Merging Participatory Action Research and System Dynamics as a Locus for Transformation in a Large Scale Hospital Setting

In this paper, we report on the utility of merging Participatory Action Research (PAR) with System Dynamics (SD) as a locus for stimulating transformation in large-scale hospital academic setting. This is significant because it provides points cross fertilisation whereby two frameworks act synergistically each other to create high leverage interventions change, which may otherwise not have been apparent. Coupled within SD auspice, there was synergistic blend uncovering an overall ecological view public health care system. The PAR methodology located epistemological realm critical theory and constructivism, facilitating positive social change viewed be key outcome such research. has confirmed by researchers prioritizing necessity departure from traditional expert-led system, evolving into one supports empowerment patients health-care workers necessity. However, implementation improvements straightforward initially projected. Some challenges included slow assimilation proposed solutions planned paucity engagement upstream stakeholders. value paper can potentially serve encourage stakeholders systems consider viewing complexity through lens SD.