Kaswa Ramprakash, Von Pressentin Klaus
Department of Family Medicine and Rural Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha.
S Afr Fam Pract (2004). 2025 Jan 23;67(1):e1-e6. doi: 10.4102/safp.v67i1.6039.
Despite the strides made in healthcare, many countries still struggle to meet citizen healthcare needs, leading to global and regional health inequalities. The complex interactions between healthcare systems and disciplines present challenges for primary care providers and family physicians. Primary care providers must be equipped with tools and resources to effectively fulfil their duties, such as clinical governance, leadership and capacity building. This article focusses on various thinking approaches that primary care providers can employ, namely systems thinking, complexity science thinking and learning health systems thinking. We appreciate that individual styles and preferences, organisational culture and systemic realities influence multiple modes of thinking and decision-making. A range of modes of thinking and mental models will assist with tackling challenges and opportunities in the primary healthcare system. We hope this brief overview encourages readers to experiment with different ways of thinking to help facilitate innovative solutions.
尽管医疗保健领域取得了长足进步，但许多国家仍难以满足公民的医疗保健需求，导致全球和地区的健康不平等。医疗保健系统与各学科之间复杂的相互作用给初级保健提供者和家庭医生带来了挑战。初级保健提供者必须配备有效履行职责所需的工具和资源，如临床治理、领导力和能力建设。本文重点介绍初级保健提供者可以采用的各种思维方式，即系统思维、复杂性科学思维和学习型卫生系统思维。我们认识到个人风格和偏好、组织文化和系统现实会影响多种思维和决策模式。一系列思维模式和心智模型将有助于应对初级医疗保健系统中的挑战和机遇。我们希望这一简要概述能鼓励读者尝试不同的思维方式，以帮助促成创新解决方案。
