AI Article Synopsis
- - The study uses complexity theory to analyze how the English NHS responded to a resurgence of tuberculosis in London, building on Tennison's (2002) idea that this theory can shed light on healthcare systems facing complex challenges.
- - By integrating New Public Management principles, the research finds that the NHS's tendency for self-organization is hindered by an overarching focus on control and measurement, which overshadows innovation and adaptability.
- - The paper concludes by discussing the limitations of their research and proposing areas for future exploration in the context of healthcare systems.
Article Abstract
We employ complexity theory to analyse the English National Health Service (NHS)'s organisational response to resurgent tuberculosis across London. Tennison (2002) suggests that complexity theory could fruitfully explore a healthcare system's response to this complex and emergent phenomenon: we explore this claim here. We also bring in established New Public Management principles to enhance our empirical analysis, which is based on data collected between late 2009 and mid-2011. We find that the operation of complexity theory based features, especially self-organisation, are significantly impacted by the macro context of a New Public Management-based regime which values control, measurement and risk management more than innovation, flexibility and lateral system building. We finally explore limitations and suggest perspectives for further research.
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| http://dx.doi.org/10.1016/j.socscimed.2012.08.001 | DOI Listing |
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