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Using Systems Dynamics for Capturing the Multicausality of Factors Affecting Health System Capacity in Latin America while Responding to the COVID-19 Pandemic

Author

Listed:
  • Kathya Lorena Cordova-Pozo

    (Institute for Management Research, Radboud University, P.O. Box 9108, 6500 HK Nijmegen, The Netherlands)

  • Hubert P. L. M. Korzilius

    (Institute for Management Research, Radboud University, P.O. Box 9108, 6500 HK Nijmegen, The Netherlands)

  • Etiënne A. J. A. Rouwette

    (Institute for Management Research, Radboud University, P.O. Box 9108, 6500 HK Nijmegen, The Netherlands)

  • Gabriela Píriz

    (Dirección Técnica de Servicio Médico Integral, Luis Alberto de Herrera 2275, Montevideo 11600, Uruguay)

  • Rolando Herrera-Gutierrez

    (Centro Integral de Medicina Familiar CIMFA, Caja Nacional de Salud, Villa Galindo, Calle La Merced s/n., Cochabamba, Bolivia)

  • Graciela Cordova-Pozo

    (Unit of anaesthesiology, Hospital Seton Caja Petrolera de Salud, Km 5 Av. Blanco Galindo, Cochabamba, Bolivia
    Department of Pathophysiology, Facultad de Medicina, Universidad Mayor de San Simón, Av. Aniceto Arce s/n, Cochabamba, Bolivia)

  • Miguel Orozco

    (Freelance Consultant in Health and Development, Managua, Nicaragua)

Abstract

Similar interventions to stop the spread of COVID-19 led to different outcomes in Latin American countries. This study aimed to capture the multicausality of factors affecting HS-capacity that could help plan a more effective response, considering health as well as social aspects. A facilitated GMB was constructed by experts and validated with a survey from a wider population. Statistical analyses estimated the impact of the main factors to the HS-capacity and revealed the differences in its mechanisms. The results show a similar four-factor structure in all countries that includes public administration, preparedness, information, and collective self-efficacy. The factors are correlated and have mediating effects with HS-capacity; this is the base for differences among countries. HS-capacity has a strong relation with public administration in Bolivia, while in Nicaragua and Uruguay it is related through preparedness. Nicaragua lacks information as a mediation effect with HS-capacity whereas Bolivia and Uruguay have, respectively, small and large mediation effects with it. These outcomes increase the understanding of the pandemic based on country-specific context and can aid policymaking in low-and middle-income countries by including these factors in future pandemic response models.

Suggested Citation

  • Kathya Lorena Cordova-Pozo & Hubert P. L. M. Korzilius & Etiënne A. J. A. Rouwette & Gabriela Píriz & Rolando Herrera-Gutierrez & Graciela Cordova-Pozo & Miguel Orozco, 2021. "Using Systems Dynamics for Capturing the Multicausality of Factors Affecting Health System Capacity in Latin America while Responding to the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(19), pages 1-19, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10002-:d:641308
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    References listed on IDEAS

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