Health System Implementation Is a Non-Linear System of Systems.

Stud Health Technol Inform

Institute of Health Policy, Management and Evaluation, University of Toronto, Canada.

Published: February 2025

Health systems globally are struggling with. common issues such as access, wait times, and the delivery of new models of care such as team-based care. While it has been argued that addressing our health crisis involves better implementation of known solutions, we argue that mindset is an overly simplified representation of health system implementation. In this paper we posit that the non-linear interactive nature of health systems makes implementation challenging. Addressing that challenge requires us to conceptualize health system implementation as an interacting system of systems that evolve over time.

Download full-text PDF

Source
http://dx.doi.org/10.3233/SHTI250010DOI Listing

Publication Analysis

Top Keywords

health system
12
system implementation
12
system systems
8
health systems
8
health
6
implementation
5
implementation non-linear
4
system
4
non-linear system
4
systems
4

Similar Publications

Background: Congenital heart defects (CHDs) are the most prevalent birth defects globally and the second leading cause of death in Mexican children under five. This study examines how industrial activity and social vulnerabilities independently and jointly influence CHD incidence across 2446 Mexican municipalities from 2008 to 2019.

Methods: Using negative binomial regression models, we evaluated associations between polluting industries, healthcare access, and CHD incidence.

View Article and Find Full Text PDF

Metabolic syndrome (MetS) is a clinical construct that conglomerates risk factors interconnected with cardiovascular diseases and type 2 diabetes. More than a thousand million individuals in the world were diagnosed with MetS in 2018. Our objective was to examine the prevalence of MetS and its components among Mexican adults.

View Article and Find Full Text PDF

Introduction: Colorectal cancer (CRC) incidence is increasing in Uganda. Despite this, and the disproportionately high burden of early onset and late-stage CRC cases, no CRC screening program exists in Uganda. To guide and inform future CRC prevention efforts, interviews with key stakeholders were undertaken to better understand the perceived barriers and opportunities relevant to the development and implementation of a CRC screening program in Uganda.

View Article and Find Full Text PDF

Background And Aims: Better understanding the challenges faced by patients on medications for opioid use disorder (MOUD), including methadone and buprenorphine, is critical to increasing their use/retention. Social media platforms such as Reddit offer a space for patients to share their experiences with medications. We aimed to identify and characterize challenges faced by patients taking MOUD through analysis of discussions from the r/Methadone and r/suboxone subreddits.

View Article and Find Full Text PDF

Patients harmed by medical mishaps are often driven to litigation because of a lack of apologies and candour rather than a desire for monetary compensation. Despite attempts at clinical negligence reform, patients continue to receive unsatisfactory responses. Physicians have cited fears of legal liability as a key reason for withholding apologies.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!