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复杂系统知识管理模型的提议:以哥伦比亚卫生系统的监督与控制子系统为例

Proposal of a Knowledge Management Model for Complex Systems: Case of the Supervision and Control Subsystem of the Colombian Health System.

作者信息

Rodríguez-Páez Fredy G, Cabrera-Moya Diego, Herrera-Cuartas Jorge Aurelio

机构信息

Faculty of Economic and Administrative Sciences, Universidad de Bogotá Jorge Tadeo Lozano, Bogotá 110311, Colombia;

Faculty of Natural Sciences and Engineering, Universidad de Bogotá Jorge Tadeo Lozano, Bogotá 110311, Colombia;

出版信息

J Mark Access Health Policy. 2024 Aug 21;12(3):224-251. doi: 10.3390/jmahp12030019. eCollection 2024 Sep.

Abstract

BACKGROUND

Considering regulatory, supervision, and control health policy, an innovative knowledge management model is proposed for the Colombian health system, which is recognized as a complex system.

METHODS

A model is constructed through a comparative analysis of various theoretical and conceptual frameworks, and an original methodology is proposed based on an analysis of the macroprocesses of the Supervision and Control System (SSC) of the Colombian General Social Security System in Health (SGSSS). After formulating hypotheses and conceptual references, information errors are determined within the different macroprocesses of the SGSSS, including those of governance and the SSC.

RESULTS

The risks of generating duplicate, wrong, hidden, or non-existent information arise when the associated regulations need more specificity to be applied in all cases, thus leading to the risk of different interpretations by some actors. In this way, it is possible to hinder the generation of unified information, as there is no clarity as to who is responsible for the generation or creation of certain data.

CONCLUSIONS

The proposed model is characterized by its flexibility and adaptability, integrating several processes that can be executed simultaneously or cyclically (depending on the system's needs) and allowing for the generation and feedback of knowledge at different stages, with some processes simultaneously executed to complement each other.

摘要

背景

考虑到监管和控制卫生政策,为哥伦比亚卫生系统提出了一种创新的知识管理模型,该系统被认为是一个复杂系统。

方法

通过对各种理论和概念框架的比较分析构建模型,并基于对哥伦比亚卫生领域一般社会保障系统监督与控制系统(SSC)宏观过程的分析提出一种原创方法。在提出假设和概念参考后,确定哥伦比亚卫生领域一般社会保障系统不同宏观过程中的信息错误,包括治理和监督与控制系统中的错误。

结果

当相关法规在所有情况下应用时缺乏足够的具体性,就会出现产生重复、错误、隐藏或不存在信息的风险,从而导致一些行为主体有不同解释的风险。这样一来,可能会阻碍统一信息的产生,因为对于某些数据的生成或创建由谁负责并不明确。

结论

所提出的模型具有灵活性和适应性,整合了几个可以同时或循环执行的过程(取决于系统需求),并允许在不同阶段产生知识和反馈,一些过程同时执行以相互补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd01/11348183/a22fe53ddca4/jmahp-12-00019-g001.jpg

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