Suppr超能文献

从社会医学创新的角度看还原论和复杂性方法的兼容性。

The compatibility of reductionistic and complexity approaches in a sociomedical innovation perspective.

机构信息

Primary and Community care, Radboud university medical center, Radboud Institute for Health Sciences, Nijmegen, Gelderland, Netherlands

Institute for Science in Society, Radboud University Nijmegen, Nijmegen, Gelderland, Netherlands.

出版信息

BMJ Glob Health. 2020 Dec;5(12). doi: 10.1136/bmjgh-2020-003858.

Abstract

Medical technologies, e-health and personalised medicine are rapidly changing the healthcare landscape. Successful implementation depends on interactions between the technology, the actors and the context. More traditional reductionistic approaches aim to understand isolated factors and linear cause-effect relations and have difficulties in addressing inter-relatedness and interaction. Complexity theory offers a myriad of approaches that focus specifically on behaviour and mechanisms that emerge from interactions between involved actors and the environment. These approaches work from the assumption that change does not take place in isolation and that interaction and inter-relatedness are central concepts to study. However, developments are proceeding fast and along different lines. This can easily lead to confusion about differences and usefulness in clinical and healthcare research and practice. Next to this, reductionistic and complexity approaches have their own merits and much is to be gained from using both approaches complementary. To this end, we propose three lines in complexity research related to health innovation and discuss ways in which complexity approaches and reductionistic approaches can act compatibly and thereby strengthen research designs for developing, implementing and evaluating health innovations.

摘要

医疗技术、电子健康和个性化医疗正在迅速改变医疗保健领域。成功实施取决于技术、参与者和环境之间的相互作用。更传统的还原论方法旨在理解孤立的因素和线性因果关系,难以解决相关性和相互作用。复杂性理论提供了无数种方法,专门关注涉及的参与者和环境之间相互作用产生的行为和机制。这些方法的假设是,变化不是孤立发生的,相互作用和相关性是研究的核心概念。然而,发展速度很快,而且方向也不同。这很容易导致混淆,特别是在临床和医疗保健研究和实践中,关于差异和有用性的混淆。除此之外,还原论和复杂性方法都有其自身的优点,从互补的角度使用这两种方法可以获得很多好处。为此,我们提出了与健康创新相关的复杂性研究的三个方面,并讨论了复杂性方法和还原论方法如何兼容地发挥作用,从而加强开发、实施和评估健康创新的研究设计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7906/7716664/21798549f7c0/bmjgh-2020-003858f01.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验