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Author : Tim A. Holt
Publisher : Radcliffe Publishing
Page : 190 pages
File Size : 50,8 Mb
Release : 2004
Category : Clinical medicine
ISBN : 1857758552
This book aims to explain the foundations of the theory behind complexity, its place in clinical medicine and in the wider scientific context, using examples of its application in current medical scenarios.
Author : Rani Lill Anjum,Samantha Copeland,Elena Rocca
Publisher : Springer Nature
Page : 252 pages
File Size : 46,6 Mb
Release : 2020-06-02
Category : Philosophy
ISBN : 9783030412395
This open access book is a unique resource for health professionals who are interested in understanding the philosophical foundations of their daily practice. It provides tools for untangling the motivations and rationality behind the way medicine and healthcare is studied, evaluated and practiced. In particular, it illustrates the impact that thinking about causation, complexity and evidence has on the clinical encounter. The book shows how medicine is grounded in philosophical assumptions that could at least be challenged. By engaging with ideas that have shaped the medical profession, clinicians are empowered to actively take part in setting the premises for their own practice and knowledge development. Written in an engaging and accessible style, with contributions from experienced clinicians, this book presents a new philosophical framework that takes causal complexity, individual variation and medical uniqueness as default expectations for health and illness.
Author : Kieran Sweeney,Frances Griffiths
Publisher : Radcliffe Publishing
Page : 210 pages
File Size : 53,5 Mb
Release : 2002
Category : Chaotic behavior in systems
ISBN : 1857755596
This book illustrates the relevance of chaos and complexity theory to healthcare organisations, public health, clinical governance and the consultation. It explains the terms and ideas at the heart of complexity, the unfamiliar science behind it, and how it applies to the real world. In healthcare, the NHS is a complex adaptive system. So are hospitals, general practices, diseases and patients. The book describes how insights from complexity can help us better understand how organisations, patients or disease develop over time, in an often unpredictable manner. Contributors set out the benefits of applying complexity to their own particular areas of healthcare. Complexity and Healthcare will be of special interest to clinicians and managers in primary and secondary care, researchers and academics, and in particular, general practitioners and public health professionals.
Author : David C. Aron
Publisher : Springer Nature
Page : 255 pages
File Size : 42,5 Mb
Release : 2019-08-30
Category : Medical
ISBN : 9783030245931
This unique title explores complex systems in clinical medicine and the subsequent implementation of that knowledge into practice. Written conversationally and as a reflection on the journey of learning about complex systems, the book explores how knowledge of these systems can be applied to four key roles in academic medicine: clinical practice, education, research, and administration. Further, this title emphasizes how gaining an understanding of complex systems can greatly help a physician deal with the many challenges found in academic medicine. Unlike other books on complexity in medicine, which tend to focus on only one aspect of the management of patients, Complex Systems in Medicine deals with the multifaceted roles of a physician. The approach in this book is uniquely qualitative rather than mathematical, and is written to make it not only of interest to physicians, trainees, and allied health providers, but also to make it more accessible to a non-medical audience. The inclusion of personal anecdotes by the author provides concrete examples of the application of knowledge of complex systems in academic medicine. A first-of-its-kind contribution to the literature, Complex Systems in Medicine: A Hedgehog’s Tale of Complexity in Clinical Practice, Research, Education, and Management is not only a novel reference for medical professionals, it is an accessible tool for the non-medical audience hoping to learn more about complex systems and their direct relevance to medicine, a field that deals with the infinite variety of humans and their ills. It illustrates the consequences of the interactive elements of patient care that make medicine both a science and an art.
Author : Steven A. Frankel,Steven D. Thurber,James A. Bourgeois
Publisher : Springer Nature
Page : 250 pages
File Size : 53,7 Mb
Release : 2023-08-17
Category : Medical
ISBN : 9783031149498
This book addresses the principle that successful treatment incorporates a remarkably broad range of clinical variables. Clinicians must identify the extent to which each factor contributes to the success of the treatment process, and how to utilize this information strategically so that their combination enhances outcome. Complex clinical situations involve numerous macroscopic and microscopic components and their interactions. This book describes clinical practices and variables, that should be weighted according to their relevance for achieving treatment precision and improved results. The book is divided into sections, each containing topically organized chapters. Sections build from identifying discrete components of the clinical field to combined variables as they impact treatment progression. The clinical narratives that make up the latter part of the book elaborate on the course of care and the challenges involved in managing complex clinical situations. Cases range from primary care patients with systemic medical and psychiatric co-morbidity to more complex cases requiring the involvement of medical specialists, allied health professionals, and multiple health care systems. Scholarly, practical, and comprehensive, Complexity in Health Care enables clinicians to incorporate previously underappreciated health-related factors into their thinking and practice.
Author : David Kernick
Publisher : CRC Press
Page : 426 pages
File Size : 51,8 Mb
Release : 2018-04-19
Category : Medical
ISBN : 9781315344867
Statistics and evidence-based medicine are assessed in most postgraduate and undergraduate medical examinations and degrees in health sciences. All clinicians have to acquire skills in this area. This book aims to provide a brief overview of basic medical statistics and the numerical aspects of evidence-based medicine to give realistic worked examples to illustrate the interpretation of studies relevant to clinical practice and to allow examination practice. It aims to cover all major topics covered in the undergraduate and postgraduate examinations. Each chapter begins with an overview and summary of the main points followed by worked examples and exercises with full answers. It will be ideal for all postgraduate medical examination candidates. Other clincians and undergraduate students in medicine and health sciences will also find it useful.
Author : Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia
Publisher : Springer Nature
Page : 496 pages
File Size : 43,9 Mb
Release : 2020-12-14
Category : Medical
ISBN : 9783030594039
Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.
Author : Joachim P Sturmberg,Carmel Martin
Publisher : Springer Science & Business Media
Page : 941 pages
File Size : 49,9 Mb
Release : 2013-01-09
Category : Medical
ISBN : 9781461449980
This book is an introduction to health care as a complex adaptive system, a system that feeds back on itself. The first section introduces systems and complexity theory from a science, historical, epistemological, and technical perspective, describing the principles and mathematics. Subsequent sections build on the health applications of systems science theory, from human physiology to medical decision making, population health and health services research. The aim of the book is to introduce and expand on important population health issues from a systems and complexity perspective, highlight current research developments and their implications for health care delivery, consider their ethical implications, and to suggest directions for and potential pitfalls in the future.
Author : National Academy of Engineering,Institute of Medicine
Publisher : National Academies Press
Page : 340 pages
File Size : 43,7 Mb
Release : 2011-06-14
Category : Medical
ISBN : 9780309224772
Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.
Author : Derek Steinberg
Publisher : CRC Press
Page : 192 pages
File Size : 48,5 Mb
Release : 2018-10-08
Category : Medical
ISBN : 9781315358369
This book provides an important contribution to the new and growing field of 'narrative-based medicine'. It specifically addresses the largest area of medical activity primary care. It provides both a theoretical framework and practical skills for dealing with individual consultations family work clinical supervision and teamwork and offers a comprehensive approach to the whole range of work in primary care. Using a wide range of clinical examples it shows how professionals in primary care can help clarify patients' existing stories and elucidate new stories. It can be used as a training resource and includes exercises and summaries of key points to consider. It is based on and describes an established evaluated training method and is of immediate and significant practical use to readers. It is essential reading for general practitioners practice nurses and others in the primary care team psychologists family therapists counsellors and other professionals attached to primary care. GP trainers tutors and course organisers will find it a valuable educational tool. Professionals elsewhere in primary care such as pharmacists dentists and optometrists and academics in medical sociology and medical anthropology will also find it very useful.
Author : Brenda Zimmerman,Curt Lindberg,Paul E. Plsek
Publisher : V H A Incorporated
Page : 280 pages
File Size : 53,6 Mb
Release : 2001
Category : Business & Economics
ISBN : 0966782801
This publication is the first book to address complexity science in health care. It represents a revolutionary new way for health care leaders to think about how they engage employees, work with physicians, manage unmanageably complex tasks and plan for an uncertain future. But it's not for health care workers only - this book is useful to anyone interested in how complexity science is changing not only business management, but also how many disciplines of science relate to one another. Complexity science reframes our view of many systems that are only partially understood by traditional scientific methods. Systems as apparently diverse as stock markets, human bodies, ecosystems, immune systems, termite colonies and hospitals seem to share some patterns of behavior. These patterns provide insights into sustainability, viability, and innovation.
Author : Jeffrey Braithwaite,Kate Churruca,Louise A. Ellis,Janet c Long,Robyn Clay-Williams,Nikki Damen,Jessica Herkes,Chiara Pomare,Kristiana Ludlow
Publisher : NCELTR
Page : 129 pages
File Size : 54,7 Mb
Release : 2017-08
Category : Health services accessibility
ISBN : 1741384567
"Many people believe that healthcare is the example par excellence of a complex adaptive system (CAS). It has a daunting range of diverse stakeholders (citizens, taxpayers, politicians, policymakers, providers, managers, clinicians, patients and patient groups), spans the public and private sectors and delivers care across many settings and through varied types of organisations (public health settings, community centres, hospitals, aged-care facilities, and family or general practices, for example). The individuals delivering care, and the groups, teams, networks, bodies and organisations through which they provide services, interact in intricate configurations, longitudinally. Said that way, certain consequences arise. The system, of necessity, will be adapting to circumstances over time, behaviours won't necessarily be predictable, the sum of the parts will be greater and different from the individual elements making up the system, and the inputs and outputs will not match because relationships within the system are not straightforward-they are non-linear. The complexity science approach to understanding, acting on, and researching health systems is becoming increasingly popular. It is therefore timely to release an analysis of complexity and its characteristics, and apply them to healthcare."--Website.
Author : William J. Coburn
Publisher : Routledge
Page : 198 pages
File Size : 47,7 Mb
Release : 2014-01-03
Category : Psychology
ISBN : 9781317931454
Psychoanalytic Complexity is the application of a multidisciplinary, explanatory theory to clinical psychoanalysis and psychotherapy. It carries with it incisive and pivotal attitudes that aim to transform our understanding of therapeutic action and the change process. Here, William Coburn offers a revolutionary and far-reaching counterpoint to the remnants of Cartesianism and scientism, respecting and encouraging human anomaly rather than pathologizing or obliterating the uniqueness of the individual person. In Psychoanaltyic Complexity, William Coburn explores the value of complexity theory previously understood as an explanatory framework with which clinicians can better understand, retrospectively, therapeutic action and the change process. He further extends this sensibility by examining the ways in which such a rich theoretical framework can inform what clinicians can do, prospectively, to effect positive change within the therapeutic relationship. He persuasively argues that the medium of bringing to light new ways of relating, emotional experiencing, and meaning making resides in the fundamental attitudes derived from a complexity theory sensibility as applied to psychoanalysis and psychotherapy. Using a variety of clinical illustrations throughout, Psychoanalytic Complexity is a radical corrective to reductionism and the more traditional presumption that the problem lies with the patient and the cure lies with the therapist. It offers a new language, vocabulary, way of thinking, and a new way of being with others that are pivotal in arriving at affirmative therapeutic change. This book is intended for psychoanalysts, clinical psychologists, therapists, mental health counsellors, academics and teachers who are interested in new trends in psychoanalysis and psychotherapy.
Author : William B. Rouse,Nicoleta Serban
Publisher : MIT Press
Page : 297 pages
File Size : 40,5 Mb
Release : 2014-07-03
Category : Medical
ISBN : 9780262027519
An argument that understanding healthcare delivery as a complex adaptive system will help us design a system that yields better health outcomes. Breakthroughs in medical science, innovations in medical technologies, and improvements in clinical practices occur today at an increasingly rapid rate. Yet because of a fragmented healthcare delivery system, many Americans are unable to benefit from these developments. How can we design a system that can provide high-quality, affordable healthcare for everyone? In this book, William Rouse and Nicoleta Serban introduce concepts, principles, models, and methods for understanding, and improving, healthcare delivery. Approaching the topic from the perspectives of engineering and statistics, they argue that understanding healthcare delivery as a complex adaptive system will help us design a system that is more efficient, effective, and equitable. The authors use multilevel simulation models as a quantitative tool for evaluating alternate ways of organizing healthcare delivery. They employ this approach, for example, in their discussions of affordability, a prevention and wellness program, chronic disease management, and primary care accessibility for children in the Medicaid program. They also consider possible benefits from a range of technologies, including electronic health records and telemedicine; data mining as an alternative to randomized trials; conceptual and analytical methodologies that address the complexity of the healthcare system; and how these principles, models, and methods can enable transformational change.
Author : V. F. Guidano
Publisher : Guilford Press
Page : 270 pages
File Size : 41,9 Mb
Release : 1987-05-09
Category : Psychology
ISBN : 0898620120
In this profound work, Vittorio Guidano expands upon his earlier seminal contributions on the application of cognitive and developmental principles to individuals struggling with various forms of psychopathology. Here, he fully develops the idea that individuals' experience, both positive and negative, are powerfully influenced by their personal ``psychological organizations.'Focusing primarily on the eating disorders, the phobias (with agoraphobia as the prototype) obsessive-compulsive patterns, and depression, Guidano illustrates how early developmental experiences and ongoing psychological processes may collude to perpetuate dysfunctional patterns and personal distress. The central and perhaps most exciting thesis in this new expression of Guidano's thinking is that the ``deep structure' or ``core organizing processes`` that constrain human psychological experience may be at the heart of successful intervention as well as the classical problems of resistance, relapse, and refractory behaviors. Guidano's contention is at once simple and powerful: those psychological processes involved in the development and maintenance of personal identity, or ``self' that should be the primary foci of research and intervention in psychological disorders. The meaning of Guidano's perspective for clinical practice is perhaps best expressed in the author's own words: ``Knowing the basic elements of the personal cognitive organization that underlie the pattern of disturbed behavior and emotions, the therapist can behave, from the beginning, in such a way as to build a relationship as effective as possible for that particular client. In other words, the therapist should be able to establish a relationship that respects the client's personal identity and systemic coherence and that, at the same time, does not confirm the basic pathogenic assumptions. For example, in working with agoraphobics, the therapist has to respect their self-images centered on the need to be in control. He/she can do this by avoiding any direct attack on their controlling attitudes and by leaving them a wide margin of control in the relationship. At the same time the therapist should avoid confirming their assumptions about the somatic origin of their emotional disturbances or about their inborn fragility. In short, the therapist who can anticipate the models of self and reality tacitly entertained by the client is surely better able to help the development of a cooperative and secure therapeutic relationship than the therapist who cannot make such anticipations. This timely and provocative volume offers exciting new ideas about how to conceptualize and facilitate change in the ``self system.' With the rare combination of his Renaissance intellect and integrative practical expertise, Guidano has been able to draw together many disparate themes from object relations theory, ego psychology, attachment theory, constructivist models of human cognition, and lifespan developmental psychology. It is must reading for the practicing professional, the helping apprentice, and anyone interested in glimpsing the cutting edge at the growing interface between cognitive and clinical science.