Ratnapalan Savithiri, Lang Daniel
Author Affiliations: University of Toronto (Dr Ratnapalan) and Hospital for Sick Children (Dr Lang), Toronto, Ontario, Canada.
Health Care Manag (Frederick). 2020 Jan/Mar;39(1):18-23. doi: 10.1097/HCM.0000000000000284.
Health care organizations that deliver health care to a population are a major constituent of health care systems in many countries. Although some of the components of a health care organization may function as a simple or complicated system where interventions would yield the expected results, many parts of it function as complex systems within the organization. As such, is not always possible to predict changes or the effects of interventions on these systems due to their complex nature. Appreciation of the complex nature of health care systems and characteristics of these complex systems and their networks are necessary to manage health care organizations and changes in health care. This article described different types of systems and discusses why health care organizations are considered complex adaptive systems.
为人群提供医疗服务的医疗机构是许多国家医疗系统的主要组成部分。尽管医疗机构的某些组成部分可能作为一个简单或复杂的系统运行,在其中进行干预会产生预期结果,但该机构的许多部分在组织内部作为复杂系统运行。因此,由于其复杂的性质,并不总是能够预测这些系统的变化或干预措施的效果。认识到医疗系统的复杂性质以及这些复杂系统及其网络的特征,对于管理医疗机构和医疗保健方面的变革是必要的。本文描述了不同类型的系统,并讨论了为什么医疗机构被视为复杂适应系统。