Understanding healthcare demand and supply through causal loop diagrams and system archetypes: policy implications for kidney replacement therapy in Thailand
A major implication of this research is that changes to healthcare access and delivery require multi-stakeholder engagement and whole system thinking, as even small changes can have potentially vast consequences. Applying a systems thinking lens not only communicated the reasons for unintended impact of the 2022 policy, but also identified interventions absent from the literature that were unique to the drivers of demand and supply in Thailand.
Authors
- Jeerath Phannajit (ORCID: https://orcid.org/0000-0002-3524-6292)
- Kinanti Khansa Chavarina (ORCID: https://orcid.org/0009-0002-3274-0591)
- Siobhan Botwright (ORCID: https://orcid.org/0000-0002-8204-2065)
- Yot Teerawattananon (ORCID: https://orcid.org/0000-0003-2217-2930)
- Jiratorn Sutawong (ORCID: https://orcid.org/0000-0002-3385-6919)
- Le Khanh Ngan Nguyen (ORCID: https://orcid.org/0000-0002-6742-6896)
- Natcha Yongphiphatwong (ORCID: https://orcid.org/0009-0004-9283-8819)
Institutions
- Chulalongkorn University (TH)
- National University of Singapore (SG)
- University of Strathclyde (GB)
- Health Intervention and Technology Assessment Program (TH)
- King Chulalongkorn Memorial Hospital (TH)
Publication Details
- Journal
- BMC Medicine
- Published
- 2025-04-23
- DOI
- https://doi.org/10.1186/s12916-025-04054-6
- Citations
- 8
- Primary Topic
- Complex Systems and Decision Making
- Type
- article
- Field-Weighted Citation Impact
- 16.85