This research aims to develop an innovative framework that integrates health-seeking behaviour—the actions individuals take when they perceive a health problem, grounded in behavioural theories, into simulation models used for health systems management.
Simulation models are powerful tools for supporting decision-making, allowing for the design, construction, and manipulation of a representation (i.e. a model) of real-world systems to analyse their dynamic behaviours. However, they often overlook the complexities of human behaviour and its influence on higher-level system performance, such as healthcare access and service utilisation, limiting their effectiveness in evaluating health policies. By incorporating health-seeking behaviour, this research will fill a critical gap in existing simulation methods. The research will begin by building a base-case model, excluding theory-based behaviours, using stakeholder input and secondary data. Subsequently, models that integrate health-seeking behaviour informed by different behavioural theories will be developed and tested. These models will be evaluated under different intervention scenarios to explore how the integration of behaviour and specific behaviour change interventions affect system performance, particularly in terms of access and utilisation of primary and community health services.
In collaboration with the Social Marketing Gateway – a consultancy company specialising in social marketing and behavioural change in healthcare–and public health agencies, the project will refine these models to create a practical framework that can guide decision-making in health systems management and healthcare policy. This work supports Scotland’s vision of value-based healthcare, prioritising person-centred approaches and addressing pressures on community health services. The research will provide practical and methodological contributions.
The framework will offer healthcare decision-makers better tools for designing effective interventions, while also expanding the methodological toolkit for integrating behavioural insights into simulation models. Beyond healthcare, the framework could be adapted to other areas of social science where human behaviour impacts system performance, fostering further interdisciplinary research.
Supervisory Team:
- First Supervisor: Professor Susan Howick, susan.howick@strath.ac.uk
- Second Supervisor: Dr Le Nguyen, nguyen-le-khanh-ngan@strath.ac.uk