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Systems and Complexity Thinking in the General Practice Literature: An Integrative, Historical Narrative Review
TLDR
This historical review describes the development of general practice/family medicine in relation to complex adaptive systems theories, and shows how systems sciences more accurately reflect the discipline’s philosophy and identity.
‘Multimorbidity’ as the manifestation of network disturbances
We argue that 'multimorbidity' is the manifestation of interconnected physiological network processes within an individual in his or her socio-cultural environment. Networks include genomic,
Understanding health system reform - a complex adaptive systems perspective.
TLDR
The concept of the health care vortex is introduced as a metaphor by which to understand the complex adaptive nature of health systems, and the degree to which their behaviour is predetermined by their 'shared values' or attractors.
Complex adaptive chronic care.
BACKGROUND The Chronic Care Model (CCM) is widely taken up as the universal operational framework for redesigning health systems to address the increasing chronic disease burden of an ageing
Generalist solutions to complex problems: generating practice-based evidence - the example of managing multi-morbidity
TLDR
This paper contributes to a process for generating practice-based evidence of generalist solutions to the complex problem of person-centred care for people with multi-morbidity by recognising generalist practice as a ‘complex intervention’ (intervening in a complex system).
Complexity and health--yesterday's traditions, tomorrow's future.
‘If it is complex it means we don’t really understand it,and the way forward is to break the problem down into its partsto make sense of it’. This thought reflects the way we havebeen taught, and the
Systems and complexity thinking in general practice: part 1 - clinical application.
  • J. Sturmberg
  • Psychology
    Australian family physician
  • 1 March 2007
TLDR
A case study illustrates how systems and complexity thinking can help to better understand the contextual nature of patient presentations, and how different approaches will lead to different outcomes.
Complexity and healthcare organization: a view from the street
  • J. Sturmberg
  • Medicine, Biology
    International Journal of Integrated Care
  • 27 April 2005
TLDR
‘AIM’ is a helpful histological descriptor but it should not be used as a final diagnosis as immunohistochemistry for p16 and CK17 allows distinction between metaplasia and high-grade CIN.
Continuity of care: A systems‐based approach
TLDR
The development of a 'continuity of care system' is described and the potential of the model to better understanding the provision of medical care is shown.
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