Advancing the application of systems thinking in health: why cure crowds out prevention

This paper presents a system dynamics computer simulation model to illustrate unintended consequences of apparently rational allocations to curative and preventive services. The model shows how the growth of curative care services can crowd both fiscal and policy space for the practice of population level prevention work, requiring dramatic interventions to overcome these trends.

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Bishai D, Paina L, Li Q, Peters D, Hyder A. Advancing the application of systems thinking in health: why cure crowds out prevention. Health Research Policy and Systems. 2014;12(28). doi:10.1186/1478-4505-12-28