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AJPH First Look, published online ahead of print Jan 31, 2006
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American Journal of Public Health, 10.2105/AJPH.2005.066001

Research and Practice

Practical Challenges of Systems Thinking and Modeling in Public Health

William M. Trochim 1*, Derek A. Cabrera 1, Bobby Milstein 2, Richard S. Gallagher 3, Scott J. Leischow 4

1 Cornell University
2 Centers for Disease Control and Prevention
3 R.S. Gallagher and Associates
4 National Cancer Institute

* To whom correspondence should be addressed. E-mail: wmt1{at}cornell.edu.


  Abstract

Objectives. Awareness of and support for systems thinking and modeling in the public health field are growing, yet there are many practical challenges to implementation. We sought to identify and describe these challenges from the perspectives of practicing public health professionals.

Methods. A systems-based methodology, concept mapping, was used in a study of 133 participants from 2 systems-based public health initiatives (the Initiative for the Study and Implementation of Systems and the Syndemics Prevention Network). This method identified 100 key challenges to implementation of systems thinking and modeling in public health work.

Results. The project resulted in a map identifying 8 categories of challenges and the dynamic interactions among them.

Conclusions. Implementation by public health professionals of the 8 simple rules we derived from the clusters in the map identified here will help to address challenges and improve the organization of systems that protect the public's health.

Key Words: Health Administration, Health Education, Health Policy, Social Science, Statistics/Evaluation/Research, Tobacco Control




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