Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2006 Mar;96(3):538-46.
doi: 10.2105/AJPH.2005.066001. Epub 2006 Jan 31.

Practical challenges of systems thinking and modeling in public health

Affiliations

Practical challenges of systems thinking and modeling in public health

William M Trochim et al. Am J Public Health. 2006 Mar.

Abstract

Objectives: Awareness of and support for systems thinking and modeling in the public health field are growing, yet there are many practical challenges to implementation. We sought to identify and describe these challenges from the perspectives of practicing public health professionals.

Methods: A systems-based methodology, concept mapping, was used in a study of 133 participants from 2 systems-based public health initiatives (the Initiative for the Study and Implementation of Systems and the Syndemics Prevention Network). This method identified 100 key challenges to implementation of systems thinking and modeling in public health work.

Results: The project resulted in a map identifying 8 categories of challenges and the dynamic interactions among them.

Conclusions: Implementation by public health professionals of the 8 simple rules we derived from the clusters in the map identified here will help to address challenges and improve the organization of systems that protect the public's health.

PubMed Disclaimer

Figures

FIGURE 1—
FIGURE 1—
Eight-cluster concept map of practical challenges that need to be addressed to encourage and support effective systems thinking and modeling in public health work.

References

    1. Committee on Assuring the Health of the Public in the 21st Century. The Future of the Public’s Health in the 21st Century. Washington, DC: Institute of Medicine, 2002.
    1. Green LW, McGinnis M, Phillips TS, Devereaux M, Montes H. Strategies for Promoting Health for Specific Populations. Washington, DC: US Office of Health Information and Health Promotion; 1981. DHHS publication PHS 81 50169.
    1. Green LW. Should health education abandon attitude change strategies: perspectives from recent research. Health Educ Monogr. 1970;1:24–48.
    1. Anderson RA, Issel LM, McDaniel RR. Nursing homes as complex adaptive systems. Nurs Res. 2003; 52:12–21. - PMC - PubMed
    1. Anderson RA, McDaniel RRJ. Managing health care organizations: where professionalism meets complexity science. Health Care Manage Rev. 2000;25: 83–92. - PubMed

LinkOut - more resources