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Mapping the Dynamic Complexity of Chronic Disease Care in Singapore: Using Group Model Building in Knowledge Elicitation
Author(s) -
Ansah John P.,
Matchar David B.,
Koh Victoria,
Schoenenberger Lukas
Publication year - 2018
Publication title -
systems research and behavioral science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.371
H-Index - 45
eISSN - 1099-1743
pISSN - 1092-7026
DOI - 10.1002/sres.2517
Subject(s) - perspective (graphical) , chronic care , chronic disease , psychological intervention , health care , qualitative research , nominal group , medicine , knowledge management , process management , disease , nursing , computer science , management science , business , family medicine , sociology , engineering , political science , artificial intelligence , social science , linguistics , philosophy , pathology , law
This study describes a group model building exercise that aims to develop a deeper understanding of the dynamic complexity of chronic disease care delivery within a primary care setting in Singapore, leveraging on the insights of stakeholders with personal and institutional knowledge of the health care system. A group model building exercise, which included 50 stakeholders, was used to develop the qualitative model. The qualitative model helped to bring a feedback perspective to understanding the dynamic complexity of chronic disease care delivery. The feedback perspective helped in identifying the systemic issues within chronic disease care delivery, which has the potential to inform system‐wide interventions and policies to improve health. Enhancing chronic care in Singapore will require an enhancement of both the capacity and capability of the primary care sector. © 2018 John Wiley & Sons, Ltd.