Monday, December 20, 2004

Complexity Science and Healthcare

What Is Complexity?
http://www.prototista.org/E-Zine/WhatisComplexity.htm
Complexity science is a new way health-care professionals are looking at their systems for understanding and improvement.

Complexity Science encourages healthcare leaders to work with, rather
than against, overwhelming complexity by focusing on relationship
building, organizational values and culture, and widespread participa-
tion, rather than tight integration, formalization, and centralized
decision-making. The leader serves the organization by making sense
of a complex world, rather than providing neat answers that promise
success.
JIM BEGUN, PH.D

Introduction to the Basic Concepts of Complexity Science
http://www.codynamics.net/intro.htm
some excerpts:
Complexity views all groups of living creatures, including people in organizations, as complex adaptive systems.
A system is a group of two or more parts which interact to function as a whole.
Complex groups of living things and their behaviors are complicated
Adaptive living systems constantly adapt to their changing environments.
Feedback Impacts Systems
This occurs in two forms: balancing, which keeps the system stable by limiting change (like a thermostat), and reinforcing, which intensifies the change or activity.)

Emergence Complex living systems exhibit behaviors and characteristics that are different from the behaviors and characteristics of the parts or members.

Self-Organization People naturally recognize their interdependence and work together to accomplish shared goals or tasks. They do not always have to be told what to do.

Powerful Attractors As a complex system adapts to its environment, a preferred state or way of doing things is discovered, and the whole system converges on that pattern.

BMJ has several articles by paul plsek
http://bmj.bmjjournals.com/searchall/all

Plsek PE, Wilson T. Complexity, leadership, and management in healthcare organisations.BMJ. 2001 Sep 29;323(7315):746-9.

Plsek PE, Greenhalgh T.Complexity science: The challenge of complexity in health care.BMJ. 2001 Sep 15;323(7313):625-8.

New England Complex Systems Institute
COMPLEX SYSTEMS IN SCIENCE AND SOCIETY:Healthcare/Medical System ( there are some interesting papers on this site)
http://necsi.org/cxworld/healthcare.html

Plexus Institute
fostering the health of individuals, families, organizations, and our natural environment by helping people use concepts emerging from the new science of complexity
http://www.plexusinstitute.com/


Complexity Science and Analysis of Health Care Delivery Systems
http://order.ph.utexas.edu/McDaniel.pdf

Evidence Based Health Services: An
Introduction to Complexity Thinking
www.liv.ac.uk/ccr/conferences/Oct1_NHScomplex_conf.pdf

Leadership and Transformation Require a Taste for Complexity http://www.physiciancareerventures.com/physician_leader_complexity.htm

Conference on Complexity and Health Care The Robert Wood Johnson Foundation http://www.rwjf.org/reports/grr/032705s.htm

Book- COMPLEXITY AND HEALTHCARE an introduction
Edited by Kieran Sweeney and Frances Griffiths
http://www.radcliffe-oxford.com/books/bookdetail.asp?ISBN=1+85775+559+6

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