Sturmberg Joachim P
Department of General Practice, Monash University, Melbourne, Australia.
Aust Fam Physician. 2007 Mar;36(3):170-3.
Many problems encountered in general practice cannot be sufficiently explained within the Newtonian reductionist paradigm. Systems and complexity thinking - already widely adopted in most nonmedical disciplines - describes and explores the contextual nature of questions posed in medicine, and in general practice in particular. This article briefly describes the framework underpinning systems and complexity sciences. A case study illustrates how systems and complexity thinking can help to better understand the contextual nature of patient presentations, and how different approaches will lead to different outcomes.
全科医疗中遇到的许多问题无法在牛顿式还原论范式内得到充分解释。系统与复杂性思维——已在大多数非医学学科中广泛采用——描述并探索了医学尤其是全科医疗中所提出问题的背景性质。本文简要描述了支撑系统与复杂性科学的框架。一个案例研究说明了系统与复杂性思维如何有助于更好地理解患者临床表现的背景性质，以及不同方法如何导致不同结果。
