University of Stirling, Department of Nursing and Midwifery, Stirling, UK.
J Health Serv Res Policy. 2010 Jan;15(1):59-61. doi: 10.1258/jhsrp.2009.009072. Epub 2009 Sep 23.
The way in which complexity is usually interpreted in the health care literature misses the whole point of complexity theory, thanks to an influential but misleading series of articles in the BMJ. Complexity provides an explanation of patterns and structures in certain systems by modelling known outcomes at the global level in terms of stimulus-response rules governing the unilateral, non-intentional behaviour of individual units comprising the system. The BMJ articles overlook the explanatory function of complex systems, restore the link between order and design which complexity thinking disrupts, and interpret purely mathematical concepts in psychological terms. As a consequence, the health care literature typically regards complexity as a variation on democratic, collaborative, 'bottom-up' methods for the management of change in systems.
由于《英国医学杂志》上一系列有影响力但具有误导性的文章，医疗文献中对复杂性的解释方式完全偏离了复杂性理论的要点。复杂性通过在全球层面上根据刺激-反应规则来模拟已知结果，为某些系统中的模式和结构提供了解释，这些规则支配着构成系统的各个单元的单边、非故意的行为。《英国医学杂志》的文章忽略了复杂系统的解释功能，恢复了复杂性思维所打破的秩序与设计之间的联系，并从心理学角度来解释纯粹的数学概念。因此，医疗文献通常将复杂性视为一种变化，即民主、协作、“自下而上”的方法，用于管理系统中的变化。
