思考卫生系统的转变：从蓝图卫生规划转向卫生系统的弹性 评论“在卫生系统中应用系统思维概念的制约因素：从东地中海国家利益攸关方调查中得到的区域观点”。
Thinking shift on health systems: from blueprint health programmes towards resilience of health systems Comment on "Constraints to applying systems thinking concepts in health systems: A regional perspective from surveying stakeholders in Eastern Mediterranean countries".
机构信息
Clinical Research Department, London School of Hygiene and Tropical Medicine, London, UK.
出版信息
Int J Health Policy Manag. 2015 Mar 3;4(5):307-9. doi: 10.15171/ijhpm.2015.49.
Abstract
International health is still highly dominated by equilibrium approaches. The emergence of systems thinking in international health provides a great avenue to develop innovative health interventions adapted to changing contexts. The public health community, nevertheless, has the responsibility to translate concepts related to systems thinking and complexity into concrete research methods and interventions. One possibility is to consider the properties of systems such as resilience and adaptability as entry points to better understand how health systems react to shocks.
摘要
国际卫生仍然高度由平衡方法主导。系统思维在国际卫生中的出现为开发适应不断变化的环境的创新卫生干预措施提供了很好的途径。然而，公共卫生界有责任将与系统思维和复杂性相关的概念转化为具体的研究方法和干预措施。一种可能性是将系统的属性（如弹性和适应性）视为切入点，以更好地了解卫生系统如何应对冲击。
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