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A Systems Thinking Model to Support Long-Term Bearability of the Healthcare System: The Case of the Province of Quebec

Author

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  • Ernesto A. Lagarda-Leyva

    (Industrial Engineering Department, Instituto Tecnológico de Sonora, Cd. Obregón 85000, Mexico)

  • Angel Ruiz

    (Faculté des sciences de l’administration, Département opérations et systèmes de decisión, Université Laval, Quebec City, QC G1V 0A6, Canada)

Abstract

This paper describes the modeling efforts devoted by the Ministry of Health and Social Services of Québec, Canada (MSSS), to ensure the long-term bearability of their care system. To this end, it studies the relationships between four entities that self-regulate and interact to form the complex care-providing system: (1) universities; (2) hospitals and doctors; (3) the ministry; and (4) society. The first phase of this research focuses on modeling such relationships and relies on the system dynamics methodology to adequately capture the long-term dynamics of the system. The methodology encompasses three phases: (a) determination of the critical variables and parameters of each entity; (b) development of the causal diagram of each entity; and (c) integration of the individual causal diagrams to form the global system diagram. The final casual model illustrates and explains the relationships between all the entities and constitutes an excellent tool to support experts during discussions or focus groups where critical variables that positively or negatively affect the system can be evaluated. We intend to enrich this casual model in a further phase of the project, which will hopefully lead to a simulation and scenario analysis tool that can be used to support managers in their long-term decision-making process.

Suggested Citation

  • Ernesto A. Lagarda-Leyva & Angel Ruiz, 2019. "A Systems Thinking Model to Support Long-Term Bearability of the Healthcare System: The Case of the Province of Quebec," Sustainability, MDPI, vol. 11(24), pages 1-13, December.
  • Handle: RePEc:gam:jsusta:v:11:y:2019:i:24:p:7028-:d:295732
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    References listed on IDEAS

    as
    1. Sonia A Vanderby & Michael W Carter & Tim Latham & Chris Feindel, 2014. "Modelling the future of the Canadian cardiac surgery workforce using system dynamics," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 65(9), pages 1325-1335, September.
    2. Quan-Hoang Vuong & Tung-Manh Ho & Hong-Kong Nguyen & Thu-Trang Vuong, 2018. "Healthcare consumers’ sensitivity to costs: a reflection on behavioural economics from an emerging market," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-10, December.
    3. Handing Guo & Wanzhen Qiao & Jiren Liu, 2019. "Dynamic Feedback Analysis of Influencing Factors of Existing Building Energy-Saving Renovation Market Based on System Dynamics in China," Sustainability, MDPI, vol. 11(1), pages 1-16, January.
    4. S Vanderby & M W Carter, 2010. "An evaluation of the applicability of system dynamics to patient flow modelling," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 61(11), pages 1572-1581, November.
    5. Morgan, Jennifer Sian & Graber-Naidich, Anna, 2019. "Small system dynamics model for alleviating the general practitioners rural care gap in Ontario, Canada," Socio-Economic Planning Sciences, Elsevier, vol. 66(C), pages 10-23.
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