Resumen de Analyzing National Health Reform Strategies With a Dynamic Simulation Model.
Bobby Milstein, Jack B. Homer, Gary B. Hirsch
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 Health Bound. (Am J Public Health. 2010;100:811-819. doi:10.2105/AJPH.2009.174490) [ABSTRACT FROM AUTHOR]
