Understanding Health Care as a Complex System
JAMAPublished 17 July 2012Open access
Lewis A. Lipsitz
Citations332
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
To help guide future policies and avoid the unanticipated consequences of regulation, policy makers and physicians need to understand health care as a complex system and apply the principles of complexity science to achieve its goals.
Keywords
MedicineHealth Professions
JAMAClinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases
2,475 Citations2005Cynthia M. Boyd, Jonathan Darer +4 more
It is suggested that adhering to current CPGs in caring for an older person with several comorbidities may have undesirable effects and could create perverse incentives that emphasize the wrong aspects of care for this population and diminish the quality of their care.
New England Journal of MedicineThe Long-Term Effect of Premier Pay for Performance on Patient Outcomes
306 Citations2012Ashish K. Jha, Karen E. Joynt +2 more
It was found that the effects of pay for performance on mortality did not differ significantly among conditions for which outcomes were explicitly linked to incentives (acute myocardial infarction and CABG) and among conditions not linked to incentive (congestive heart failure and pneumonia).
Journal of Evaluation in Clinical PracticeUnderstanding health system reform – a complex adaptive systems perspective
173 Citations2012Joachim P. Sturmberg, Di O’Halloran +1 more
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.
Journal of Evaluation in Clinical PracticeThe intended and unintended consequences of clinical guidelines
32 Citations2009Rebecca Shackelton, Lisa Marceau +2 more
It is found that clinical practice guidelines are not producing a principal intended result, and may even produce unintended consequences.