 This study examined the use of system dynamics, SD, in action research, AR, to improve health care. It found that SD can provide a platform for experiential learning in the AR process, which can lead to better outcomes than traditional top-down implementation. The results were tailored to local needs and circumstances, improving the likelihood of sustainable actualization. This article was authored by Paul Holmstrom, Thomas Bjork Erickson, Paul Davidson, and others.