Systems modelling as an approach for understanding and building consensus on non-communicable diseases (NCD) management in Cambodia

被引:17
作者
Ansah, John P. [1 ]
Islam, Amina Mahmood [1 ]
Koh, Victoria [1 ]
Ly, Vanthy [2 ]
Kol, Hero [3 ]
Matchar, David B. [1 ,4 ]
Loun, Chhun [3 ]
Loun, Mondol [3 ]
机构
[1] Duke NUS Med Sch Singapore, Hlth Serv & Syst Res, 8 Coll Rd, Singapore 169857, Singapore
[2] Ctr Dis Control & Prevent CDC, Phnom Penh, Cambodia
[3] Minist Hlth Cambodia, Phnom Penh, Cambodia
[4] Duke Univ, Sch Med, Dept Med, Durham, NC 27706 USA
关键词
Non-communicable diseases; Group model building; Simulation; Cambodia; HEALTH-CARE; PUBLIC-HEALTH; DYNAMICS;
D O I
10.1186/s12913-018-3830-2
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundThis paper aims to demonstrate how systems modeling methodology of Group Model Building (GMD) can be applied for exploring and reaching consensus on non-communicable disease (NCD) management. This exercise was undertaken as a first step for developing a quantitative simulation model for generating credible estimates to make an investment case for the prevention and management of NCDs.MethodsStakeholder engagement was facilitated through the use of a Group Model Building (GMB) approach. This approach combines various techniques in order to gain a whole system perspective.ResultsA conceptual qualitative model framework that connects preventionvia risk factors reductionscreening and treatment of non-communicable diseases (NCDs) was developed with stakeholders that draws on stakeholders personal experiences, beliefs, and perceptions through a moderated interactions to gain in-depth understanding of NCDs management.ConclusionManaging NCDs in Cambodia will require concerted effort to tackle NCD risk factors, identifying individuals with NCDs through screening and providing adequate and affordable consistent care to improve health and outcomes of NCDs.
引用
收藏
页数:10
相关论文
共 38 条
[21]  
Hovmand PS, 2014, COMMUNITY BASED SYST
[22]   Anatomy of a group model-building intervention: building dynamic theory from case study research [J].
Luna-Reyes, Luis Felipe ;
Martinez-Moyano, Ignacio J. ;
Pardo, Theresa A. ;
Cresswell, Anthony M. ;
Andersen, David F. ;
Richardson, George P. .
SYSTEM DYNAMICS REVIEW, 2006, 22 (04) :291-320
[23]   Using population segmentation to provide better health care for all: The "bridges to health" model [J].
Lynn, Joanne ;
Straube, Barry M. ;
Bell, Karen M. ;
Jencks, Stephen F. ;
Kambic, Robert T. .
MILBANK QUARTERLY, 2007, 85 (02) :185-208
[24]   Using Group Model Building to Understand Factors That Influence Childhood Obesity in an Urban Environment [J].
Nelson, David A. ;
Simenz, Christopher J. ;
O'Connor, Sarah P. ;
Greer, Yvonne D. ;
Bachrach, Ann L. ;
Shields, Tony ;
Fuller, Brett A. ;
Horrigan, Katie ;
Pritchard, Kathleen ;
Springer, Judy B. ;
Meurer, John R. .
JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE, 2015, 21 :S74-S78
[25]   Cardiovascular diseases in the developing countries: dimensions, determinants, dynamics and directions for public health action [J].
Reddy, KS .
PUBLIC HEALTH NUTRITION, 2002, 5 (1A) :231-237
[26]   TEAMWORK IN GROUP MODEL-BUILDING [J].
RICHARDSON, GP ;
ANDERSEN, DF .
SYSTEM DYNAMICS REVIEW, 1995, 11 (02) :113-137
[27]  
Richmond B, 1997, SYST DYNAM REV, V13, P131, DOI 10.1002/(SICI)1099-1727(199722)13:2<131::AID-SDR121>3.0.CO
[28]  
2-J
[29]   Group model building effectiveness: a review of assessment studies [J].
Rouwette, EAJA ;
Vennix, JAM ;
van Mullekom, T .
SYSTEM DYNAMICS REVIEW, 2002, 18 (01) :5-45
[30]   Recent evidence on the effectiveness of group model building [J].
Scott, Rodney J. ;
Cavana, Robert Y. ;
Cameron, Donald .
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH, 2016, 249 (03) :908-918