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AJPH First Look, published online ahead of print Jan 31, 2006
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System Dynamics Modeling for Public Health: Background and Opportunities

Jack B. Homer, PhD and Gary B. Hirsch, SM

Jack Homer and Gary Hirsch are independent consultants specializing in the application of system dynamics methodology in both the public and the private spheres.


Figure 1
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FIGURE 1— A simple model of chronic disease prevention.

Note. The rectangle represents a stock of people; thick arrows with valves and cloud symbols represent flows of people; thinner arrows indicate causal influence; arrows with minus signs indicate inverse causal influence.

 

Figure 2
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FIGURE 2— Chronic disease prevention model output for 3 scenarios over 50 simulated years, showing onset prevention fraction (a), complications prevention fraction (b), people with disease (c), and deaths from complications (d).

 

Figure 3
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FIGURE 3— A broad view of population health and the spectrum of possible responses.

Note. Rectangles represent the stocks of people; thick arrows with circles represent flows of people; thinner arrows indicate causal influence; rounded rectangles indicate multidimensional concepts.

 

Figure 4
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FIGURE 4— Overview of the health care microworld.

Source. Adapted from Hirsch and Immediato.61

Note. Episodes of illness in the bottom half of the diagram determine demand for care in the top half of the diagram. Rectangles in the bottom half represent stocks of ill patients. Rectangles in the top half represent stocks of provider capacity and workload. Arrows represent causal influences.

 





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