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Evolution of a System Dynamics Intervention: How changing the rules in a small health care private practice can redefine the strategic position of the firm and increase overall performance

机译:系统动态干预的演变:如何在小医疗保健私人实践中改变规则可以重新定义公司的战略地位并提高整体性能

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This paper reports an ongoing project using system dynamics modeling as the unifying framework for understanding how to change and improve the way a small health care practice is managed. Through the development of the project we have used group model building sessions, one-to-one exploration of structural explanations, and extensive model building and testing to clarify hypotheses related to different areas of the practice considered key by our clients. Major insights found include: strategic management of accounts receivable, a switch in strategic orientation of the practice and its implications, and the realization of backlog of patients as a key driver of the firm' dynamics. Based on our experience, a general framework for system dynamics interventions is presented. Additionally, three system dynamics models developed for the study are presented and explained.
机译:本文报告了一个正在进行的项目,使用系统动态建模作为统一框架,以了解如何改变和改进小型保健实践的方式。通过开发项目,我们已经使用了集团模型建筑物会议,一对一的结构解释探索,以及广泛的模型建筑和测试,以澄清与我们客户认为关键的不同领域的假设。发现的主要见解包括:应收账款的战略管理,符合实践战略方向的开关及其影响,以及对公司动态的重点驾驶员的积压的实现。根据我们的经验,提出了一个系统动态干预的一般框架。此外,提出并解释了为该研究开发的三种系统动力学模型。

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