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Centre for Health Informatics
AnyLogic for Health
A multiscale multimethod modelling framework
Rosemarie Sadsad
Geoff McDonnell
Adaptive Care Systems Consulting and
Australian Institute of Health Innovation
Health System as Interacting Services
http://insightmaker.com/insight/731
PLOS ONE Paper http://dx.plos.org/10.1371/journal.pone.0083099
Virtual Experiments Results: Hand Hygiene Impacts vary by Ward Type A-D
Demonstration
• The actual AnyLogic model for her thesis is available online at
http://www.runthemodel.com/models/1055/
• Full thesis is available at
http://cidmpublichealth.academia.edu/RosemarieSadsad and the
details of the forthcoming book are
at http://au.wiley.com/WileyCDA/WileyTitle/productCd-
1118349024.html
Method:
Realist Approach
+
Systems Thinking
+
Multilevel Health System
Framework
Factors
Relationships
Health system levels
A multilevel conceptual model
Health Care (and Policy) is a Mess of Messes
• Uncertain
• Complex
• Conficted
• Incomplete
• Supply and Preference Sensitive
• Often Act first, Synthesise, Analyse Later
• Capability and Learning Feedbacks in A Mess
• “Muddle Through” as Management Approach
• A Critical Infrastructure that needs networked reliability professionals
Emery Roe 2013 Book : Making the Most of Mess
http://www.dukeupress.edu/Making-the-Most-of-Mess/
The Essence of HealthCare is Clinical Care
Clinical Process (Technical Judgement)
– Diagnose Disease,
– Prescribe Intervention,
– Assess
Human- Human Care Interaction (Humane Truth, Beauty, Justice)
– Human Behaviour
• Thinking
– Informing, Deciding, Acting, Communicating
• Feeling
• Acting
• Interacting
Current Focus
• Collaboration to Produce Useful Models that get Used
• Regional Services as the Unit of analysis
– Hospital Networks shifting Services to Primary Care (Australia)
– Placed in GIS (NZ)
• Preferences and Discrete Choice Experiments (Saskatoon, Sydney)
• Bridging the gaps between
– Health Policy
– Health services management (Cost Quality Access)
– Individual clinical care
• Combined Data and Models
– HELP wanted !