The dynamics of care : maintaining patient treatment flows for an increasing older population / Eric Wolstenholme, Douglas McKelvie.

Format:

Book

Author/Creator:

Wolstenholme, Eric, author.

McKelvie, Douglas, author.

Contributor:

EBSCOhost.

Language:

English

Subjects (All):

Health services administration.

Medical care.

Health Services Administration.

Medical Subjects:

Health Services Administration.

Physical Description:

1 online resource (xxi, 313 pages)

Place of Publication:

Cham, Switzerland : Springer, [2019]

System Details:

text file

Contents:

Intro; Foreword; Preface; Acknowledgements; Acknowledgements by Eric Wolstenholme; Acknowledgements by Douglas McKelvie; Joint Acknowledgements; Contents; About the Authors; 1 The Challenges Facing Health and Social Care and the Relevance of Dynamic Models; 1.1 Overview; 1.2 Case Study-Mrs. Jones; 1.3 The Challenge; 1.4 What to Do?; 1.5 A Way Forward-From Mrs. Jones to Dynamic Models; 1.6 The Scope and Insights; 1.7 System Dynamics; 1.8 Systems Thinking; 1.9 Systemic Versus Systematic Thinking; 1.10 Systems Messages; 1.11 The State of Health and Social Care Worldwide

1.12 The Restructuring Cycles of Health and Social Care1.13 Wicked Problems in Health and Social Care; 1.14 Delayed Hospital Discharges; 1.15 Access to Mental Health Services; 1.16 A Word on Software, Modelling, Access to Models and Mathematics; 1.17 Overview of the Book; References; Elements of System Dynamics Important to Health and Social Care Modelling; 2 The Dynamics of Treatment and Capacity; 2.1 A Simple One-Stock Map of a Hospital Treatment Pathway; 2.2 An Exercise in Thinking Through Time with Stocks and Flows; 2.3 A Two-Stock Hospital Model with a Capacity Constraint

2.4 Simulation Experiments on the Two-Stock Hospital Model2.5 Redesigning Policies; 2.6 Systems Notes; 2.7 Changes to the Length of Treatment; 2.8 The Importance of the Two-Stock Hospital Model; 2.9 Different Types of Capacity; 2.10 A Word on Variation and Costs; 2.11 Concluding Remarks; Appendix: The Answer to the Exercise in Fig. 2.2; References; 3 Performance Measurement-The Fallacy of Waiting Time Targets; 3.1 The Relationship Between Capacity and Waiting Times; 3.2 The Two-Stock Hospital Model; 3.3 Other Implications; 3.4 The Arbitrariness of Waiting Times

3.5 The Infeasibility of Implementing a Relationship Between Capacity and Waiting3.6 Conclusions; References; 4 The Shape of Illness and the Impact of Interventions; 4.1 Introduction; 4.2 Population Dynamics (Ageing Chain); 4.3 Health Condition Dynamics (What Shape Is the Condition?); Acute, Episodic Conditions; Long Term Conditions (Degenerative); Long Term Conditions (Not Degenerative, Improvement May Be Possible); Chronic Illness with Acute Episodes; Lifelong Conditions-Physical and Learning Disabilities; 4.4 Combining Population Ageing Dynamics and Health Condition Dynamics

4.5 Models that Are Not Condition-Based4.6 The Purpose, Nature and Intended Impact of Interventions; Basic Assessment and Treatment; Care Interventions; Management of a Condition; Prevention; Screening; 4.7 Towards a Taxonomy?; 4.8 Conclusions; References; 5 Feedback Dynamics; 5.1 Feedback; 5.2 Reinforcing and Balancing Feedback Loops; 5.3 Revealing Feedback Loops on a Stock-Flow Map; 5.4 Causal Loop Maps; 5.5 Summary of the Rules for Drawing Feedback Loops; 5.6 Multiple Feedback Loops, Unintended Consequences and System Archetypes; 5.7 Problem Archetypes; 5.8 Solution Archetypes

Notes:

Electronic reproduction. Ipswich, MA Available via World Wide Web.

Print version record.

5.9 The Four Problem/Solution Archetypes

Other Format:

Print version: Wolstenholme, Eric. Dynamics of care.

ISBN:

9783030218782

3030218783

Publisher Number:

99984175978

Access Restriction:

Restricted for use by site license.