Posts tagged systems thinking
Multi-System Problems Need Multi-System Solutions

Communities are complex, and their problems represent multiple system failures. To improve community health, we should be taking an equally multifaceted approach to interventions – the second of four principles that together form a better system for addressing social determinants of health.

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You can’t know what you can’t see

All of us have a personal narrative grown from firsthand experience that filters and shapes our understanding and perspective. It can also blind us to growing problems and innovative solutions. Being able to see the whole is job one for understanding how our healthcare system works and for being able to make it work better.

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New hope from a better diagnosis

Healthcare has borrowed “best practice” management paradigms from manufacturing and skillfully applied them to most of healthcare’s parts, yet overall, it continues as the largest category of inflation. The mismatch? Healthcare’s real-world is a biologically and socially complex adaptive system and how it works is vastly different than the factory floor. The result? Demoralized front-line practitioners facing constraints and mountainous layers of complicatedness that create cost, not affordable care. A new approach based on systems principles can help heal healthcare’s wicked problem.

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Preparing to integrate the social determinants of health

We know social determinants of health (SDH) have a major effect on health outcomes and cost. Numerous observational studies of spending patterns show large savings, but few have captured data-driven examples to isolate portable methods for success. The reason is that the medicine and social sciences are miles apart in science, approach, and attitude.

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