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Practical Challenges of Systems Thinking and Modeling in Public Health

Overview
Specialty Public Health
Date 2006 Feb 2
PMID 16449581
Citations 113
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Abstract

Objectives: Awareness of and support for systems thinking and modeling in the public health field are growing, yet there are many practical challenges to implementation. We sought to identify and describe these challenges from the perspectives of practicing public health professionals.

Methods: A systems-based methodology, concept mapping, was used in a study of 133 participants from 2 systems-based public health initiatives (the Initiative for the Study and Implementation of Systems and the Syndemics Prevention Network). This method identified 100 key challenges to implementation of systems thinking and modeling in public health work.

Results: The project resulted in a map identifying 8 categories of challenges and the dynamic interactions among them.

Conclusions: Implementation by public health professionals of the 8 simple rules we derived from the clusters in the map identified here will help to address challenges and improve the organization of systems that protect the public's health.

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References
1.
Seely A, Christou N . Multiple organ dysfunction syndrome: exploring the paradigm of complex nonlinear systems. Crit Care Med. 2000; 28(7):2193-200. DOI: 10.1097/00003246-200007000-00003. View

2.
Trochim W, Stillman F, Clark P, SCHMITT C . Development of a model of the tobacco industry's interference with tobacco control programmes. Tob Control. 2003; 12(2):140-7. PMC: 1747710. DOI: 10.1136/tc.12.2.140. View

3.
GODIN P, Buchman T . Uncoupling of biological oscillators: a complementary hypothesis concerning the pathogenesis of multiple organ dysfunction syndrome. Crit Care Med. 1996; 24(7):1107-16. DOI: 10.1097/00003246-199607000-00008. View

4.
Goldberger A . Fractal variability versus pathologic periodicity: complexity loss and stereotypy in disease. Perspect Biol Med. 1997; 40(4):543-61. DOI: 10.1353/pbm.1997.0063. View

5.
Schmidt G, Malik M, Barthel P, Schneider R, Ulm K, Rolnitzky L . Heart-rate turbulence after ventricular premature beats as a predictor of mortality after acute myocardial infarction. Lancet. 1999; 353(9162):1390-6. DOI: 10.1016/S0140-6736(98)08428-1. View