A Network Based Theory of Health Systems and Cycles of Well-being

Document Type: Hypothesis

Author

Orrery Consulting, Prins Hendrikkade 160, Amsterdam, The Netherlands

Abstract

There are two dominant approaches to describe and understand the anatomy of complete health and well-being systems internationally. Yet, neither approach has been able to either predict or explain occasional but dramatic crises in health and well-being systems around the world and in developed emerging market or developing country contexts. As the impacts of such events can be measured not simply in terms of their social and economic consequences but also public health crises, there is a clear need to look for and formulate an alternative approach. This paper examines multi-disciplinary theoretical evidence to suggest that health systems exhibit natural and observable systemic and long cycle characteristics that can be modelled. A health and well-being system model of two slowly evolving anthropological network sub-systems is defined. The first network sub-system consists of organised professional networks of exclusive suppliers of health and well-being services. The second network sub-system consists of communities organising themselves to resource those exclusive services. Together these two network sub-systems interact to form the specific (sovereign) health and well-being systems we know today. But the core of a truly ‘complex adaptive system’ can also be identified and a simplified two sub-system model of recurring Lotka-Volterra predator-prey cycles is specified. The implications of such an adaptive and evolving model of system anatomy for effective public health, social security insurance and well-being systems governance could be considerable.

Keywords

Main Subjects


1. McKee M. Understanding population health: lessons from the former Soviet Union. Clin Med 2005; 5: 374-8. doi: 10.7861/clinmedicine.5-4-374
2. WHO. Everybody’s business — strengthening health  systems  to improve health outcomes. WHO’s framework for action. Geneva: World Health Organization; 2007.
3. Hurst J. The Reform of health care: a comparative analysis of seven OECD countries. Economic and Social Development Paper. Paris OECD; 1992.
4. Rhodes G. The medical mandala: The public health benefits of entrepreneurship tools and skills among medical students in India. Indian J Public Health 2012; 56: 105-9. doi: 10.4103/0019-557X.99899
5. Light D. The Sociological character of health care markets. In: Albrecht G, Fitzpatrick R Scrimshaw S. eds. The Handbook of Social Studies in Health and Medicine. Sage 2nd ed. London: Sage; 2003.
6. Schieber G, Maeda A. A Curmudgeon’s Guide to Financing Health in Developing Countries. In: Schieber G. ed. Innovations in Health Care Financing. Washington DC: World Bank; 1997.
7. Jackson M. Social  and  economic  networks. Princeton University Press; 2008. p. 20-51.
8. Christakis N, Fowler J. The Collective Dynamics of Smoking in a Large Social Network. N Engl J Med 2008; 358: 2249-58. doi: 10.1056/NEJMsa0706154
9. Demange G, Wooders M. (ed.s). Group formation in economics; Networks, clubs and coalitions. Cambridge: Cambridge University Press; 2005. doi: http://dx.doi.org/10.1017/CBO9780511614385.001
10. Rothenberg R. Social network dynamics and HIV transmission. AIDS 1998: 12; 1529-36.
11. Liou Y, Daly A. Closer to learning social networks trust and professional communities. Journal of School Leadership. [In press]
12. Jones W, Avant R, Davis N. Task Force Report 3. Report of the Task Force on Continuous Personal, Professional, and Practice Development in Family Medicine. Ann Fam Med 2004; 2: s65–74. doi: 10.1370/afm.136
13. WHO. The  world  health  report  2000  -  Health  systems:  improving performance.Geneva: WHO; 2000.
14. Broman T. The Medical Sciences. In: Roy Porter (ed). The Cambridge History of Science: Volume 4: 18th-century Science 2003; p.465-8. doi: http://dx.doi.org/10.1017/CHOL9780521572439.021
15. Bruce M. The Coming of the Welfare State. 4th ed. London: Batsford; 1972.
16. Vinten-Johansen P, Brody H, Paneth N, Rachman S, Russell Rip M. Cholera, Chloroform, and the Science of Medicine: a Life of John Snow. Oxford: Oxford University Press: 2003. doi: http://dx.doi.org/10.1017/S0025727300008164
17. PMSJ. Introductory Address. Prov Med Surg J1840: 1; 1.
18. BMJ. World Association of Medical Editors (WAME) launched. BMJ 1995; 310: 761-2. doi: http://dx.doi.org/10.1136/bmj.310.6982.761a
19. Williams A. Science or marketing at WHO? A commentary on ‘World Health 2000. Health Econ2001:10; 93-100. doi: 10.1002/hec.594
20. Grossman C. The First Use of Penicillin in the United States. Ann Intern Med 2008; 149: 135-6. doi: 10.7326/0003-4819-149-2-200807150-00009
21. Barr N. The economics of the welfare state. 2nd ed. Oxford University Press; 1993.
22. Gross K. Framing Persuasive Appeals: Episodic and Thematic Framing, Emotional Response, and Policy Opinion. Polit Psychol 2008; 29: 169–92. doi: 10.1111/j.1467-9221.2008.00622.x
23. Lewis J. The British Empire and world history: welfare imperialism and ‘soft power’ in the rise and fall of British rule. In: Midgeley, James and Piachaud, David, eds. Colonialism and welfare, social policy and the British imperial legacy. Cheltnam: Edward Elgar Publishing; 2011.
24. Leon D. Cities, urbanization and health. Int J Epidemiol2008; 37: 4-8.
25. Porter D. Health,  Civilization,  and  the  State:  A  History  of  Public Health from Ancient to Modern Times. New York: Routledge; 1999. p. 79-97. doi: 10.1056/NEJM199912023412322
26. Vienonen M, Wlodarczyk W. Health care reforms on the European scene: evolution, revolution or seesaw? World Health Stat Q 1993; 46: 166-9.
27. Neubourg C. de. The welfare pentagon and the social management of risks. In: Sigg R, Behrendt C. eds. Social security in the global village. New Brunswick: Transaction publishers; 2002. Vol. 8, p. 313-31.
28. Newhouse J, Phelps C. Price  and  Income  elasticities  for  medical care services. Santa Monica: RAND (NBER); 1974.
29. Preker AS, Carrin G, Dror D, Jakab M, Hsiao W, Arhin-Tenkorang D. Effectiveness of community health financing in meeting the cost of illness. Bull World Health Organ2002: 80; 143-50.
30. Lotka AJ. Elements of physical biology. Baltimore: Williams & Wilkins Co; 1925.
31. Volterra V. [Variations and fluctuations of the number of individuals in animal species living together]. Mem. R. Accad. Naz. dei Lincei 1928: 3; 3-51.
32. Ooms G, Hammonds R. Scaling Up Global Social Health Protection: Prerequisite Reforms to the International Monetary Fund. Int J Health Serv2009:39; 795–801. doi: 10.2190/HS.39.4.m
33. Duhl L. The  social  entrepreneurship  of  change. Pace University Press ;1990.
34. Anagnostopoulos A, Kumar R, Mahdian M. Influence and Correlation in Social Networks. Proceedings of the 14th ACM SIGKDD International Conference on Knowledge Discovery and Data Mining (KDD), 2008. Available at: (http://videolectures.net/mlg08_mahdian_icsn/). doi: 10.1145/1401890.1401897
35. Gee J. An Introduction to Discourse Analysis: Theory and Method. London: Routledge; 2005.
36. Harris Z. A Theory  of  Language  and  Information:  A  mathematical approach. Oxford & New York: Clarendon Press; 1991.
37. Gerow A, Keane MM. Mining the Web for the Voice of the Herd to Track Stock Market Bubbles. Proceedings of the 22nd International Joint Conference on Artificial Intelligence (IJCAI ‘11), Barcelona, Spain, 16-22 July, 2011.
38. Le Grand J .Equity as an economic objective. J Appl Philos1984; 1: 39-51. doi: 10.1111/j.1468-5930.1984.tb00185.x