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This idea-packed resource takes systems and complexity sciences out
of blue-sky territory and into the concrete world of contemporary
healthcare practice. Beginning with a new reframing of health and
illness, its chapters redesign traditional disease-centered models
of care into modern, health-centered-and patient-centered-health
service systems. The approaches shown here combine innovation and
common sense to recognize and attend to patients' needs across
areas including health education and training, information
accessibility, health service organization and delivery, and
disease in individual context. The variety of solutions applied to
this wide spectrum of issues shows the suitability of systems,
complexity, and adaptive thinking to the ongoing objectives of
making health services more responsive, effective, and equitable.
Highlights of the coverage: Healthy smoker: an oxymoron? Maybe, but
it is more complicated than that Transforming monitoring and
improving care with variability-derived clinical decision support
Linking Gulf War illness to genome instability, somatic evolution,
and complex adaptive systems Complexity of knowledge in primary
care: understanding the discipline's requisite knowledge: a
bibliometric study New ways of knowing and researching: integrating
complexity into a translational health sciences program
Understanding the emergency department ecosystem using agent-based
modelling Putting Systems and Complexity Sciences into Practice is
an inspiring idea book that sill interest health policymakers,
health financiers, organizational leaders, healthcare
administrators, clinicians, researchers, students, and interested
lay readers.
This visionary reframing of health and healthcare uses a complexity
science approach to building healthcare systems that are
accessible, effective, and prepared for change and challenges. Its
holistic map for understanding the human organism emphasizes the
interconnectedness of the individual's physical, psychological,
cognitive, and sociocultural functioning. Applications of this
approach are described in primary, specialist, and emergency care
and at the organizational and policy levels, from translating
findings to practice, to problem solving and evaluation. In this
model, the differences between disease and illness and treating
illness and restoring health are not mere wordplay, but instead are
robust concepts reflecting real-world issues and their solutions.
Based on the Proceedings of the 1st International Conference of
Systems and Complexity for Healthcare, topics covered include: *
Coping with complexity and uncertainty: insights from studying
epidemiology in family medicine * Anticipation in complex systems:
potential implications for improving safety and quality in
healthcare * Monitoring variability and complexity at the bedside *
Viewing mental health through the lens of complexity science *
Ethical complexities in systems healthcare: what care and for whom?
* The value of systems and complexity thinking to enable change in
adaptive healthcare organizations supported by informatics * If the
facts don't fit the theory, change the theory: implications for
health system reform The Value of Systems and Complexity Sciences
for Healthcare will interest and inspire health and disease
researchers, health professionals, health care planners, health
system financiers, health system administrators, health services
administrators, health professional educators, and, last but not
least, current and future patients.
This forward-looking volume challenges professionals and interested
lay readers to reconsider our ways of looking at health and
wellness, illness and disease, and the goals of health/healthcare
systems. Reframing health systems as complex adaptive systems, the
book identifies health care as a central aspect of social care and
security for all people, particularly the most vulnerable. From
there, the author outlines necessary organizational, design,
medical, and community steps toward building health systems that
view and practice health care as a human right and can produce
optimum care in the long term. And extensive illustrations display
effective collaborative problem solving within these systems, in
both intriguing theoretical models and the real world. Highlights
of the coverage: * Systems and complexity thinking in health and
health care * Redesign based on "first principles" * Redesign from
an organizational perspective * Working together effectively and
efficiently to achieve a common purpose * Analyzing "the workings"
of health systems as complex adaptive systems * Person-centered,
equitable, and sustainable health systems: achieving the goal
Health System Redesign brings a voice and a vision to the most
pressing problems in healthcare service delivery, and offers new
goals and purpose to health policymakers, health financiers,
organizational leaders, clinicians, and concerned members of the
local community
This detailed volume illustrates the transformative nature of
systems and complexity sciences for practice, research, education,
and health system organization. Researchers highlight the fresh
perspectives and novel approaches offered by these
interdisciplinary fields in addressing the complexities of global,
national, and community health challenges in the 21st century. With
the implications that these emerging fields hold for health still
relatively underexplored, researchers from a wide variety of
disciplines, including physiological, social, environmental,
clinical, prevention, educational, organizational, finance, and
policy domains, aim in this book to suggest future directions in
health care and highlight recent advances in basic and clinical
physiology, education, policy-making, and leadership. Among the
topics discussed: Impact of genomic heterogeneity on bio-emergent
properties Harnessing Big Data to improve health services
Decision-making of women in violent relationships Co-producing
healthcare interventions A socio-ecological solution to physician
burnout Embracing Complexity in Health: The Transformation of
Science, Practice, and Policy is a highly relevant resource to
practitioners in the field, students, instructors, and policy
makers, and also should find an engaged audience among health and
disease researchers, healthcare planners, health system financiers,
health system administrators, health services administrators,
health professional educators, and other health professionals. The
trans- and interdisciplinary natures of health and health care are
fostering a broad discourse amongst all concerned with improving
patient care in an equitable and sustainable way.
This book is an introduction to health care as a complex adaptive
system, a system that feeds back on itself. The first section
introduces systems and complexity theory from a science,
historical, epistemological, and technical perspective, describing
the principles and mathematics. Subsequent sections build on the
health applications of systems science theory, from human
physiology to medical decision making, population health and health
services research. The aim of the book is to introduce and expand
on important population health issues from a systems and complexity
perspective, highlight current research developments and their
implications for health care delivery, consider their ethical
implications, and to suggest directions for and potential pitfalls
in the future.
This idea-packed resource takes systems and complexity sciences out
of blue-sky territory and into the concrete world of contemporary
healthcare practice. Beginning with a new reframing of health and
illness, its chapters redesign traditional disease-centered models
of care into modern, health-centered-and patient-centered-health
service systems. The approaches shown here combine innovation and
common sense to recognize and attend to patients' needs across
areas including health education and training, information
accessibility, health service organization and delivery, and
disease in individual context. The variety of solutions applied to
this wide spectrum of issues shows the suitability of systems,
complexity, and adaptive thinking to the ongoing objectives of
making health services more responsive, effective, and equitable.
Highlights of the coverage: Healthy smoker: an oxymoron? Maybe, but
it is more complicated than that Transforming monitoring and
improving care with variability-derived clinical decision support
Linking Gulf War illness to genome instability, somatic evolution,
and complex adaptive systems Complexity of knowledge in primary
care: understanding the discipline's requisite knowledge: a
bibliometric study New ways of knowing and researching: integrating
complexity into a translational health sciences program
Understanding the emergency department ecosystem using agent-based
modelling Putting Systems and Complexity Sciences into Practice is
an inspiring idea book that sill interest health policymakers,
health financiers, organizational leaders, healthcare
administrators, clinicians, researchers, students, and interested
lay readers.
This forward-looking volume challenges professionals and interested
lay readers to reconsider our ways of looking at health and
wellness, illness and disease, and the goals of health/healthcare
systems. Reframing health systems as complex adaptive systems, the
book identifies health care as a central aspect of social care and
security for all people, particularly the most vulnerable. From
there, the author outlines necessary organizational, design,
medical, and community steps toward building health systems that
view and practice health care as a human right and can produce
optimum care in the long term. And extensive illustrations display
effective collaborative problem solving within these systems, in
both intriguing theoretical models and the real world. Highlights
of the coverage: * Systems and complexity thinking in health and
health care * Redesign based on "first principles" * Redesign from
an organizational perspective * Working together effectively and
efficiently to achieve a common purpose * Analyzing "the workings"
of health systems as complex adaptive systems * Person-centered,
equitable, and sustainable health systems: achieving the goal
Health System Redesign brings a voice and a vision to the most
pressing problems in healthcare service delivery, and offers new
goals and purpose to health policymakers, health financiers,
organizational leaders, clinicians, and concerned members of the
local community
This visionary reframing of health and healthcare uses a complexity
science approach to building healthcare systems that are
accessible, effective, and prepared for change and challenges. Its
holistic map for understanding the human organism emphasizes the
interconnectedness of the individual's physical, psychological,
cognitive, and sociocultural functioning. Applications of this
approach are described in primary, specialist, and emergency care
and at the organizational and policy levels, from translating
findings to practice, to problem solving and evaluation. In this
model, the differences between disease and illness and treating
illness and restoring health are not mere wordplay, but instead are
robust concepts reflecting real-world issues and their solutions.
Based on the Proceedings of the 1st International Conference of
Systems and Complexity for Healthcare, topics covered include: *
Coping with complexity and uncertainty: insights from studying
epidemiology in family medicine * Anticipation in complex systems:
potential implications for improving safety and quality in
healthcare * Monitoring variability and complexity at the bedside *
Viewing mental health through the lens of complexity science *
Ethical complexities in systems healthcare: what care and for whom?
* The value of systems and complexity thinking to enable change in
adaptive healthcare organizations supported by informatics * If the
facts don't fit the theory, change the theory: implications for
health system reform The Value of Systems and Complexity Sciences
for Healthcare will interest and inspire health and disease
researchers, health professionals, health care planners, health
system financiers, health system administrators, health services
administrators, health professional educators, and, last but not
least, current and future patients.
This work contains foreword by Ian R McWhinney, Emeritus Professor
of General Practice, Schulich School of Medicine and Dentistry,
Centre for Studies in Family Medicine University of Western
Ontario, Canada. This ground-breaking book encourages a re-focus on
the subjective and social nature of health and illness. It helps
healthcare professionals find fresh perspectives to assist
patients, many of whom are threatened by and lost in a healthcare
system dominated by diseases and procedures. The book takes a whole
systems approach to primary care, incorporating new developments,
social aspects, critical discourse, international perspectives, and
the history and philosophy of medicine. It is a stimulating and
inspiring read for general practitioners and other primary
healthcare professionals, undergraduate and postgraduate medical
students, healthcare educators, academics, and primary care
researchers. Healthcare policy makers and shapers will value its
lucid account of complex issues. 'Joachim Sturmberg has written an
important book, which I sincerely hope the reformers of our health
care system will study carefully. It is also a riveting read. With
great erudition and strong arguments, Sturmberg lays out a plan
which leads to a goal to which we all aspire - a health care system
based on primary care and primary health care which expresses the
historic values of medicine and adapts itself to the complexity of
modern medicine. A must read for anyone who has the interests of
primary care at heart.' - Ian R McWhinney, in the Foreword.
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