Abstract

System dynamics models are widely used for applications in health care. Modelling of different reimbursement sys-tems is a comparatively new field of application. This pa-per tries to identify the core dynamic structures and feed-back loops that drive such models. We created a simplified model of physician reimbursement that includes the inter-action between patients, their disease state, and the pres-sures on physician behaviour from reimbursement and their workload. Several simulated scenarios show that its behaviour is plausible and in line with theories on the influence of different reimbursement systems.