“…The above review briefly introduced some approaches to investigating ESI from a systemic perspective. In this sense, Paucar-Caceres et al (2022) indicated that the most frequently used tools include SSM (Checkland, 2001), the viable system model (Martinez-Lozada and Espinosa, 2022), system dynamics (Sánchez-García et al , 2023), network analysis and multicriteria methods (Saaty, 2004; Adeoye et al , 2021; Jaiswal et al , 2021). In this context, SSM has been helpful as a heuristic for identifying significant actors in terms of ESI, secondary but necessary actors, and uncovering pathological relationships to build a mental model of how a change in pathological relationships can be generated (Núñez-Ríos et al , 2022).…”