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Mind Map 10 - Coggle Diagram
Mind Map 10
Complex system thinking and current impasses in health disparities research
vexing problem is that of health disparities
negative and positive feedback loops - complex systems approach
persistence and robustness across different health outcomes explains their nature
dynamic processes linking genes and environments
genetic variants may be linked to greater disposition to exercise
early life trajectories are influenced by life factors, contributions from their environments, and the ability to capture dynamic processes
location of services and is reinforced by behaviors of the residents, healthy foods, and purchasing behaviors
system approaches move disparities - promote sophisticated models of health disparities, systems tools of complex relations, enhance existing data and help find new data
How can we use a systems analysis to better understand a problem such as coronary artery disease?
identify influence
estimate relative strength
examine interactions between factors
identify feedback loops that lead to dynamic changes in the functioning of the system
identify bottlenecks
identify leverage points
systems diagram - displaying the way we understand systems to function
What makes systems thinking different?
reductionist thinking - science based, one factor at a time, one cause, one effect
systems approach utilizes data from reductionist thinking
systems thinking - multiple factors and how they fit together
what are the initial steps in systems analysis?
influences - risk factors or determinants that interact to bring about outcomes
best combination of interventions
reductionist thinking - straight line relationships between influences, increased levels of interventions = will produce straight line results
What additional steps are needed to complete a systems analysis?
feedback loops - positive or negative impact; feedback for implementation of intervention (either positive or negative)
bottlenecks - limit effectiveness of systems
leverage points - provide opportunity to improve outcomes
how can systems thinking help take into account the interactions between diseases?
relationships between diseases
syndromes - patterns of symptoms that tend to occur together
syndemic - occurrence together of two or more diseases that interact to magnify the occurrence of the burden of disease
what is a system?
interactin group of items forming a unified whole
interconnected parts; changes with addition and taking away
how can we use systems diagrams to display the workings of a system?
indicate the direction in which it operates
indicates whether the factor operates to increase a factor or if it decreases a factor
how can systems thinking help us incorporate interactions between factors to better understand the etiology of disease?
cigarette smoking and radon exposure are multiplicative - hazard is nearly multiplied
addresses potential hazards; reduce one can greatly reduce another
how can systems thinking help us develop strategies for multiple simultaneous interventions?
primary and secondary interventions
new studies have shown best outcomes by implementing all strategies
How can systems thinking help us look at processes as a whole to better plan interventions?
HACCP laid groundwork for broadening systems thinking
CHA and HIPS - local approach to bring together health, health care, and members to improve health
how can we apply systems thinking to population health issues?
specific components can be applied to population health issues
What are community health assessment and health improvement plans?
need to incorporate information, rank priorities, methods for implementation, and develop plan for evaluation
What is meant by one health?
human health, animal health, ecosystem health