Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2007

Open Access 01-12-2007 | Correspondence

Using system dynamics for collaborative design: a case study

Authors: Marie Elf, Mariya Putilova, Lena von Koch, Kerstin Öhrn

Published in: BMC Health Services Research | Issue 1/2007

Login to get access

Abstract

Background

In order to facilitate the collaborative design, system dynamics (SD) with a group modelling approach was used in the early stages of planning a new stroke unit. During six workshops a SD model was created in a multiprofessional group.

Aim

To explore to which extent and how the use of system dynamics contributed to the collaborative design process.

Method

A case study was conducted using several data sources.

Results

SD supported a collaborative design, by facilitating an explicit description of stroke care process, a dialogue and a joint understanding. The construction of the model obliged the group to conceptualise the stroke care and experimentation with the model gave the opportunity to reflect on care.

Conclusion

SD facilitated the collaborative design process and should be integrated in the early stages of the design process as a quality improvement tool.
Appendix
Available only for authorised users
Literature
1.
Sloan-Devlin A, Arneill AB: Health care environments and patient outcomes: a review of the literature. Environment and behavior. 2003, 35: 665-94. 10.1177/0013916503255102.CrossRef
2.
Ulrich R, Zimring C: The Role of the Physical Environment in the Hospital of the 21st Century: A Once-in-a-Lifetime Opportunity. Center for Health Systems and Design, College of Architecture, Texas A & M and College of Architecture, Georgia Institute of Technology. 2004
3.
Braddock CH, Edwards KA, Hasenberg NM, Laidley TL, Levinson W: Informed decision making in outpatient practice: time to get back to basics. JAMIA. 1999, 282: 2313-20. 10.1001/jama.282.24.2313.CrossRef
4.
5.
Towle A, Godolphin W: Framework for teaching and learning informed shared decision making... including commentary by Greenhalgh, T and Gambrill, J. BMJ. 1999, 319: 766-71.PubMedPubMedCentralCrossRef
6.
Douglas CH, Douglas MR: Patient-centred improvements in health-care built environments: perspectives and design indicators. Health Expectations. 2005, 264-76. 10.1111/j.1369-7625.2005.00336.x.
7.
Mroczek J, Mikitarian G, Viera KE, Rotarius T: Hospital Design and Staff Perceptions. The Health Care Manager. 2005, 233-44.
8.
Granath J, Hinnerson J, Lindahl G: Case study: Örebro University Hospital: O-building. CIB TG51 – Usability of workplaces. 2002, Göteborg: Chalmers University of Technology
9.
Lindahl G: Rummet som resurs för förändringsarbete. In Swedish. [Space as a resource in processes of change]. [PhD]. 2001, Göteborg: Chalmers University of Technology
10.
Friedman K: Theory construction in design research: criteria: approaches and methods. Design Studies. 2003, 507: 22.
11.
Lawson B, Bassanino M, Phiri M, Worthington J: Intentions, practices and aspirations: Understanding learning in design. Design Studies. 2003, 24: 327-39. 10.1016/S0142-694X(02)00066-2.CrossRef
12.
Lundequist J: Design och Produktutveckling. Metoder och Begrepp [in Swedish]. Design and Product development. Methods and Concepts. 1995, Lund, Sweden: Studentlitteratur
13.
Ryd N: Exploring Construction Briefing from document to process [PhD]. 2003, Göteborg Sweden: Chalmers University of Technology
14.
Gesler W, Bell M, Curtis S, Hubbard P, Francis S: Therapy by design: evaluating the UK hospital building program. Health Place. 2004, 10: 117-28. 10.1016/S1353-8292(03)00052-2.PubMedCrossRef
15.
Valkenburg RC: Shared understanding as a condition for team design. Automatation in Construction. 1998, 7: 111-21. 10.1016/S0926-5805(97)00058-7.CrossRef
16.
Kalay YE: Enhancing multi-disciplinary collaboration through semantically rich representation. Automatation in Construction. 2001, 741: 55.
17.
Granath JÅ: Architecture technology and human factors – design in a socio-technical context [PhD]. 1991, Göteborg: Chalmers University of Technology
18.
Rehal S: Representation and Reflection. Imagery and verbal language in the early stages of the design process [PhD]. 2005, Göteborg: Chalmers University of Technology
19.
Henna L, Seitmaa-Hakkarainen P, Lahti H: Collaboration patterns in computer supported collaborative designing. Design Studies. 2004, 25: 351-71. 10.1016/j.destud.2003.12.001.CrossRef
20.
Forrester JW: 'The' model versus a modeling 'process'. System Dynamics Review. 1985, 1: 133-4. 10.1002/sdr.4260010112.CrossRef
21.
Sterman J: Business Dynamics – System Thinking and Modeling for a Complex World. 2000, Massachusetts: McGraw-Hill Higher Education
22.
Richardson GP: Problems with causal-loop diagrams. System Dynamics Review. 1986, 2: 150-70. 10.1002/sdr.4260020205.CrossRef
23.
Clancy RT, Delaney C-W: Complex nursing system. J Nurs Manag. 2005, 13: 192-201. 10.1111/j.1365-2834.2004.00518.x.PubMedCrossRef
24.
Edmonds M, O'Connor H: The use of computer simulation as a strategic decision-making tool: a case study of an emergency department application. Healthcare Management Forum. 1999, 12: 32-8.PubMedCrossRef
25.
Groothuis S: Simulation as decision tool for capacity planning. Computer Methods & Programs in Biomedicine. 2001, 66: 139-51. 10.1016/S0169-2607(00)00131-0.CrossRef
26.
Heinrichs M, Beekman R, Limburg M: Simulation to estimate the capacity of a stroke unit. Studies in Health Technology & Informatics. 2000, 77: 47-50.
27.
Kurrek MM, Devitt JH: The cost for construction and operation of a simulation centre. Canadian Journal of Anaesthesia. 1997, 44: 1191-5.PubMedCrossRef
28.
Montgomery JB, LaFrancois GG, Perry MJ: Modeling access, cost, and perceived quality: computer simulation benefits orthodontic clinic staffing decisions. Military Medicine. 2000, 165: 114-8.PubMedCrossRef
29.
Quaglini S, Caffi E, Cavallini H, Micieli G, Stefanelli M: Simulation of a Stroke unit careflow. Medinf. 2001, 10 (2): 1190-1. 10.1016/S1386-5056(01)00203-9.
30.
Ratib O, Valentino DJ, McCoy MJ, Balbona JA, Amato CL, Boots K: Computer-aided design and modeling of workstations and radiology reading rooms for the new millennium. Radiographics. 2000, 20: 1807-16.PubMedCrossRef
31.
Lane D, Monefeldt C, Husemann E: Client Involvement in Simulation Model Building: Hints and Insights from a Case Study in a London Hospital. Health Care Management Science. 2003, 105: 16.
32.
Royston G, Dost A, Townsend J, Turner H: Using system dynamics to help develop and implement policies and programmes in health care in England. System Dynamics Review. 1999, 15: 293-313. 10.1002/(SICI)1099-1727(199923)15:3<293::AID-SDR169>3.0.CO;2-1.CrossRef
33.
Wolstenholme E: A patient flow perspective of U.K. Health Services: Exploring the case for new "intermediate care" initiatives. System Dynamics Review. 1999, 15: 263-71. 10.1002/(SICI)1099-1727(199923)15:3<253::AID-SDR172>3.0.CO;2-P.CrossRef
34.
González-Busto B, García R: Waiting lists in Spanish public hospitals: a system dynamics approach. System Dynamics Review. 1999, 15: 201-24. 10.1002/(SICI)1099-1727(199923)15:3<201::AID-SDR170>3.0.CO;2-5.CrossRef
35.
van Ackere A: Towards a macro model of health service waiting lists. System Dynamics Review. 1999, 15: 225-52. 10.1002/(SICI)1099-1727(199923)15:3<225::AID-SDR171>3.0.CO;2-P.CrossRef
36.
Cavana RY, Davies P, Robson R, Wilson K: Drivers of quality in health services: Different worldviews of clinicians and policy managers revealed. System Dynamics Review. 1999, 15: 331-40. 10.1002/(SICI)1099-1727(199923)15:3<331::AID-SDR167>3.0.CO;2-G.CrossRef
37.
Liddell W, Powell J: Agreeing access policy in a general medical practice: a case study using QPID. System Dynamics Review. 2004, 20: 49-73. 10.1002/sdr.283.CrossRef
38.
Yin KR: Case study research. 1989, Applied Social Research Methods: Sage publications, Inc. USA
39.
Merriam BS: Case study Research in Education. 1988, San Francisco USA: Jossey-Bass Inc
40.
Donabedian A: The quality of care. How can it be assessed. JAMIA. 1988, 260: 1743-8. 10.1001/jama.260.12.1743.CrossRef
41.
WHO: ICIDH-2: International Classification of Functioning and Disability and Health. Full version. 2001, Geneva: World Health Organisation
42.
Akkermans HA, Vennix JAM: Client's opinions on group model-building: an exploratory study. System Dynamics Review. 1997, 13: 3-31. 10.1002/(SICI)1099-1727(199721)13:1<3::AID-SDR113>3.0.CO;2-I.CrossRef
43.
Rouwette EA, Vennix JAM, Mullekom T: Group Modeling effectiveness: a review of assessment studies. System Dynamics Review. 2002, 18: 5-45. 10.1002/sdr.229.CrossRef
44.
Vennix JAM: Group model-building: tackling messy problems. System Dynamics Review. 1999, 15: 379-401. 10.1002/(SICI)1099-1727(199924)15:4<379::AID-SDR179>3.0.CO;2-E.CrossRef
45.
Vennix JAM, Rouwette E: Group modeling building: what does the client think about it now?. International System Dynamics Conference.; 1993; Cancun, Mexico. 1993, 534-43.
46.
Huz S, Andersen DF, Richardson GP, Boothroyd R: A framework for evaluating systems thinking interventions: an experimental approach to mental health system change. System Dynamics Review. 1997, 13: 149-69. 10.1002/(SICI)1099-1727(199722)13:2<149::AID-SDR122>3.0.CO;2-S.CrossRef
47.
Caulfield CW, Maj PS: A case for System Dynamics. Global Journal of Engineering Education. 2002, 6: 25-34.
48.
Deming WE: Out of crises. 1986, Cambridge: Cambridge, Mass:Massachusetts Institute of Technology
49.
Stroke Unit Trialists': Organised inpatient [stroke unit] care for stroke [Cochrane review]. Cochrane Database of Systematic Reviews. 2001, Art. No.: CD000197. DOI: 10.1002/14651858.CD000197, 3
50.
Brainin M, Olsen TS, Chamorro A, Diener HC, Ferro J, Hennerici MG, Langhorne P, Sivenius J: Organization of stroke care: education, referral, emergency management and imaging, stroke units and rehabilitation. European Stroke Initiative. Cerebrovasc Dis. 2004, 17 (Suppl 2): 1-14. 10.1159/000074816.PubMedCrossRef
51.
Lewin SA, Skea ZC, Entwistle V, Zwarenstein M, Dick J: Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database of Systematic Reviews. 2001, John Wiley & Sons, Ltd, 4: Art. No.:CD000197. DOI: 10.1002/14651858.CD003267
52.
Mead N, Bower P: Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med. 2000, 51: 1087-110. 10.1016/S0277-9536(00)00098-8.PubMedCrossRef
53.
Bjorvell C, Wredling R, Thorell-Ekstrand I: Improving documentation using a nursing model. J Adv Nurs. 2003, 43: 402-10. 10.1046/j.1365-2648.2003.02751.x.PubMedCrossRef
54.
Ehrenberg A: In Pursuit of the Common Thread. Nursing Content in Patient Records with Special References to Nursing Home Care. 2001, Uppsala: Uppsala University
55.
NANDA: Nursing Diagnosis: Definitions and classification 1999–2000. 1999, Philadelphia: PA: North American Diagnosis Association
56.
McCormack B: Person-centredness in gerontological nursing: an overview of the literature. J Clin Nurs. 2004, 13: 31-8. 10.1111/j.1365-2702.2004.00924.x.PubMedCrossRef
57.
Johansson BB: Brain plasticity in health and disease. Journal of Rehabilitation Medicine. 2003, Suppl 41
Metadata
Title
Using system dynamics for collaborative design: a case study
Authors
Marie Elf
Mariya Putilova
Lena von Koch
Kerstin Öhrn
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2007
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-7-123

Other articles of this Issue 1/2007

BMC Health Services Research 1/2007 Go to the issue

Research article

A novel emergency department based prevention intervention program for people living with HIV: evaluation of early experiences

Study protocol

A study of the efficacy and cost-effectiveness of MRSA screening and monitoring on surgical wards using a new, rapid molecular test (EMMS)

Research article

"They think we're OK and we know we're not". A qualitative study of asylum seekers' access, knowledge and views to health care in the UK

Research article

The costs and potential savings of a novel telepaediatric service in Queensland

Research article

Replacing the projected retiring baby boomer nursing cohort 2001 – 2026

Research article

Effect of an antepartum Pap smear on the coverage of a cervical cancer screening programme: a population-based prospective study