McDaniel Reuben R, Driebe Dean J, Lanham Holly Jordan
Adv Health Care Manag. 2013;15:3-26. doi: 10.1108/s1474-8231(2013)0000015007.
We discuss the impact of complexity science on the design and management of health care organizations over the past decade. We provide an overview of complexity science issues and their impact on thinking about health care systems, particularly with the rising importance of information systems. We also present a complexity science perspective on current issues in today's health care organizations and suggest ways that this perspective might help in approaching these issues.
We review selected research, focusing on work in which we participated, to identify specific examples of applications of complexity science. We then take a look at information systems in health care organizations from a complexity viewpoint.
Complexity science is a fundamentally different way of understanding nature and has influenced the thinking of scholars and practitioners as they have attempted to understand health care organizations. Many scholars study health care organizations as complex adaptive systems and through this perspective develop new management strategies. Most important, perhaps, is the understanding that attention to relationships and interdependencies is critical for developing effective management strategies.
Increased understanding of complexity science can enhance the ability of researchers and practitioners to develop new ways of understanding and improving health care organizations.
ORIGINALITY/VALUE: This analysis opens new vistas for scholars and practitioners attempting to understand health care organizations as complex adaptive systems. The analysis holds value for those already familiar with this approach as well as those who may not be as familiar.
我们探讨了复杂性科学在过去十年对医疗保健组织设计与管理的影响。我们概述了复杂性科学问题及其对医疗保健系统思维的影响，尤其是在信息系统重要性不断上升的情况下。我们还从复杂性科学的角度审视了当今医疗保健组织中的当前问题，并提出了该视角可能有助于解决这些问题的方法。
我们回顾了部分研究，重点关注我们参与的工作，以确定复杂性科学应用的具体实例。然后我们从复杂性的角度审视医疗保健组织中的信息系统。
复杂性科学是一种从根本上不同的理解自然的方式，在学者和从业者试图理解医疗保健组织时影响了他们的思维。许多学者将医疗保健组织视为复杂适应系统，并通过这一视角制定新的管理策略。也许最重要的是认识到关注关系和相互依存对于制定有效的管理策略至关重要。
对复杂性科学的更多理解可以增强研究人员和从业者开发理解和改善医疗保健组织新方法的能力。
原创性/价值：该分析为试图将医疗保健组织理解为复杂适应系统的学者和从业者开辟了新视野。该分析对那些已经熟悉这种方法的人以及那些可能不太熟悉的人都有价值。
