A system dynamics approach to jurisdictional conflict between a major and a minor healthcare profession

The purpose of this research was to evaluate strategies that a minor profession might successfully undertake to gain market share held by a dominant player when a jurisdiction is contested. A case study approach positing Medicine as the dominant (major) profession and chiropractic as the competitor...

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Bibliographic Details
Published in:Systems research and behavioral science 2010-11, Vol.27 (6), p.639-652
Main Author: McGregor, Marion
Format: Article
Language:English
Subjects:
Case studies
chiropractic
Competition
Dynamic models
Health care industry
Jurisdiction
Market share
Market shares
Medical personnel
medicine
Monopolies
Professions
Studies
system dynamics
System theory
Systems analysis
Systems theory
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Summary:The purpose of this research was to evaluate strategies that a minor profession might successfully undertake to gain market share held by a dominant player when a jurisdiction is contested. A case study approach positing Medicine as the dominant (major) profession and chiropractic as the competitor (minor profession) was used in combination with System Dynamics modelling. Informed by theory of inter‐professional competition, two strategies were hypothesized to aid a minor profession in gaining or securing market share. The first was an increase in knowledge and the second was an increase in professional association membership. In addition, it was hypothesized that an increase in supply of the dominant profession would adversely affect the minor profession's bid for jurisdictional control, as would pressure on the major profession from external sources such as health management. It was concluded that for the relationships explored, simulation results favoured Medicine's monopoly power. Copyright © 2010 John Wiley & Sons, Ltd.
ISSN:1092-7026
1099-1743
DOI:10.1002/sres.1034