System dynamics and action research in aged care

Abstract

This paper documents an Action Research project undertaken to implement a Continuity of Care Model in anExtended Care Centre. System Dynamics modelling and group-modelling techniques were used to examine andimprove patient length of stay (LOS). Several indicators of success of the project are noted. They included thereduction of LOS, improvements in teamwork and staff morale, and various systemic adaptations in other parts ofthe health care sector. Upstream providers responded to the reductions in patient numbers by swamping the Centrewith intractable patients. This effectively reduced up-stream providers' LOS, and returned the Centre's LOS to pre-interventionlevels.