Using complexity theory to build interventions that improve health care delivery in primary care.

Journal of General Internal Medicine
David LitakerDavid Aron

Abstract

Previous observational research confirms abundant variation in primary care practice. While variation is sometimes viewed as problematic, its presence may also be highly informative in uncovering ways to enhance health care delivery when it represents unique adaptations to the values and needs of people within the practice and interactions with the local community and health care system. We describe a theoretical perspective for use in developing interventions to improve care that acknowledges the uniqueness of primary care practices and encourages flexibility in the form of intervention implementation, while maintaining fidelity to its essential functions.

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Citations

Dec 24, 2008·Administration and Policy in Mental Health·Enola K ProctorBrian Mittman
May 15, 2010·Journal of General Internal Medicine·Kurt C StangeJames M Gill
Feb 9, 2012·Health Care Management Review·Polly Hitchcock NoëlMichael L Parchman
Jun 7, 2008·BMJ : British Medical Journal·Alan ShiellLisa Gold
Mar 28, 2009·Health Research Policy and Systems·Gerald E CritesJames Nishikawa
Jan 13, 2010·Annals of Family Medicine·Kurt C Stange
Jun 3, 2010·Clinical Interventions in Aging·Malaz A BoustaniChristopher M Callahan
Jan 25, 2012·Bulletin of the World Health Organization·Mike EnglishJim Todd
Jan 21, 2012·Health Care Management Review·Kalin McKennaReuben R McDaniel
Mar 2, 2012·Clinical and Translational Science·Russell E Glasgow, David Chambers
Dec 14, 2011·Worldviews on Evidence-based Nursing·Lynn Schuster, Diane E Nuñez
May 25, 2012·Journal of the National Cancer Institute. Monographs·Kurt C StangeRussell E Glasgow
Jan 10, 2019·Journal of General Internal Medicine·Mónica Perez JollesBrian S Mittman
May 24, 2019·The International Journal of Health Planning and Management·Sara A Kreindler

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