Ansah, John with David Matchar and Lukas Schoenenberger  "Mapping the dynamic complexity of chronic disease care in Singapore: using group model building in knowledge elicitation", 2018 August 7 - 2018 August 9

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REYKJAVIK, ICELAND

& THE 36™ INTERNATIONAL CONFERENCE OF THE SYSTEM DYNAMICS SOCIETY

Mapping the Dynamic Complexity of
Chronic Disease Care in Singapore: Using
Group Model Building in Knowledge Elicitation

John P. Ansah, David Matchar, Lukas
Schoenenberger

Duke-NUS Medical School

0:00-

& Problem Statement

* Due to aging population, the healthcare
system designed for a younger population
needing episodic and disease-oriented care
have been showing signs of systemic stress.

* This is evident in: (a) high bed occupancy rates in
acute hospitals (b) overburdened SOCs (c)
increasing ED utilization and (d) long waiting time
for admissions.

* It has become evident to policy-makers that change
is needed in outpatient services for a new
demographic reality.

0:30-

Suse . .
® Approach or Dynamic Hypothesis

2:00-

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Metadata

Resource Type:
Document
Description:
This study describes a group model building (GMB) exercise which 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 healthcare system. A GMB 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.
Rights:
CC BY-NC-SA 4.0
Date Uploaded:
March 10, 2026

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