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ReThink Health Dynamics: Understanding and Influencing Local Health System Change

机译：重新思考健康动态：理解和影响当地卫生系统变革

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Health system reform is a national priority in the U.S., but it is increasingly being pursued through a mosaic of local initiatives. More and more concerned leaders in cities, towns, and regions across the country are working within their local health systems to achieve better health, better care, lower cost, and greater equity. Such ambitious and widely dispersed ventures, however, are hard to plan, unwieldy to manage, and slow to spread. Further progress could occur if diverse stakeholders were better able to play out intervention scenarios, weigh trade-offs, set aside schemes that are unlikely to succeed, and enact strategies that promise the most robust results. Through the Rippel Foundation's ReThink Health initiative, veteran leaders and creative methodologists are learning what it takes to spark and sustain system-wide improvements in different settings. Interactive simulation modeling and game-based learning support innovators by bringing greater structure, evidence, and creativity to the action planning process. In this paper we provide an overview of the ReThink Health Dynamics simulation model by providing a summary of its structure, intervention options, data sources, user interface, experiences in pilot sites, initial insights, evaluation plan, and possibilities for further development and diffusion.
机译：卫生系统改革是美国的国家优先事项，但越来越多地通过当地举措的马赛克来追求。各国城市，城镇和地区的越来越有关领导者正在当地的卫生系统工作，以实现更好的健康，更好的护理，更低的成本和更大的公平。然而，如此雄心勃勃，广泛分散的企业难以计划，笨拙地管理，并慢慢传播。如果不同的利益相关者能够更好地发挥干预情景，权衡权衡，则可能会发生进一步的进展，留出不太可能成功的计划，并制定承诺最强大的结果的策略。通过RIPPEL基金会的重新思考健康倡议，退伍军人领导人和创造性方法论正在了解激发和维持不同环境的系统改进所需的内容。通过对行动规划过程带来更大的结构，证据和创造性，互动模拟建模与基于游戏的学习支持创新者。在本文中，我们通过提供其结构，干预选项，数据源，用户界面，试验站点，初始见解，评估计划以及进一步开发和扩散的可能性，提供了重新思考健康动态仿真模型的概述。

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