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- Title
Analyzing national health reform strategies with a dynamic simulation model.
- Authors
Milstein, Bobby; Homer, Jack; Hirsch, Gary
- Abstract
Proposals to improve the US health system are commonly supported by models that have only a few variables and overlook certain processes that may delay, dilute, or defeat intervention effects. We use an evidence-based dynamic simulation model with a broad national scope to analyze 5 policy proposals. Our results suggest that expanding insurance coverage and improving health care quality would likely improve health status but would also raise costs and worsen health inequity, whereas a strategy that also strengthens primary care capacity and emphasizes health protection would improve health status, reduce inequities, and lower costs. A software interface allows diverse stakeholders to interact with the model through a policy simulation game called HealthBound.
- Publication
American journal of public health, 2010, Vol 100, Issue 5, p811
- ISSN
1541-0048
- Publication type
Journal Article
- DOI
10.2105/AJPH.2009.174490