PMID: 11934378Apr 6, 2002Paper

The demise of linearity in managing health services: a call for post normal health care

Journal of Health Services Research & Policy
David Kernick

Abstract

The emerging science of complex adaptive systems offers a complementary perspective on organisational analysis and is already finding an application within health care. The emphasis moves away from the features of normal science (analysis, prediction and control) to focus instead on the configuration of relationships among the system's components and an understanding of what creates patterns of order and behaviour among them. The important features are connectivity, recursive feedback, diversity and the existence of self-ordering rules that give systems the capacity to emerge to new patterns of order. This paper describes some of these complexity insights and their application to health care delivery and development.

Citations

Aug 12, 2010·Journal of Health Organization and Management·Chris MowlesJane Fox
Jan 13, 2004·BMJ : British Medical Journal·David Kernick
Sep 1, 2009·Journal of Interprofessional Care·David Kernick, Annie Mitchell
Jan 22, 2005·Journal of Evaluation in Clinical Practice·David Kernick
Jun 15, 2007·Scandinavian Journal of Caring Sciences·Cary A Brown
Oct 13, 2010·The International Journal of Health Planning and Management·Ulla WihlmanRuno Axelsson
Apr 13, 2010·Journal of Health Services Research & Policy·Brice Dattée, James Barlow
Feb 9, 2013·Journal of Health Services Research & Policy·Sara E Shaw, Rebecca Rosen
Sep 11, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Abdolvahab Baghbanian, Ghazal Torkfar
Aug 15, 2017·Frontiers in Public Health·Elena BorianiSimon R Rüegg
Apr 10, 2003·Journal of Health Services Research & Policy·David Kernick
Mar 15, 2019·BMC Health Services Research·Farina HodiamontClaudia Bausewein

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