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[Approaches for a systemic modelling of health programs]
1Association Française des Volontaires du Progrès, AFVP Route du bois du Faye, Montlhéry, France.
Social Science & Medicine (1982)
|February 1, 1997
Summary
A systemic model describes health programs as dynamic systems influenced by actors. Understanding actor influence and social networks is key for successful health program planning and implementation.
Area of Science:
- Systems theory applied to public health.
- Actor-network theory in health services.
- Complexity science in health program management.
Context:
- Examines two health programs: colorectal cancer screening (France) and health service restructuring (Guinea).
- Utilizes qualitative data from 15 interviews with program collaborators.
Purpose:
- To develop a systemic model for describing health programs considering actor influence.
- To provide a framework for understanding and managing health program complexity.
Summary:
- Health programs function as self-organizing, dynamic systems.
- A three-stage model (preliminaries, change, autonomization) describes program intervention.
- Successful change requires integration into social networks and collaborator acceptance.
Impact:
- Offers insights for planning, implementing, and assessing health programs.
- Highlights potential for interventions to cause unintended consequences.
- Proposes a systemic approach to navigate health program complexity.