A participative modelling framework for developing conceptual models in healthcare simulation studies

Conceptual modelling, one of the first stages in a simulation study, is about understanding the situation under study and deciding what and how to model. We argue that stakeholder involvement as part of conceptual modelling could lead to a more successful simulation study with better prospects for implementation. Our work is mainly applied in health care studies, which are characterized by many stakeholders with multiple views and objectives and often a politically charged environment. We develop a participative conceptual modelling framework, which uses tools from soft systems methodology, a problem structuring approach. The benefit of this approach lies in that it supports the conceptual modelling process by engaging stakeholders in a structured and participative way. It involves facilitated workshops, using a set of tools developed. A case study of the conceptual modelling process undertaken for an obesity system is provided to illustrate the proposed framework and tools.