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Am J Public Health. 2010 May;100(5):811-9. doi: 10.2105/AJPH.2009.174490. Epub 2010 Mar 18.

Analyzing national health reform strategies with a dynamic simulation model.

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  • 1Syndemics Prevention Network, Centers for Disease Control and Prevention, Atlanta, GA, USA.

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.

PMID:
20299653
[PubMed - indexed for MEDLINE]
PMCID:
PMC2853627
Free PMC Article
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