Dynamic Modelling of National Healthcare System

Purpose - Our paper deals with the design of dynamic model of national healthcare system of the Czech Republic composing from the qualitative and quantitative part. We use the tools of system dynamics because of its holistic approach that helps unlike the simple math and static analyses to take into account the complexity of the health system. This approach can help to verify the design of new health policy and thus achieve effective problem-solving and improving the overall health system. Design/methodology/approach - Presented problem represents a macro level strategy planning task. To preserve its clarity and applicability, understandable tools and procedures must be adopted in all related analysis and design stages. Our basic methodology consists of four generic stages, including (i) problem formulation, (ii) conceptual specifications, (iii) computational modelling and (iv) experimentation. Originality/value - We see the innovativeness of presented research in assumption that strategic concentration on quality in healthcare sector can solve the majority of its current bottlenecks. According to our interpretation, qualitative aspects include primarily the non-clinical activities, such as management, marketing, external relations or staff development. Knowing the historical data, we can estimate future total costs, generated by the existing system and define alternative, sustainable, quality based policies. Viable alternative policies must preserve the major existing characteristics and introduce new processes, leading to the reduction of costs within five years long time horizon. Practical implications - The proposed model can be very useful especially for current and future policy makers as a tool for decision making. They can create better decisions based on the knowledge of a wide variety of factors influencing the system and achieve the public health objectives more effectively. Thanks to its complexity, transparent representation of the different relationships and their interactivity, this model is suitable for strategic planning, group decision making, learning and sharing knowledge. With such strategic and long term decision we can assure the sustainable development of healthcare system especially better control of health expenditure.