ArticleF1000Research2019
Better and fulfilling healthcare at lower costs: The need to manage health systems as complex adaptive systems.
Article in F1000Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- Enhancing healthcare workers' safety and well-being through a comprehensive qualitative analysis across hospital settings.Scientific reports · 2026Article
- Article
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- Randomized, Single-Blind Comparison of Two Different Flow Rates of Sevoflurane Anesthesia on Acute Kidney Injury.Cureus · 2025Article
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- Extracapsular Dissection Versus Traditional Parotid Surgery: A Comprehensive Review of Techniques and Outcomes.Cureus · 2024Review
- Implementing high-value, cost-conscious care: experiences of Irish doctors and the role of education in facilitating this approach.BMC medical education · 2024Article
- Exploring the Role of Complexity in Health Care Technology Bottom-Up Innovations: Multiple-Case Study Using the Nonadoption, Abandonment, Scale-Up, Spread, and Sustainability Complexity Assessment Tool.JMIR human factors · 2024Article
- Multicomponent processes to identify and prioritise low-value care in hospital settings: a scoping review.BMJ open · 2024Article
- Exploring the Economic Aspects of Hospitals: A Comprehensive Examination of Relevant Factors.Cureus · 2024Review
- Urban Family Physician Program after a Decade of Implementation from the Perspective of People: A Qualitative Study from Iran.International journal of preventive medicine · 2024Article
- AI in dermatology: a comprehensive review into skin cancer detection.PeerJ. Computer science · 2024Article
- Image-Based Communication for Strengthening Patient Health Education in Rural and Underserved Settings.Cureus · 2023Article
- Risk factors, complications and costs of prolonged air leak after video-assisted thoracoscopic surgery for primary lung cancer.Journal of thoracic disease · 2023Article
- COVID-19 pandemic or chaos time management: first-line worker shortage - a qualitative study in three Canadian Provinces.BMC geriatrics · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Rising healthcare costs are major concerns in most high-income countries. Yet, political measures to reduce costs have so far remained futile and have damaged the best interests of patients and citizen. We therefore explored the possibilities to analyze healthcare systems as a socially constructed complex adaptive system (CAS) and found that by their very nature such CAS tend not to respond as expected to top-down interventions. As CAS have emergent behaviors, the focus on their drivers - purpose, economy and behavioral norms - requires particular attention. First, the importance of understanding the purpose of health care as improvement of health and its experience has been emphasized by two recent complementary re-definitions of health and disease. The economic models underpinning today's healthcare - profit maximization - have shifted the focus away from its main purpose. Second, although economic considerations are important, they must serve and not dominate the provision of healthcare delivery. Third, expected health professionals' behavioral norms - to first consider the health and wellbeing of patients - have been codified in the universally accepted Declaration of Geneva 2017. Considering these three aspects it becomes clear that complex adaptive healthcare systems need mindful top-down/bottom-up leadership that supports the nature of innovation for health care driven by local needs. The systemic focus on improving people's health will then result in significant cost reductions.
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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.