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医疗保健复杂适应系统中的连接、沟通和协作 述评:“利用复杂性和网络概念为医疗保健知识转化提供信息”

Connections, Communication and Collaboration in Healthcare's Complex Adaptive Systems Comment on "Using Complexity and Network Concepts to Inform Healthcare Knowledge Translation".

机构信息

School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, VIC, Australia.

Alfred Health, Melbourne, VIC, Australia.

出版信息

Int J Health Policy Manag. 2018 Jun 1;7(6):556-559. doi: 10.15171/ijhpm.2017.138.

Abstract

A more sophisticated understanding of the unpredictable, disorderly and unstable aspects of healthcare organisations is developing in the knowledge translation (KT) literature. In an article published in this journal, Kitson et al introduced a new model for KT in healthcare based on complexity theory. The Knowledge Translation Complexity Network Model (KTCNM) provides a fresh perspective by making the complexity inherent in complex systems overt. The model encourages a whole system view and focuses on the interdependent relationships between actions, interactions and actors. Taking a systems approach assists our understanding of the connections, communication and collaboration necessary to promote knowledge mobilisation and facilitate the adoption of change. With further development, this could enable the targeting of more effective strategies across the various stakeholders and levels of service, fostering redesign and innovation.

摘要

知识转化(KT)文献中逐渐形成了一种对医疗保健组织中不可预测、无序和不稳定方面更复杂的理解。在本期刊上发表的一篇文章中,Kitson 等人基于复杂理论引入了一种新的医疗保健知识转化模型。知识转化复杂性网络模型(KTCNM)通过使复杂系统中固有的复杂性变得明显,提供了一个新视角。该模型鼓励采用整体系统视角,并专注于行动、相互作用和参与者之间相互依存的关系。采用系统方法有助于我们理解促进知识传播和促进变革采用所需的联系、沟通和协作。随着进一步发展,这可以使在各个利益相关者和服务层面上更有效地实施策略成为可能,促进重新设计和创新。

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