Kuziemsky Craig, Shachak Aviv
MacEwan University, Edmonton, Alberta, Canada.
Institute of Health Policy, Management and Evaluation, University of Toronto, Canada.
Stud Health Technol Inform. 2025 Feb 18;322:37-41. doi: 10.3233/SHTI250010.
Health systems globally are struggling with. common issues such as access, wait times, and the delivery of new models of care such as team-based care. While it has been argued that addressing our health crisis involves better implementation of known solutions, we argue that mindset is an overly simplified representation of health system implementation. In this paper we posit that the non-linear interactive nature of health systems makes implementation challenging. Addressing that challenge requires us to conceptualize health system implementation as an interacting system of systems that evolve over time.
全球卫生系统都在应对一些常见问题，比如医疗服务可及性、候诊时间，以及诸如团队式护理等新型护理模式的提供。虽然有人认为应对我们的健康危机需要更好地实施已知的解决方案，但我们认为思维模式是对卫生系统实施的一种过度简化的描述。在本文中，我们认为卫生系统的非线性交互性质使得实施具有挑战性。应对这一挑战要求我们将卫生系统实施概念化为一个随时间演变的系统间相互作用的系统。
