Applying Qualitative System Dynamics to Enhance Performance Measurement for a Sustainable Health System in British Columbia

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dc.contributor.authorYang, Qi William
dc.contributor.supervisorRoudsari, Abdul V.
dc.date.accessioned2015-08-26T18:15:12Z
dc.date.available2015-08-26T18:15:12Z
dc.date.copyright2015en_US
dc.date.issued2015-08-26
dc.degree.departmentSchool of Health Information Scienceen_US
dc.degree.levelMaster of Science M.Sc.en_US
dc.description.abstractThe current approach to performance measurement in British Columbia is to select and match performance measures with strategic goals and objectives so that health administrators and decision makers can evaluate the performance of different care sectors (e.g. primary, community and acute care) within the provincial health system. Although this approach offers basic understanding of system performance, it is static and considers the performance of organizational components in isolation from their interrelationships and external influences. The purpose of this research is to enhance the current performance measurement approach in BC by linking health system variables through causal relationships and feedback loops that can impact and lead to health system sustainability. The qualitative system dynamics method was applied to develop a conceptual performance measurement model. Fifteen interviews with stakeholders were conducted at the BC Ministry of Health to validate and improve the pre-validation model. A post-validation model was then created based on the feedback and comments from the 15 interview participants. As a product of this research, the post-validation model, Web of Measures 2.0, will explain how the identified cause and feedback mechanisms both internal and external to the BC health system may help determine policy levers for designing and developing quality improvement initiatives. Although quantitative analysis is out of scope for this research, potential benefits of inputting BC data into the proposed model are discussed at the end of this thesis.en_US
dc.description.proquestcode0769en_US
dc.description.proquestcode0790en_US
dc.description.proquestemailqi.william.yang@gmail.comen_US
dc.description.scholarlevelGraduateen_US
dc.identifier.urihttp://hdl.handle.net/1828/6566
dc.languageEnglisheng
dc.language.isoenen_US
dc.rightsAvailable to the World Wide Weben_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectHealth system performance measurementen_US
dc.subjectHealth system sustainabilityen_US
dc.subjectQualitative system dynamicsen_US
dc.subjectSystem modelingen_US
dc.titleApplying Qualitative System Dynamics to Enhance Performance Measurement for a Sustainable Health System in British Columbiaen_US
dc.typeThesisen_US

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