ArticleClinical interventions in aging2010
Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system.
Article in Clinical interventions in aging, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- State of Science: Bridging the Science-Practice Gap in Aging, Dementia and Mental Health.Journal of the American Geriatrics Society · 2018Pooled it
- A protocol for a pragmatic randomized controlled trial using the Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) platform approach to promote person-focused primary healthcare for older adults.Implementation science : IS · 2016Trial
- Internationally Educated Nurse (IEN) Integration in Nova Scotia: A Provincial Realist Evaluation.The International journal of health planning and management · 2026Article
- Developing the Agile Institute, an effort to incorporate agile methodologies into Hackensack Meridian Health.Frontiers in public health · 2025Article
- The methodology of the Agile Nudge University.Frontiers in health services · 2023Article
- Coincidence Analysis: A Novel Approach to Modeling Nurses' Workplace Experience.Applied clinical informatics · 2022Article
- Article
- Present Algorithms and Future Treatments for Alzheimer's Disease.Journal of Alzheimer's disease : JAD · 2019Review
- Home is where the future is: The BrightFocus Foundation consensus panel on dementia care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2018Review
- Article
- Analysing a Chinese Regional Integrated Healthcare Organisation Reform Failure using a Complex Adaptive System Approach.International journal of integrated care · 2017Article
- Development of an adaptive, personalized, and scalable dementia care program: Early findings from the Care Ecosystem.PLoS medicine · 2017Article
- Addressing antimicrobial resistance in China: policy implementation in a complex context.Globalization and health · 2016Article
- CE: critical care recovery center: an innovative collaborative care model for ICU survivors.The American journal of nursing · 2015Article
- Advancing the application of systems thinking in health: managing rural China health system development in complex and dynamic contexts.Health research policy and systems · 2014Article
- Translational research on aging: clinical epidemiology as a bridge between the sciences.Translational research : the journal of laboratory and clinical medicine · 2014Review
- Building a multidisciplinary team for burn treatment - Lessons learned from the Montreal tendon transfer experience.Annals of burns and fire disasters · 2014Review
- Collaborative transdisciplinary team approach for dementia care.Neurodegenerative disease management · 2014Review
- Next-generation phenotyping of electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- Development and Implementation of an Electronic Decision Support to Manage the Health of a High-Risk Population: The enhanced Electronic Medical Record Aging Brain Care Software (eMR-ABC).EGEMS (Washington, DC) · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Complexity science suggests that our current health care delivery system acts as a complex adaptive system (CAS). Such systems represent a dynamic and flexible network of individuals who can coevolve with their ever changing environment. The CAS performance fluctuates and its members' interactions continuously change over time in response to the stress generated by its surrounding environment. This paper will review the challenges of intervening and introducing a planned change into a complex adaptive health care delivery system. We explore the role of the "reflective adaptive process" in developing delivery interventions and suggest different evaluation methodologies to study the impact of such interventions on the performance of the entire system. We finally describe the implementation of a new program, the Aging Brain Care Medical Home as a case study of our proposed evaluation process.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.