Overview
- Focusses on whole patient pathways and changing patient flows
- Creates understanding of how to balance service throughput, clinical quality and resources
- Explains the use of simulation models in an understandable way
- Describes numerous case studies of applying modelling with clinical teams
Access this book
Tax calculation will be finalised at checkout
Other ways to access
Table of contents (18 chapters)
-
Elements of System Dynamics Important to Health and Social Care Modelling
-
Projects for Dynamically Balancing Health and Social Care Capacities
-
From Cost Benefit Analysis to Dynamic Impact Assessment as a Means of Understanding Complexity
-
Health and Social Care Workforce Projects
Keywords
About this book
In this important book Eric Wolstenholme and Douglas McKelvie bring two lifetimes of award-winning experience in applying system dynamics to improving our very clinically advanced but often dysfunctional care systems.
- David F. Andersen, O’Leary Distinguished Service Professor, Emeritus, State University of New York, Albany, USA.
Health and social care suffer from some persistent and serious problems which not only undermine well intended care but also impose considerable costs in many societies. This very welcome and exceptional book offers the hope of sound and sustainable solutions to many of these issues.
- Kim Warren, Strategy Dynamics, London, UK
Reviews
“A recent report in the British Medical Journal (Global Health) addressed the issue of health system modelling research, emphasising that models should capture the dynamic interactions between the main health system components and acknowledge constraints. This new book by Eric Wolstenholme and Douglas McKelvie describes a methodology (system dynamics) which eminently satisfies that call. Through a number of examples distilled from their extensive consultancy roles in health and social care, they urge a move away from considering specific departments, to a consideration of coupled health systems which transcend organisational boundaries, where inter-connections, inter-dependencies, flows and stocks become the new perspective instead. Those involved in planning for improved service delivery in health and social care can now learn how to rehearse their ideas in silico by deploying simulations which capture the nuances of health systems and can leverage counter-intuitive policy responses.” (Brian Dangerfield, School of Management, University of Bristol, UK)
“Wolstenholme and McKelvie bring two lifetimes of award-winning experience in applying system dynamics to the creation of this new book. In spite of amazing advances in all areas of medical science our medical system as a whole is facing multiple crises. These problems arise from how components of care are organized into a coherent overall system of care. Focused on flows and throughput as key analytic concepts, this new book condenses and focuses insights from over 80 empirical studies within a coherent analytical frame. All of us interested in and concerned about the cost and quality of maintaining a health population need to read and come to grips with the points that they are making in this important new book.” (David F. Andersen, O’Leary Distinguished Service Professor, Emeritus, Nelson A. Rockefeller College of Public Affairs and Policy, University at Albany, State University of New York, Albany, New York)
“This very welcome book offers the hope of sound and sustainable solutions to persistent and serious problems that not only cause untold misery to millions but also impose considerable costs in many societies. The exceptional work illustrates that it is now feasible to simulate most management and policy challenges we face. These working, quantified simulations are powerful because they mimic the observable behaviour of the systems we want to better-manage. They allow us to experiment, boldly and at trivial cost, with software facsimiles of the real world, rather than on the real world itself. This potential is now recognised in the UK Government report "Computational modelling: Blackett review", which makes clear that every executive, advisor and policy-maker, in every field of endeavour, should understand what such simulations can do and know how to implement and exploit them.” (Kim Warren, Managing Director Strategy Dynamics, London, UK)
“Since its inception, the NHS has become one of the great unchanging features of the British landscape. The flip side of such permanence is its inability to move with the times and the great frustration of successive governments has been its imperviousness to change in the way that revolutionised air travel or manufacturing. In this timely book, Eric and Douglas peel back the mystique around care delivery. They introduce two key concepts, feedback and flow, and show why any attempt to modernise delivery will fail without carefully responding to these underlying principles. The strength of this book is in the weight of examples culled over many years and explained in the light of two lifetimes of practical experience.” (Terry Young, Professor Emeritus of Health Care Systems, Brunel University, London and Director, Datchet Consulting)
Authors and Affiliations
About the authors
Douglas McKelvie: Prior to joining Symmetric, Douglas worked for over 20 years in social work and social work education, including 10 years as a professional adviser for a national regulatory body. He has developed system dynamics models in health and social care services and for the criminal justice system. He works with policy analysts, public health experts, service commissioners and workforce planners, covering adult and children services, including mental health. Douglas is a member of the Policy Council of the UK Chapter of the System Dynamics Society and was President in 2016.
Bibliographic Information
Book Title: The Dynamics of Care
Book Subtitle: Understanding People Flows in Health and Social Care
Authors: Eric Wolstenholme, Douglas McKelvie
DOI: https://doi.org/10.1007/978-3-030-21878-2
Publisher: Springer Cham
eBook Packages: Social Sciences, Social Sciences (R0)
Copyright Information: Springer Nature Switzerland AG 2019
Hardcover ISBN: 978-3-030-21877-5Published: 18 October 2019
Softcover ISBN: 978-3-030-21880-5Published: 18 October 2020
eBook ISBN: 978-3-030-21878-2Published: 10 October 2019
Edition Number: 1
Number of Pages: XXI, 313
Number of Illustrations: 121 b/w illustrations, 61 illustrations in colour
Topics: Social Work, Health Care Management, Health Services Research