Qualitative modelling of social determinants of health using group model building: the case of debt, poverty, and health.

ABSTRACT:

Background

Social determinants of health (SDoH) are known to have a large impact on health outcomes, but their effects are difficult to make visible. They are part of complex systems of variables largely indirect effects on multiple levels, constituting so-called wicked problems. This study describes a participatory approach using group model building (GMB) with stakeholders, in order to develop a qualitative causal model of the health effects of SDoH, taking poverty and debt in the Dutch city of Utrecht as a case study.

Methods

With GMB we utilised the perspective of stakeholders who are directly involved in policy and practice regarding poverty, debt, and/or health. This was done using system dynamic modelling, in three interactive sessions lasting three hours each. In the

SUBMITTER: Reumers L 

PROVIDER: S-EPMC9118602 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature