Department of Economics, University of Messina, Messina, Italy.
Int J Health Policy Manag. 2023;12:7690. doi: 10.34172/ijhpm.2022.7690. Epub 2022 Nov 27.
"Healthcare is complex" - or similar sentences - is a statement that introduces a wide number of scientific articles dealing with health policy and management issues. We all agree that healthcare is complex, but most studies, although using this kind of sentence to introduce their background, do little to effectively deal with such complexity in their analyses. Holmström et al proposed a methodological approach to tackle healthcare complexity by integrating system dynamics (SD) into action research (AR). This commentary highlights three touch points that makes the combination of AR and SD feasible, namely the epistemological ground, the use of experimentation and the collaborative approach. The proposed approach addresses some of the key sources of the complexity characterizing healthcare settings.
“医疗保健是复杂的”——或类似的句子——是一个在许多涉及卫生政策和管理问题的科学文章中都会出现的陈述。我们都同意医疗保健是复杂的，但大多数研究虽然使用这种句子来介绍其背景，但在分析中很少有效地处理这种复杂性。Holmström 等人提出了一种通过将系统动力学（SD）整合到行动研究（AR）中来解决医疗保健复杂性的方法。本评论强调了使 AR 和 SD 相结合可行的三个关键点，即认识论基础、实验的使用和协作方法。所提出的方法解决了一些构成医疗保健环境复杂性的关键来源。
