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Mapping the Dynamic Complexity of Chronic Disease Care in Singapore: Using Group Model Building in Knowledge Elicitation

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  • John P. Ansah
  • David B. Matchar
  • Victoria Koh
  • Lukas Schoenenberger

Abstract

This study describes a group model building exercise that aims to develop a deeper understanding of the dynamic complexity of chronic disease care delivery within a primary care setting in Singapore, leveraging on the insights of stakeholders with personal and institutional knowledge of the health care system. A group model building exercise, which included 50 stakeholders, was used to develop the qualitative model. The qualitative model helped to bring a feedback perspective to understanding the dynamic complexity of chronic disease care delivery. The feedback perspective helped in identifying the systemic issues within chronic disease care delivery, which has the potential to inform system‐wide interventions and policies to improve health. Enhancing chronic care in Singapore will require an enhancement of both the capacity and capability of the primary care sector. © 2018 John Wiley & Sons, Ltd.

Suggested Citation

  • John P. Ansah & David B. Matchar & Victoria Koh & Lukas Schoenenberger, 2018. "Mapping the Dynamic Complexity of Chronic Disease Care in Singapore: Using Group Model Building in Knowledge Elicitation," Systems Research and Behavioral Science, Wiley Blackwell, vol. 35(6), pages 759-775, November.
    • Handle: RePEc:bla:srbeha:v:35:y:2018:i:6:p:759-775
    DOI: 10.1002/sres.2517
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    Cited by:

    1. John Pastor Ansah & Keith Low Sheng Hng & Salman Ahmad & Cheryl Goh, 2021. "Evaluating the impact of upstream and downstream interventions on chronic kidney disease and dialysis care: a simulation analysis," System Dynamics Review, System Dynamics Society, vol. 37(1), pages 32-58, January.

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