Understanding Misimplementation in U.S. State Health Departments: An Agent-Based Model.

ABSTRACT:

Introduction

The research goal of this study is to explore why misimplementation occurs in public health agencies and how it can be reduced. Misimplementation is ending effective activities prematurely or continuing ineffective ones, which contributes to wasted resources and suboptimal health outcomes.

Methods

The study team created an agent-based model that represents how information flow, filtered through organizational structure, capacity, culture, and leadership priorities, shapes continuation decisions. This agent-based model used survey data and interviews with state health department personnel across the U.S. between 2014 and 2020; model design and analyses were conducted with substantial input from stakeholders between 2019 and 2021. The model was used experimentally

SUBMITTER: Kasman M 

PROVIDER: S-EPMC10033358 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature