Ideación de soluciones para la innovación social en la enfermedad renal crónica en México a partir de la vinculación entre el CIQA y el CISAI

Agustín L. Rodríguez-Aké; Álvaro Rafael Pedroza-Zapata; Paulina Rivera-López

doi:10.55965/setp.2.coed.a6

Authors

Agustín L. Rodríguez-Aké Research Professor https://orcid.org/0000-0003-3013-108X
Álvaro Rafael Pedroza-Zapata Research Professor https://orcid.org/0000-0002-9877-4957
Paulina Rivera-López Degree in Psychology https://orcid.org/0000-0001-7322-9605

DOI:

https://doi.org/10.55965/setp.2.coed.a6

Keywords:

dynamic systems, health-care system, intervention planning, thinking systems, causal loop diagram, chronic kidney disease (CKD)

Abstract

Purpose: To improve of the systemic understanding of the causes of CKD mortality for the ideation of solutions with Public Research Centers.

Methodology: A community-based system dynamics methodology was implemented to generate a map of systems and solutions.

Theoretical Findings: Four causal cycles were identified: Primary risk management; comprehensive management of patients at risk; management of the patient in the final stage; and comprehensive management of the patient in the final stage.

Practical Findings: The axes of solution were to increase the number of patients with self-care from stage four to five, and in the Renal Replacement Therapy stage; and increase the number of patients with end-stage treatment.

Originality: The discoveries of the map guide the development of solutions and research programs of public research centers, as well as the disciplinary integration of medicine, psychology, nutrition, social work, and community.

Conclusions and limitations: The generated map can be used to prospect the potential impact of both interventions and scenarios with current conditions.

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Author Biographies

Agustín L. Rodríguez-Aké, Research Professor

Research Professor at ITESO

Álvaro Rafael Pedroza-Zapata, Research Professor

Alvaro Pedroza currently works at División de Gestión Empresarial » Departamento de Mercadotecnia y Negocios Internacionales, CUCEA, Universidad de Guadalajara.

Alvaro does research in Management of technology and innovation, Social Innovation, Technology Scouting and competitive intelligence. His current projects are: "Reconversión tecnológica de PYMES en Jalisco" & "Teaching & Learning how to invent and patent in the university context"
Disciplines:
Management of technology and innovation; creative innovation development
Skills and expertise
Patent Search, Chemical Formulation; Intelligence &Technology Audit; Patent Analysis; ManagementTechnology & Innovation
Languages
Spanish - Portuguese- English

Paulina Rivera-López, Degree in Psychology

PhD Student at ITESO

References

Agudelo-Botero, M., Giraldo-Rodríguez, L., y González-Robledo, M. C. (2019). Experiencias en la búsqueda de atención de pacientes con enfermedad renal crónica sin seguridad social en México. CIAIQ 2019, 2, 416-424.

Andrade-Guel, M., Cabello-Alvarado, C., Cruz-Delgado, V. J., Bartolo-Perez, P., De León-Martínez, P. A., Sáenz-Galindo, A., Cadenas-Pliego, G., Y Ávila-Orta, C. A. (2019). Surface Modification of Graphene Nanoplatelets by Organic Acids and Ultrasonic Radiation for Enhance Uremic Toxins Adsorption. Materials, 12(5), Art. 5. https://doi.org/10.3390/ma12050715 DOI: https://doi.org/10.3390/ma12050715

Ansah, J. P., Hng, K. L. S., Ahmad, S., Y Goh, C. (2021). Evaluating the impact of upstream and downstream interventions on chronic kidney disease and dialysis care: A simulation analysis. System Dynamics Review, 37(1), 32-58.

https://doi.org/10.1002/sdr.1676 DOI: https://doi.org/10.1002/sdr.1676

Arriaga-Cárdenas, O.G., Lara-Magaña, PdC., y Pasciuta-Marco, P.D. (2022). Los Centros Públicos de Investigación, como eje central de la innovación y la educación en México. Scientia et PRAXIS, 2(04), 66-81.

https://doi.org/10.55965/setp.2.coed.a3 DOI: https://doi.org/10.55965/setp.2.coed.a3

Cantley, M. (1977). Collected Papers of Jay W. Forrester. Journal of the Operational Research Society, 28 (1), 111-113.

https://doi.org/10.1057/jors.1977.14 DOI: https://doi.org/10.1057/jors.1977.14

Donald, M., Kahlon, B. K., Beanlands, H., Straus, S., Ronksley, P., Herrington, G., Tong, A., Grill, A., Waldvogel, B., Large, C. A., Large, C. L., Harwood, L., Novak, M., James, M. T., Elliott, M., Fernandez, N., Brimble, S., Samuel, S., y Hemmelgarn, B. R. (2018). Self-management interventions for adults with chronic kidney disease: A scoping review. BMJ Open, 8(3), e019814. https://doi.org/10.1136/bmjopen-2017-019814 DOI: https://doi.org/10.1136/bmjopen-2017-019814

Durán-Arenas, L., Ávila-Palomares, P. D., Zendejas-Villanueva, R., Vargas-Ruiz, M. M., Tirado-Gómez, L. L., y López-Cervantes, M. (2011). Costos directos de la hemodiálisis en unidades públicas y privadas. Salud Pública de México, 53, S516-S524. https://doi.org/10.1590/S0036-36342011001000016 DOI: https://doi.org/10.1590/S0036-36342011001000016

Friedman, S. (2004). Learning to make more effective decisions: Changing beliefs as a prelude to action. The Learning Organization, 11(2), 110-128. https://doi.org/10.1108/09696470410521583 DOI: https://doi.org/10.1108/09696470410521583

Furber, C. (2010). Framework analysis: A method for analysing qualitative data. African Journal of Midwifery and Women’s Health, 4(2), 97-100. https://doi.org/10.12968/ajmw.2010.4.2.47612 DOI: https://doi.org/10.12968/ajmw.2010.4.2.47612

Garcia-Garcia, G., Y Chavez-Iñiguez, J. S. (2018). The Tragedy of Having ESRD in Mexico. Kidney International Reports, 3(5), 1027-1029. https://doi.org/10.1016/j.ekir.2018.07.018 DOI: https://doi.org/10.1016/j.ekir.2018.07.018

Garcia-Garcia, G., Monteon-Ramos, J. F., Garcia-Bejarano, H., Gomez-Navarro, B., Reyes, I. H., Lomeli, A. M., Palomeque, M., Cortes-Sanabria, L., Breien-Alcaraz, H., Y Ruiz-Morales, N. M. (2005). Renal replacement therapy among disadvantaged populations in Mexico: A report from the Jalisco Dialysis and Transplant Registry (REDTJAL). Kidney International. Supplement, 97, S58-61. https://doi.org/10.1111/j.1523-1755.2005.09710.x DOI: https://doi.org/10.1111/j.1523-1755.2005.09710.x

Greer, R., Y Boulware, L. E. (2015). Reducing CKD Risks Among Vulnerable Populations in Primary Care. Advances in Chronic Kidney Disease, 22(1), 74-80. https://doi.org/10.1053/j.ackd.2014.06.003 DOI: https://doi.org/10.1053/j.ackd.2014.06.003

Hovmand, P. (2014). Community Based System Dynamics. Springer.

https://doi.org/10.1007/978-1-4614-8763-0 DOI: https://doi.org/10.1007/978-1-4614-8763-0

Hovmand, P., Rouwette, E. a. J. A., Andersen, D., Richardson, G., Calhoun, A., Rux, K., Y Hower, T. (2011). Scriptapedia: A Handbook of Scripts for Developing Structured Group Model Building Sessions. 1491. Consultado el 2-Dic-2022, de: https://repository.ubn.ru.nl/handle/2066/95406

Lopez-Vargas, P. A., Tong, A., Howell, M., y Craig, J. C. (2016). Educational Interventions for Patients With CKD: A Systematic Review. American Journal of Kidney Diseases, 68(3), 353-370. https://doi.org/10.1053/j.ajkd.2016.01.022 DOI: https://doi.org/10.1053/j.ajkd.2016.01.022

Mejía-Trejo, J., y Aguilar-Navarro, C. O. (2022). El Modelo de Marco Lógico y la Teoría del Cambio: Bases para la Planeación Estratégica de la Innovación con Impacto Social en un Centro Público de Investigación de México. Scientia et PRAXIS, 2(04), Art. 04. https://doi.org/10.55965/setp.2.coed.a1 DOI: https://doi.org/10.55965/setp.2.coed.a1

Obrador, G. T., García-García, G., Villa, A. R., Rubilar, X., Olvera, N., Ferreira, E., Virgen, M., Gutiérrez-Padilla, J. A., Plascencia-Alonso, M., Mendoza-García, M., y Plascencia-Pérez, S. (2010). Prevalence of chronic kidney disease in the Kidney Early Evaluation Program (KEEP) México and comparison with KEEP US. Kidney International, 77, S2-S8. https://doi.org/10.1038/ki.2009.540 DOI: https://doi.org/10.1038/ki.2009.540

Paniagua, R., Ramos, A., Fabian, R., Lagunas, J., y Amato, D. (2007). Chronic Kidney Disease and Dialysis in Mexico. Peritoneal Dialysis International, 27(4), 405-409. https://doi.org/10.1177/089686080702700406 DOI: https://doi.org/10.1177/089686080702700406

Pereira, R. I., Y Cervantes, L. (2021). Reducing the Burden of CKD among Latinx: A Community-Based Approach. Clinical Journal of the American Society of Nephrology, 16(5), 812-814. https://doi.org/10.2215/CJN.12890820 DOI: https://doi.org/10.2215/CJN.12890820

Rouwette, E. A. J. A., Größler, A., y Vennix, J. A. M. (2004). Exploring influencing factors on rationality: A literature review of dynamic decision-making studies in system dynamics. Systems Research and Behavioral Science, 21(4), 351-370. https://doi.org/10.1002/sres.647 DOI: https://doi.org/10.1002/sres.647

Sekhon, M., Cartwright, M., y Francis, J. J. (2017). Acceptability of healthcare interventions: An overview of reviews and development of a theoretical framework. BMC Health Services Research, 17(1), 88. https://doi.org/10.1186/s12913-017-2031-8 DOI: https://doi.org/10.1186/s12913-017-2031-8

Sterman, J. (2002). System Dynamics: Systems Thinking and Modeling for a Complex World [Working Paper]. Massachusetts Institute of Technology. Engineering Systems Division.Consultado el 12-Dic-2022, de: https://dspace.mit.edu/handle/1721.1/102741

Tamayo-y-Orozco, J., y Lastiri Quiros, S. (2016). La enfermedad renal crónica en México: Hacia una política nacional para enfrentarla. Intersistemas, Ciudad de México.

Torres-Toledano, M., Granados-García, V., y López-Ocaña, L. R. (2017). Global burden of disease of chronic kidney disease in Mexico. Revista Medica Del Instituto Mexicano Del Seguro Social, 55(Suppl 2), S118-123.

Trochim, W. M., Cabrera, D. A., Milstein, B., Gallagher, R. S., y Leischow, S. J. (2006). Practical Challenges of Systems Thinking and Modeling in Public Health. American Journal of Public Health, 96(3), 538-546. https://doi.org/10.2105/AJPH.2005.066001 DOI: https://doi.org/10.2105/AJPH.2005.066001

Valdez-Ortiz, R., Navarro-Reynoso, F., Olvera-Soto, M. G., Martin-Alemañy, G., Rodríguez-Matías, A., Hernández-Arciniega, C. R., Cortes-Pérez, M., Chávez-López, E., García-Villalobos, G., Hinojosa-Heredia, H., Camacho-Aguirre, A. Y., Valdez-Ortiz, Á., Cantú-Quintanilla, G., Gómez-Guerrero, I., Reding, A., Pérez-Navarro, M., Obrador, G., Y Correa-Rotter, R. (2018). Mortality in Patients With Chronic Renal Disease Without Health Insurance in Mexico: Opportunities for a National Renal Health Policy. Kidney International Reports, 3(5), 1171-1182. https://doi.org/10.1016/j.ekir.2018.06.004 DOI: https://doi.org/10.1016/j.ekir.2018.06.004

Vennix, J. A. M. (1999). Group model-building: Tackling messy problems. System Dynamics Review, 15(4), 379-401. https://doi.org/10.1002/(SICI)1099-1727(199924)15:4<379::AID-SDR179>3.0.CO;2-E DOI: https://doi.org/10.1002/(SICI)1099-1727(199924)15:4<379::AID-SDR179>3.0.CO;2-E

Villalvazo, P., Carriazo, S., Martin-Cleary, C., Y Ortiz, A. (2021). Aguascalientes: One of the hottest chronic kidney disease (CKD) hotspots in Mexico and a CKD of unknown aetiology mystery to be solved. Clinical Kidney Journal, 14(11), 2285-2294. https://doi.org/10.1093/ckj/sfab136 DOI: https://doi.org/10.1093/ckj/sfab136

Wang, Y., Hu, B., Zhao, Y., Kuang, G., Zhao, Y., Liu, Q., Y Zhu, X. (2021). Applications of System Dynamics Models in Chronic Disease Prevention: A Systematic Review. Preventing Chronic Disease, 18, E103. https://doi.org/10.5888/pcd18.210175 DOI: https://doi.org/10.5888/pcd18.210175

Yinusa, A., Faezipour, M., Y Faezipour, M. (2022). A Study on CKD Progression and Health Disparities Using System Dynamics Modeling. Healthcare, 10(9), Art. 9. https://doi.org/10.3390/healthcare10091628 DOI: https://doi.org/10.3390/healthcare10091628