Evidence map›Paper›PMID 38610195›Full record

ArticleHealthcare (Basel, Switzerland)2024

Volatility, Uncertainty, Complexity, and Ambiguity (VUCA) in Healthcare.

Ana Cernega, Dragoș Nicolae Nicolescu, Marina Meleșcanu Imre, Alexandra Ripszky Totan, Andreea Letiția Arsene, Robert Sabiniu Șerban, Anca-Cristina Perpelea, Marina-Ionela Ilie Nedea, Silviu-Mirel Pițuru

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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  10. Clinical leadership development: Current practices and future directions for Southern African primary healthcare.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
    Article
  11. Article
  12. Review
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  20. Unleashing the Early Career Transition in Academic Medicine.Journal of healthcare leadership · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ana CernegaDepartment of Organization, Professional Legislation and Management of the Dental Office, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-23 Plevnei Street, 020021 Bucharest, Romania.ORCID 0009-0003-6970-1307
Dragoș Nicolae NicolescuDepartment of Organization, Professional Legislation and Management of the Dental Office, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-23 Plevnei Street, 020021 Bucharest, Romania.
Marina Meleșcanu ImreDepartment of Prosthodontics, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-23 Calea Plevnei, 010221 Bucharest, Romania.
Alexandra Ripszky TotanDepartment of Biochemistry, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-23 Plevnei Street, 020021 Bucharest, Romania.ORCID 0000-0002-4345-282X
Andreea Letiția ArseneDepartament of General and Pharmaceutical Microbiology, Faculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania.ORCID 0000-0002-9478-6176
Robert Sabiniu ȘerbanDepartment of Organization, Professional Legislation and Management of the Dental Office, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-23 Plevnei Street, 020021 Bucharest, Romania.
Anca-Cristina PerpeleaDepartment of Organization, Professional Legislation and Management of the Dental Office, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-23 Plevnei Street, 020021 Bucharest, Romania.ORCID 0009-0008-6702-6463
Marina-Ionela Ilie NedeaDepartament of General and Pharmaceutical Microbiology, Faculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, 6 Traian Vuia Street, 020956 Bucharest, Romania.
Silviu-Mirel PițuruDepartment of Organization, Professional Legislation and Management of the Dental Office, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-23 Plevnei Street, 020021 Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our professional activity is constantly under pressure from a multitude of elements and factors that can be classified into the four components of the VUCA phenomenon-volatility, uncertainty, complexity, and ambiguity-components that define the turbulence and challenges of the external environment. Considering the general elements of this phenomenon, we designed a new VUCA dimension specific to the healthcare field within which we have identified and analyzed all the factors that can influence the main actors of the doctor-patient relationship and the effects that can occur within the healthcare system in which this relationship is born. In this context, we generated the VUCA treatment in healthcare capable of mitigating the impact of this phenomenon; this treatment involves essential elements in overcoming possible crises and vulnerabilities of the medical profession. The VUCA treatment in healthcare requires combating volatility, uncertainty, complexity, and ambiguity through vision, understanding, clarity, and agility, which are grounded in the doctor's need to acquire cross-functional competencies (soft skills). These competencies are applicable by using functional mechanisms and techniques that support the doctor in developing adaptability and anticipation skills, understanding the patient's needs and addressing them, and ensuring the functionality and efficiency of the healthcare system by transferring these elements from micro-management to macro-management levels.

Indexed as

doctor-patient relationhealthcare systemmanagementVUCAVUCA treatment

Identifiers

PMID38610195
PMCPMC11011466

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.