TY - JOUR AU - Buergi, Marc AU - Jung, Reinhard PY - 2011/09/20 Y2 - 2024/03/28 TI - SYSTEM DYNAMICS IN ACTION: THE WORSE-BEFORE-BETTER SCENARIO IN THE CITY HOSPITAL - EFFECTS OF BUDGET DISTRIBUTION TO THE TRAINING & EDUCATION DEPARTMENT ON SHORT-TERM AND LONG-TERM PROFITS JF - Proceedings of the 55th Annual Meeting of the ISSS - 2011, Hull, UK JA - ISSS-2010 VL - 55 IS - 1 SE - DO - UR - https://journals.isss.org/index.php/proceedings55th/article/view/1622 SP - AB - <span style="font-size: 12pt; font-family: Times;">A major public city hospital is affected by the ongoing transformation in the Swiss health care system due to cost reduction pressure, mergers &amp; acquisitions and the mandatory introduction of Diag&shy;nosis Related Groups (DRG) by the year 2012. Facing scarce financial and personal recourses, a System Dynamics research project investigates how changes in budget allocation to the training and education department can affect the net profits of the hospital. The model simulation indicates that neither a massive cut, nor a massive increase of budget lead to the best profits in the long-term. Rather a carefully implemented adjust&shy;ment of the budget at a small scale of plus 10% is suggested to realize an increase of the long-term profits. The results of the long-run simulation are counterintuitive and are ex&shy;plained by means of systems approach archetypes like the worse-before-better scenario, information delays, level effects and limits to growth.</span><!--EndFragment--> ER -