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Using system dynamics modeling approach to strengthen health systems to combat cancer: a systematic literature review
Chen, Xianwen1; Cai, Kuangyuan1; Xue, Yan1; Ung, Carolina Oi Lam1,2,3; Hu, Hao1,2,3; Jakovljevic, Mihajlo4,5,6
2025
Source PublicationJournal of Medical Economics
ISSN1369-6998
Volume28Issue:1Pages:168-185
Abstract

Aim: Dynamic cancer control is a current health system priority, yet methods for achieving it are lacking. This study aims to review the application of system dynamics modeling (SDM) on cancer control and evaluate the research quality. Methods: Articles were searched in PubMed, Web of Science, and Scopus from the inception of the study to 15 November 2023. Inclusion criteria were English original studies focusing on cancer control with SDM methodology, including prevention, early detection, diagnosis and treatment, and palliative care. Exclusion criteria were non-original research, and studies lacking SDM focus. Analysis involved categorization of studies and extraction of relevant data to answer the research question, ensuring a comprehensive synthesis of the field. Quality assessment was used to evaluate the SDM for cancer control. Results: Sixteen studies were included in this systematic review predominantly from the United States (7, 43.75%), with a focus on breast cancer research (5, 31.25%). Studies were categorized by WHO cancer control modules, and some studies may contribute to multiple modules. The results showed that included studies comprised two focused on prevention (1.25%), ten on early detection (62.50%), six on diagnosis and treatment (37.50%), with none addressing palliative care. Seven studies presented a complete SDM process, among which nine developed causal loop diagrams for conceptual models, ten utilized stock-flow charts to develop computational models, and thirteen conducted simulations. Limitations: This review’s macrofocus on SDM in cancer control missed detailed methodological analysis. The limited number of studies and lack of stage-specific intervention comparisons limit comprehensiveness. Detailed analysis of SDM construction was also not conducted, potentially overlooking nuances in cancer control strategies. Conclusion: SDM in cancer control is underutilized, focusing mainly on early detection and treatment. Inconsistencies suggest a need for standardized SDM approaches. Future research should expand SDM’s application and integrate it into cancer control strategies.

KeywordCancer Control Cancer Diagnosis Cancer Screening Cancer Treatment System Dynamics Modeling
DOI10.1080/13696998.2025.2450168
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaBusiness & Economics ; Health Care Sciences & Services ; General & Internal Medicine
WOS SubjectEconomics ; Health Care Sciences & Services ; Health Policy & Services ; Medicine, General & Internal
WOS IDWOS:001394082000001
PublisherTaylor and Francis Ltd.
Scopus ID2-s2.0-85214690557
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionInstitute of Chinese Medical Sciences
Corresponding AuthorHu, Hao; Jakovljevic, Mihajlo
Affiliation1.State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao
2.Centre for Pharmaceutical Regulatory Sciences, University of Macau, Macao
3.Department of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Macao
4.UNESCO-TWAS, The World Academy of Sciences, Trieste, Italy
5.Shaanxi University of Technology, Hanzhong, China
6.Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
First Author AffilicationInstitute of Chinese Medical Sciences
Corresponding Author AffilicationInstitute of Chinese Medical Sciences;  University of Macau;  Faculty of Health Sciences
Recommended Citation
GB/T 7714
Chen, Xianwen,Cai, Kuangyuan,Xue, Yan,et al. Using system dynamics modeling approach to strengthen health systems to combat cancer: a systematic literature review[J]. Journal of Medical Economics, 2025, 28(1), 168-185.
APA Chen, Xianwen., Cai, Kuangyuan., Xue, Yan., Ung, Carolina Oi Lam., Hu, Hao., & Jakovljevic, Mihajlo (2025). Using system dynamics modeling approach to strengthen health systems to combat cancer: a systematic literature review. Journal of Medical Economics, 28(1), 168-185.
MLA Chen, Xianwen,et al."Using system dynamics modeling approach to strengthen health systems to combat cancer: a systematic literature review".Journal of Medical Economics 28.1(2025):168-185.
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