System Dynamics Modeling for Diabetes Treatment and Prevention Planning.

Areez Hirani, Aziz Guergachi, Karim Keshavjee
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Abstract

The increasing prevalence of preventable chronic disease in Canada poses significant challenges to both healthcare budgets and individual financial stability. New treatments and predictive technologies are creating an urgent need to evaluate the impact of these innovations on population health and healthcare costs. This paper explores the use of system dynamics modeling to analyze the effects of artificial intelligence (AI)-driven predictive tools, life-prolonging treatments, and digital behavior change applications on T2D prevalence and healthcare expenditures. Our model simulates three scenarios over a 50-year period, revealing that while AI and novel treatments can reduce complications, they may paradoxically increase T2D prevalence and overall costs unless combined with preventive measures. The study demonstrates the utility of system dynamics models in forecasting the secondary effects of policy decisions, providing policymakers with a valuable tool for evaluating trade-offs and optimizing health outcomes. The findings underscore the need for new tools to effectively manage the evolving landscape of chronic disease treatment and prevention.

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糖尿病治疗和预防计划的系统动力学建模。
在加拿大,可预防的慢性疾病日益流行,对医疗保健预算和个人财务稳定构成了重大挑战。新的治疗方法和预测技术迫切需要评估这些创新对人口健康和医疗保健成本的影响。本文探讨了使用系统动力学建模来分析人工智能(AI)驱动的预测工具、延长生命的治疗和数字行为改变应用对T2D患病率和医疗保健支出的影响。我们的模型模拟了50年期间的三种情况,揭示了尽管人工智能和新型治疗方法可以减少并发症,但它们可能会矛盾地增加T2D患病率和总体成本,除非与预防措施相结合。该研究证明了系统动力学模型在预测政策决策的次生效应方面的效用,为决策者提供了评估权衡和优化健康结果的宝贵工具。这些发现强调需要新的工具来有效地管理慢性病治疗和预防的不断发展的格局。
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