care Renewal : A System Dynamics Approach. / Määttä, Hannamaija; Ruutu, Sampsa; Toivonen, Marja.

    Proceedings of the 5th International Conference on Applied Human Factors and Ergonomics AHFE 2014. 4th. ed. 2014.

    Research output: Chapter in Book/Report/Conference proceedingConference article in proceedingsScientificpeer-review

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    AU - Ruutu, Sampsa

    AU - Toivonen, Marja

    PY - 2014

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    N2 - Health care systems are under significant development pressure due to the ageing of population and the problems of public financing. As an answer, a new model of chronic care, and integrated care programs based on it, has been applied in several countries. These renewals have a systemic focus: they aim at simultaneously developing organizations, technologies, services, and partner relationships. Empowerment of citizens and multidisciplinary collaboration among professionals play central roles in them. This paper examines the challenge of combining the system view with the multiple operational improvements that are needed at the practical level when the chronic care model is implemented. Using an empirical case from Finland and the method of system dynamics modeling, we show that established routines are not easy to break down even though the organization is committed to change, set clear goals and concretized their content. Paying attention to the complex causal relations and feedback s typical of human systems is necessary in order engthen each other. Recognizing the most crucial points that foster either “a vicious or a virtuous circle” in care processes, and analyzing them in terms of influential factors, supports the raising of awareness and facilitates changes.

    AB - Health care systems are under significant development pressure due to the ageing of population and the problems of public financing. As an answer, a new model of chronic care, and integrated care programs based on it, has been applied in several countries. These renewals have a systemic focus: they aim at simultaneously developing organizations, technologies, services, and partner relationships. Empowerment of citizens and multidisciplinary collaboration among professionals play central roles in them. This paper examines the challenge of combining the system view with the multiple operational improvements that are needed at the practical level when the chronic care model is implemented. Using an empirical case from Finland and the method of system dynamics modeling, we show that established routines are not easy to break down even though the organization is committed to change, set clear goals and concretized their content. Paying attention to the complex causal relations and feedback s typical of human systems is necessary in order engthen each other. Recognizing the most crucial points that foster either “a vicious or a virtuous circle” in care processes, and analyzing them in terms of influential factors, supports the raising of awareness and facilitates changes.

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    Määttä H, Ruutu S, Toivonen M. Revealing the Complexities of Health Care Renewal: A System Dynamics Approach. In Proceedings of the 5th International Conference on Applied Human Factors and Ergonomics AHFE 2014. 4th ed. 2014