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https://www.readbyqxmd.com/read/28327143/the-imperative-for-systems-thinking-to-promote-access-to-medicines-efficient-delivery-and-cost-effectiveness-when-implementing-health-financing-reforms-a-qualitative-study
#1
Tom Achoki, Abaleng Lesego
BACKGROUND: Health systems across Africa are faced with a multitude of competing priorities amidst pressing resource constraints. Expansion of health insurance coverage offers promise in the quest for sustainable healthcare financing for many of the health systems in the region. However, the broader policy implications of expanding health insurance coverage have not been fully investigated and contextualized to many African health systems. METHODS: We interviewed 37 key informants drawn from public, private and civil society organizations involved in health service delivery in Botswana...
March 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28317449/safety-leadership-and-systems-thinking-application-and-evaluation-of-a-risk-management-framework-in-the-mining-industry
#2
Sarah-Louise Donovan, Paul M Salmon, Michael G Lenné, Tim Horberry
Safety leadership is an important factor in supporting safety in high-risk industries. This article contends that applying systems-thinking methods to examine safety leadership can support improved learning from incidents. A case study analysis was undertaken of a large-scale mining landslide incident in which no injuries or fatalities were incurred. A multi-method approach was adopted, in which the Critical Decision Method, Rasmussen's Risk Management Framework, and Accimap method were applied to examine the safety leadership decisions and actions which enabled the safe outcome...
March 18, 2017: Ergonomics
https://www.readbyqxmd.com/read/28314196/governance-and-management-dynamics-of-landscape-restoration-at-multiple-scales-learning-from-successful-environmental-managers-in-sweden
#3
Lucas Dawson, Marine Elbakidze, Per Angelstam, Johanna Gordon
Due to a long history of intensive land and water use, habitat networks for biodiversity conservation are generally degraded in Sweden. Landscape restoration (LR) is an important strategy for achieving representative and functional green infrastructures. However, outcomes of LR efforts are poorly studied, particularly the dynamics of LR governance and management. We apply systems thinking methods to a series of LR case studies to analyse the causal structures underlying LR governance and management in Sweden...
March 14, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28303755/development-of-the-systems-thinking-scale-for-adolescent-behavior-change
#4
Shirley M Moore, Vilailert Komton, Clara Adegbite-Adeniyi, Mary A Dolansky, Heather K Hardin, Elaine A Borawski
This report describes the development and psychometric testing of the Systems Thinking Scale for Adolescent Behavior Change (STS-AB). Following item development, initial assessments of understandability and stability of the STS-AB were conducted in a sample of nine adolescents enrolled in a weight management program. Exploratory factor analysis of the 16-item STS-AB and internal consistency assessments were then done with 359 adolescents enrolled in a weight management program. Test-retest reliability of the STS-AB was ...
March 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28298877/applying-structural-systems-thinking-to-frame-perspectives-on-social-work-innovation
#5
Erin J Stringfellow
OBJECTIVE: Innovation will be key to the success of the Grand Challenges Initiative in social work. A structural systems framework based in system dynamics could be useful for considering how to advance innovation. METHOD: Diagrams using system dynamics conventions were developed to link common themes across concept papers written by social work faculty members and graduate students (N = 19). RESULTS: Transdisciplinary teams and ethical partnerships with communities and practitioners will be needed to responsibly develop high-quality innovative solutions...
March 2017: Research on Social Work Practice
https://www.readbyqxmd.com/read/28219429/engaging-with-complexity-to-improve-the-health-of-indigenous-people-a-call-for-the-use-of-systems-thinking-to-tackle-health-inequity
#6
EDITORIAL
Alison Hernández, Ana Lorena Ruano, Bruno Marchal, Miguel San Sebastián, Walter Flores
The 400 million indigenous people worldwide represent a wealth of linguistic and cultural diversity, as well as traditional knowledge and sustainable practices that are invaluable resources for human development. However, indigenous people remain on the margins of society in high, middle and low-income countries, and they bear a disproportionate burden of poverty, disease, and mortality compared to the general population. These inequalities have persisted, and in some countries have even worsened, despite the overall improvements in health indicators in relation to the 15-year push to meet the Millennium Development Goals...
February 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28171803/reforming-the-road-freight-transportation-system-using-systems-thinking-an-investigation-of-coronial-inquests-in-australia
#7
Sharon Newnam, Natassia Goode, Paul Salmon, Mark Stevenson
Road freight transport is considered to be one of the most dangerous industries in Australia, accounting for over 30% of all work fatalities. Whilst system reform (i.e., change to policy and practice) is needed, it is not clear what this reform should be, or what approaches should be used to drive it. This article argues that road freight transportation reform should be underpinned by a systems thinking approach. Efforts to understand crash causation should be focused beyond the driver and identify contributing factors at other levels with the road freight system...
February 4, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28166428/design-of-experiments-doe-in-pharmaceutical-development
#8
Stavros N Politis, Paolo Colombo, Gaia Colombo, Dimitrios M Rekkas
At the beginning of the twentieth century, Sir Ronald Fisher introduced the concept of applying statistical analysis during the planning stages of research rather than at the end of experimentation. When statistical thinking is applied from the design phase, it enables to build quality into the product, by adopting Deming's profound knowledge approach, comprising system thinking, variation understanding, theory of knowledge, and psychology. The pharmaceutical industry was late in adopting these paradigms, compared to other sectors...
February 23, 2017: Drug Development and Industrial Pharmacy
https://www.readbyqxmd.com/read/28165274/applying-a-family-systems-lens-to-proxy-decision-making-in-clinical-practice-and-research
#9
John S Rolland, Linda L Emanuel, Alexia M Torke
When patients are incapacitated and face serious illness, family members must make medical decisions for the patient. Medical decision sciences give only modest attention to the relationships among patients and their family members, including impact that these relationships have on the decision-making process. A review of the literature reveals little effort to systematically apply a theoretical framework to the role of family interactions in proxy decision making. A family systems perspective can provide a useful lens through which to understand the dynamics of proxy decision making...
February 6, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28119331/the-practice-entrepreneur-an-australian-case-study-of-a-systems-thinking-inspired-health-promotion-initiative
#10
A Joyce, C Green, G Carey, E Malbon
The potential of systems science concepts to inform approaches for addressing complex public health problems, such as obesity prevention, has been attracting significant attention over the last decade. Despite its recent popularity, there are very few studies examining the application of systems science concepts, termed systems thinking, in practice and whether (if at all) it influences the implementation of health promotion in real world settings and in what ways. Healthy Together Victoria (HTV) was based on a systems thinking approach to address obesity prevention alongside other chronic health problems and was implemented across 14 local government areas...
January 23, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28115576/soil-transmitted-helminthiasis-and-schistosomiasis-in-children-of-poor-families-in-leyte-philippines-lessons-for-disease-prevention-and-control
#11
Harvy Joy Liwanag, Jhanna Uy, Ramil Bataller, Janis Ruth Gatchalian, Betty De La Calzada, Justine Alessandra Uy, Manuel Dayrit
OBJECTIVE:  Neglected tropical diseases (NTDs) continue to be a public health problem in the Philippines. We assessed the association of soil-transmitted helminthiasis (STH) and schistosomiasis with selected health-related and socioeconomic variables in four villages in Leyte, Philippines. METHODS:  Stool specimens from 418 adults and 533 of their children from 209 families were examined through the Kato-Katz technique. RESULTS:  STH and schistosomiasis were present in 64...
January 23, 2017: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/28113165/controlling-seizures-through-chemogenetics-a-new-technique-may-provide-a-more-precise-way-of-targeting-faulty-circuitry-in-the-brain
#12
Michele Solis
Electricity is the currency of our nervous systems. Thinking and planning, walking and talking, eating and sleeping-all our mental and physical activities are driven by electrical signals moving through the brain. This electrical traffic ebbs and flows in consistent patterns across different brain regions, carrying information from one neuron to the next.
September 2016: IEEE Pulse
https://www.readbyqxmd.com/read/28062516/systems-thinking-in-public-health-a-bibliographic-contribution-to-a-meta-narrative-review
#13
Saad Chughtai, Karl Blanchet
BACKGROUND: Research across the formal, natural and social sciences has greatly expanded our knowledge about complex systems in recent decades, informing a broadly inclusive, cross-disciplinary conceptual framework referred to as Systems Thinking (ST). Its use in public health is rapidly increasing, although there remains a poor understanding of how these ideas have been imported, adapted and elaborated by public health research networks worldwide. METHOD: This review employed a mixed methods approach to narrate the development of ST in public health...
January 6, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28047831/we-f-brc-00-keynote-address-learning-from-medical-errors-a-partnership-for-progress
#14
Michael Herman, Jean Moran
Leilani Schweitzer understands medical error as few others do: through the death of her child. Faced with this profound loss, she has made a choice. Instead of pursing action through the courts she works with healthcare community to understand why mistakes happen and what can be done to respond to them in a meaningful way. In this keynote address for the TG100 Certificate Course on Risk Analysis, she will share her story and the lessons that have emerged. She will highlight the importance of investigating and understanding errors, as well as the role of leadership in accomplishing this...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047175/we-f-brc-01-keynote-address-learning-from-medical-errors-a-partnership-for-progress
#15
L Schweitzer
Leilani Schweitzer understands medical error as few others do: through the death of her child. Faced with this profound loss, she has made a choice. Instead of pursing action through the courts she works with healthcare community to understand why mistakes happen and what can be done to respond to them in a meaningful way. In this keynote address for the TG100 Certificate Course on Risk Analysis, she will share her story and the lessons that have emerged. She will highlight the importance of investigating and understanding errors, as well as the role of leadership in accomplishing this...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28028815/metabolic-systems-biology-a-brief-primer
#16
Lindsay M Edwards
In the early to mid 20(th) Century, reductionism as a concept in biology was challenged by key thinkers, including Ludwig Von Bertalanffy. He proposed that living organisms were specific examples of complex systems and, as such, they should display characteristics including hierarchical organisation and emergent behaviour. Yet the true study of complete biological systems (for example, metabolism) was not possible until technological advances that occurred 60 years later. Technology now exists that permits the measurement of complete levels of the biological hierarchy, for example the genome and transcriptome...
December 28, 2016: Journal of Physiology
https://www.readbyqxmd.com/read/28025324/defining-pharmaceutical-systems-strengthening-concepts-to-enable-measurement
#17
REVIEW
Tamara Hafner, Helena Walkowiak, David Lee, Francis Aboagye-Nyame
Pharmaceutical products are indispensable for improving health outcomes. An extensive body of work on access to and use of medicines has resulted in an assortment of tools measuring various elements of pharmaceutical systems. Until now however, there has been little attempt to conceptualize a pharmaceutical system as an entity and define its strengthening in a way that allows for measuring systems strengthening. The narrow focus of available tools limits their value in ascertaining which interventions result in stronger, more resilient systems...
December 26, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/28000925/a-concept-analysis-of-systems-thinking
#18
Ann M Stalter, Janet M Phillips, Jeanne S Ruggiero, Debra L Scardaville, Deborah Merriam, Mary A Dolansky, Karen A Goldschmidt, Carol M Wiggs, Sherri Winegardner
PURPOSE: This concept analysis, written by the National Quality and Safety Education for Nurses (QSEN) RN-BSN Task Force, defines systems thinking in relation to healthcare delivery. METHODS: A review of the literature was conducted using five databases with the keywords "systems thinking" as well as "nursing education," "nursing curriculum," "online," "capstone," "practicum," "RN-BSN/RN to BSN," "healthcare organizations," "hospitals," and "clinical agencies." Only articles that focused on systems thinking in health care were used...
December 21, 2016: Nursing Forum
https://www.readbyqxmd.com/read/27997662/creating-local-learning-health-systems-think-globally-act-locally
#19
William E Smoyer, Peter J Embi, Susan Moffatt-Bruce
No abstract text is available yet for this article.
December 20, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27833398/intersections-of-critical-systems-thinking-and-community-based-participatory-research-a-learning-organization-example-with-the-autistic-community
#20
Dora M Raymaker
Critical systems thinking (CST) and community based participatory research (CBPR) are distinct approaches to inquiry which share a primary commitment to holism and human emancipation, as well as common grounding in critical theory and emancipatory and pragmatic philosophy. This paper explores their intersections and complements on a historical, philosophical, and theoretical level, and then proposes a hybrid approach achieved by applying CBPR's principles and considerations for operationalizing emancipatory practice to traditional systems thinking frameworks and practices...
October 2016: Systemic Practice and Action Research
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