System Dynamics Approaches and Collective Action for Community Health: An Integrative Review.

System dynamics (SD) methods, from qualitative causal loop diagramming to quantitative simulation modeling, have the potential to be powerful tools for engaging community stakeholders interested in improving health. However, the extent to which SD drives collective action to improve community health...

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Publicado en:American Journal of Community Psychology Vol. 63; no. 3/4; pp. 527 - 546
Autores principales: Cilenti, Dorothy, Issel, Michele, Wells, Rebecca, Link, Seri, Lich, Kristen Hassmiller
Formato: Artículo
Publicado: Wiley-Blackwell Jun2019
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2019
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      pub: Wiley-Blackwell
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        10.1002/ajcp.12305
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        atl: System Dynamics Approaches and Collective Action for Community Health: An Integrative Review.
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        au:
          Cilenti, Dorothy
          Issel, Michele
          Wells, Rebecca
          Link, Seri
          Lich, Kristen Hassmiller
        affil:
          Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill NC, USA
          Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte NC, USA
          Department of Management, Policy, and Community Health, The University of Texas School of Public Health, Houston TX, USA
          Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill NC, USA
      su:
        Collective action
        Public health
        Preventive medicine
        Social problems
        System dynamics
      sug:
        subj:
          Collective action
          Public health
          Preventive medicine
          Social problems
          Health and Welfare Funds
          System dynamics
      keyword:
        Community health improvement
        Cross‐sector collaboration
        Literature review
        Community health improvement
        Cross‐sector collaboration
        Literature review
      ab: System dynamics (SD) methods, from qualitative causal loop diagramming to quantitative simulation modeling, have the potential to be powerful tools for engaging community stakeholders interested in improving health. However, the extent to which SD drives collective action to improve community health is unclear. The objective of this review was to understand how often, why, and how SD has been used by cross‐sector community collectives. Of 409 identified manuscripts describing application of SD to community health, only 31 (7.6%) documented cross‐sector collective use of these tools. All 31 had as a purpose using SD to better understand community health problems, but only seven (22.6%) documented a collective action taken as the result. In nine of the 31 articles (29.0%), no learning, decisions, or action was documented. The most common form of collective participation in SD work among the seven collectives reporting resulting action was building the SD model, with implementing a new program or practice the most frequently mentioned collective action resulting. Cost and access were the most common system outcomes studied, and chronic diseases and prevention were commonly mentioned as the focal health outcomes. Overall, SD methods seem underutilized for engaging cross‐sector collectives in addressing complex community health problems. Highlights: System dynamics methods can help diverse groups address complex and dynamic public health issues.Most use of system dynamics tools to address health issues has not involved multiple sectors.Very few cross‐sector collectives have documented action based on using system dynamics approaches.System dynamics methods appear underutilized as means of improving community health.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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