• J Eval Clin Pract · Dec 2014

    Review

    Understanding health care delivery as a complex system: achieving best possible health outcomes for individuals and communities by focusing on interdependencies.

    • Joachim Sturmberg and Holly J Lanham.
    • Departments of General Practice, Newcastle University-Newcastle, Newcastle, NSW, Australia.
    • J Eval Clin Pract. 2014 Dec 1; 20 (6): 1005-9.

    Rationale, Aims And ObjectivesThe concept of emergence offers a new way of thinking about multimorbidity and chronic disease.Results And ConclusionsMultimorbidity and chronic disease are the end results of ongoing perturbations and interconnected activities of simpler substructures that collectively constitute the complex adaptive superstructure known as us, the person or patient. Medical interventions cause perturbations of many different subsystems within the patient, hence they are not limited to the person's bodily function, but also affect his general health perception and his interactions with his external environments. Changes in these domains inevitably have consequences on body function, and close the feedback loop of illness/disease, recovery and regained health.© 2014 John Wiley & Sons, Ltd.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…