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The health system dynamics framework: the introduction of an analytical model for health system analysis and its application to two case-studies

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Abstract
Frameworks can clarify concepts and improve understanding of underlying mechanisms in the domain of health systems research and strengthening. Many existing frameworks have a limited capacity to analyze interactions and equilibriums within a health system overlooking values as an underlying steering mechanism. This paper introduces the health system dynamics framework and demonstrates its application as a tool for analysis and modelling. The added value of this framework is: 1) consideration of different levels of a health system and tracing how interventions or events at one level influence other elements and other levels; 2) emphasizes the importance of values; 3) a central axis linking governance, human resources, service delivery and population, and 4) taking into account the key elements of complexity in analysis and strategy development. We urge the analysis of individual health systems and meta-analysis, for a better understanding of their functioning and strengthening.
Keywords
health system, health system research, health system strengthening, complexity, conceptual frameworks

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Chicago
Van Olmen, Josefien, Bart Criel, Upendra Bhojani, Bruno Marchal, Sara Van Belle, Faustine Chenge, Tom Hoeree, Marjan Pirard, Wim Van Damme, and Guy Kegels. 2012. “The Health System Dynamics Framework: The Introduction of an Analytical Model for Health System Analysis and Its Application to Two Case-studies.” Health Culture and Society 2 (1): 1–21.
APA
Van Olmen, Josefien, Criel, B., Bhojani, U., Marchal, B., Van Belle, S., Chenge, F., Hoeree, T., et al. (2012). The health system dynamics framework: the introduction of an analytical model for health system analysis and its application to two case-studies. HEALTH CULTURE AND SOCIETY, 2(1), 1–21.
Vancouver
1.
Van Olmen J, Criel B, Bhojani U, Marchal B, Van Belle S, Chenge F, et al. The health system dynamics framework: the introduction of an analytical model for health system analysis and its application to two case-studies. HEALTH CULTURE AND SOCIETY. 2012;2(1):1–21.
MLA
Van Olmen, Josefien, Bart Criel, Upendra Bhojani, et al. “The Health System Dynamics Framework: The Introduction of an Analytical Model for Health System Analysis and Its Application to Two Case-studies.” HEALTH CULTURE AND SOCIETY 2.1 (2012): 1–21. Print.
@article{4159190,
  abstract     = {Frameworks can clarify concepts and improve understanding of underlying mechanisms in the domain of health systems research and strengthening. Many existing frameworks have a limited capacity to analyze interactions and equilibriums within a health system overlooking values as an underlying steering mechanism. This paper introduces the health system dynamics framework and demonstrates its application as a tool for analysis and modelling.
The added value of this framework is: 1) consideration of different levels of a health system and tracing how interventions or events at one level influence other elements and other levels; 2) emphasizes the importance of values; 3) a central axis linking governance, human resources, service delivery and population, and 4) taking into account the key elements of complexity in analysis and strategy development. We urge the analysis of individual health systems and meta-analysis, for a better understanding of their functioning and strengthening.},
  author       = {Van Olmen, Josefien and Criel, Bart and Bhojani, Upendra and Marchal, Bruno and Van Belle, Sara and Chenge, Faustine and Hoeree, Tom and Pirard, Marjan and Van Damme, Wim and Kegels, Guy},
  issn         = {2161-6590},
  journal      = {HEALTH CULTURE AND SOCIETY},
  keyword      = {health system,health system research,health system strengthening,complexity,conceptual frameworks},
  language     = {eng},
  number       = {1},
  pages        = {1--21},
  title        = {The health system dynamics framework: the introduction of an analytical model for health system analysis and its application to two case-studies},
  url          = {http://dx.doi.org/10.5195/hcs.2012.71},
  volume       = {2},
  year         = {2012},
}

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