Systems science methods in public health : what can they contribute to our understanding of and response to the cost-of-living crisis?

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ..

BACKGROUND: Many complex public health evidence gaps cannot be fully resolved using only conventional public health methods. We aim to familiarise public health researchers with selected systems science methods that may contribute to a better understanding of complex phenomena and lead to more impactful interventions. As a case study, we choose the current cost-of-living crisis, which affects disposable income as a key structural determinant of health.

METHODS: We first outline the potential role of systems science methods for public health research more generally, then provide an overview of the complexity of the cost-of-living crisis as a specific case study. We propose how four systems science methods (soft systems, microsimulation, agent-based and system dynamics models) could be applied to provide more in-depth understanding. For each method, we illustrate its unique knowledge contributions, and set out one or more options for studies that could help inform policy and practice responses.

RESULTS: Due to its fundamental impact on the determinants of health, while limiting resources for population-level interventions, the cost-of-living crisis presents a complex public health challenge. When confronted with complexity, non-linearity, feedback loops and adaptation processes, systems methods allow a deeper understanding and forecasting of the interactions and spill-over effects common with real-world interventions and policies.

CONCLUSIONS: Systems science methods provide a rich methodological toolbox that complements our traditional public health methods. This toolbox may be particularly useful in early stages of the current cost-of-living crisis: for understanding the situation, developing solutions and sandboxing potential responses to improve population health.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:77

Enthalten in:

Journal of epidemiology and community health - 77(2023), 9 vom: 16. Sept., Seite 610-616

Sprache:

Englisch

Beteiligte Personen:

Höhn, Andreas [VerfasserIn]
Stokes, Jonathan [VerfasserIn]
Pollack, Roxana [VerfasserIn]
Boyd, Jennifer [VerfasserIn]
Chueca Del Cerro, Cristina [VerfasserIn]
Elsenbroich, Corinna [VerfasserIn]
Heppenstall, Alison [VerfasserIn]
Hjelmskog, Annika [VerfasserIn]
Inyang, Elizabeth [VerfasserIn]
Kopasker, Daniel [VerfasserIn]
Sonthalia, Shreya [VerfasserIn]
Thomson, Rachel M [VerfasserIn]
Zia, Kashif [VerfasserIn]
Katikireddi, Srinivasa Vittal [VerfasserIn]
Meier, Petra [VerfasserIn]

Links:

Volltext

Themen:

ECONOMICS
HEALTH POLICY
Health inequalities
Journal Article
METHODS
MODELS, THEORETICAL
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 14.08.2023

Date Revised 16.08.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1136/jech-2023-220435

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358298288