Ong Natalie, Long Janet, Woodruff James
Children's Hospital at Westmead Clinical School.
Australian Institute of Health Innovation.
MedEdPublish (2016). 2021 Sep 27;9:186. doi: 10.15694/mep.2020.000186.2. eCollection 2020.
This article was migrated. The article was marked as recommended. Healthcare improvement initiatives have not led to expected changes in patient population outcomes over the last decade. This can, in part, be explained by overly reductionist approaches in medical practice and education. This article describes some insights and experiences using a Complex Adaptive Systems approach in the conceptualisation of an in-service training program and reflections on elements that may lead to enhanced practice behaviours and system improvements.
本文已迁移。该文章被标记为推荐文章。在过去十年中,医疗保健改进举措并未在患者群体的治疗效果上带来预期的变化。这在一定程度上可以通过医学实践和教育中过于简化的方法来解释。本文描述了在在职培训项目概念化过程中使用复杂适应系统方法的一些见解和经验,并对可能导致实践行为改善和系统改进的因素进行了思考。