Faculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UK.
Applied Systems Thinking in Practice group, The Open University, Walton Hall, Milton Keynes MK7 6AA, UK.
Health Promot Int. 2024 Aug 1;39(4). doi: 10.1093/heapro/daae086.
Systems thinking has been recognized as valuable to public health policy, research and practice. Commentators and reviews have highlighted that there is still much to be done to embrace its potential. Here, we highlight that much of the discourse about systems thinking in, and for, public health supports the pursuit of a narrow path and is limited with respect to the lineages of Systems that are embraced. We invite readers to see the potential of systems thinking in pursuing a broader path which is motivated by a concern for alleviating health inequalities. This does not replace the narrow path but encompasses it. It prompts different considerations with respect to the nature of the transformation, partnership working and legitimacy. It also invites a different way of engaging with systems thinking and different ways of conceptualizing and managing change. The broad path both requires, and helps enhance, new ways of doing, relating, organizing, knowing and framing which are vital for the future of public health as a global concern.
系统思维已被公认为对公共卫生政策、研究和实践具有价值。评论员和评论文章强调，要充分发挥其潜力，还有很多工作要做。在这里，我们强调的是，公共卫生领域中关于系统思维的讨论大多支持追求狭隘的道路，并且在系统的渊源方面受到限制。我们邀请读者看到系统思维在追求更广泛的道路上的潜力，这种道路是出于缓解健康不平等的关注。这并没有取代狭隘的道路，而是包含了它。它促使人们对变革的性质、伙伴关系工作和合法性进行不同的考虑。它还邀请人们以不同的方式参与系统思维，并以不同的方式概念化和管理变革。这条广泛的道路既需要，也有助于增强新的做事方式、新的关系建立方式、新的组织方式、新的认知方式和新的框架构建方式，这些对于将公共卫生作为全球关注的问题来应对未来的挑战至关重要。
