Using a Stakeholder Analysis to Improve Systems Modelling of Health Issues: The Impact of Progesterone Therapy on Infant Mortality in Ohio
Using a Stakeholder Analysis to Improve Systems Modelling of Health Issues: The Impact of Progesterone Therapy on Infant Mortality in Ohio
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DOI：
10.1002/sres.2563
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发表时间：
2019-07-01
影响因子：
2.7
通讯作者：
Andersen, David
中科院分区：
文献类型：
--
作者：
Hosseinichimeh, Niyousha;Kim, Hyunjung;Andersen, David
健康问题的系统建模通过探索系统组件之间的相互依赖关系丰富了医疗保健政策的分析。考虑广泛的利益相关者行为是开发有用模型的必要条件。我们的论文展示了如何系统地识别利益相关者的行为，在模型中制定它们，并测试它们对健康结果的影响。利益相关者的行为解释的背景下，婴儿死亡率在俄亥俄州的模拟为基础的分析。使用组模型构建技术，我们确定了三个层次的利益相关者的行为，个人，组织和政策行为，并讨论这些行为是如何反映在模型的制定和驱动的关键健康成果。具体而言，我们将展示如何制定个人和政策行为，以检查其对孕激素治疗的影响，在组模型建设会议确定的干预措施之一，对婴儿死亡率的影响。最后，我们建议将不同的利益相关者的观点，在系统建模的健康问题。(c)2018约翰威利父子有限公司
Systems modelling of health issues enriches analysis of health care policies by exploring interdependencies among system components. Considering a wide range of stakeholder behavior is a requisite for developing a useful model. Our paper shows how to systematically identify stakeholder behavior, formulate them in a model and test their impact on health outcomes. Stakeholder behavior are explained in the context of a simulation-based analysis of infant mortality in Ohio. Using group model building techniques, we identify three levels of stakeholder behavior-individual, organizational and policy behaviors-and discuss how these behaviors are reflected in the model formulation and drive the key health outcomes. Specifically, we show how individual and policy behaviors are formulated to examine their influence on the impact of progesterone therapy-one of the interventions identified in the group model building session-on infant mortality. We conclude with recommendations for incorporating diverse stakeholder perspectives in systems modelling of health issues. (c) 2018 John Wiley & Sons, Ltd.