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Hospital charitable lotteries: taking a gamble on systems thinking
1Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Journal of Evaluation in Clinical Practice
|July 2, 2013
Summary
Hospitals use lotteries for fundraising, but these can cause gambling harms. Systems thinking offers a framework to understand the complex impacts of hospital lotteries and inform policies to reduce harm.
Area of Science:
- Healthcare Management
- Public Health Policy
- Systems Science
Background:
- Charitable lotteries are increasingly used by hospitals for fundraising.
- Existing research on charitable lotteries is limited, despite known links to gambling-related harms.
- The healthcare and gambling industries involve complex, competing stakeholder interests.
Purpose of the Study:
- To apply systems thinking as a framework for understanding hospital lotteries.
- To explore the benefits and unforeseen negative consequences of hospital lotteries.
- To address knowledge gaps concerning gambling in healthcare settings and reduce gambling-related harms.
Main Methods:
- Proposes systems thinking, specifically complex adaptive systems and system dynamics modeling.
- Frames hospitals as complex adaptive systems to analyze lottery adoption.
- Examines policy implications of using lotteries for hospital revenue.
Main Results:
- Hospital charitable lotteries represent a significant fundraising strategy.
- Understanding the dynamic of hospital lotteries requires careful consideration.
- Systems thinking provides an integrated approach to analyze this fundraising initiative.
Conclusions:
- Hospitals have a duty of care, requiring thorough understanding of lottery impacts.
- Findings can inform multi-level policy development and action strategies.
- Systems thinking is crucial for managing the complexities of hospital fundraising lotteries.
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