Lindberg C, Herzog A, Merry M, Goldstein J
Complexity Management, USA.
Physician Exec. 1998 Jan-Feb;24(1):6-20.
The authors explore complexity science, a relatively new field of inquiry, which holds for both clinicians and health care leaders the real possibility of stimulating fresh insights and approaches to health and medical care-both its provision and its organization. Two case studies are presented to illustrate how complexity theory can provide health care leaders with a new perspective on how to address the myriad challenges they confront daily: (1) a patient with dissociative identity disorder; and (2) a physician task group charged to advise on hospital medical staff reorganization and governance. These case studies help clinicians and leaders of health care organizations understand how complexity: (1) may be relevant, even helpful, as they consider difficult challenges in both patient and organizational management; and (2) might emerge as a synthesizing force as they face the extraordinarily complicated task of jointly creating integrated health care systems. A resource section is provided for those who may wish to further pursue the topic.
作者们探讨了复杂性科学,这是一个相对较新的研究领域,它为临床医生和医疗保健领导者提供了真正的可能性,即激发关于健康和医疗保健(包括其提供和组织)的新见解和方法。文中给出了两个案例研究,以说明复杂性理论如何能为医疗保健领导者提供一个新视角,来应对他们日常面临的众多挑战:(1)一名患有分离性身份障碍的患者;(2)一个负责就医院医务人员重组和管理提供建议的医生任务小组。这些案例研究有助于临床医生和医疗保健组织的领导者理解复杂性如何:(1)在他们考虑患者管理和组织管理中的难题时可能具有相关性,甚至是有帮助的;(2)在他们面对共同创建综合医疗保健系统这一极其复杂的任务时可能成为一种整合力量。还为那些可能希望进一步探讨该主题的人提供了一个资源板块。