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Don’t Blame the System; They’ve Chosen the Wrong One
- Source :
- International Journal of Integrated Care; Vol 18: July-September 2018; 4, International Journal of Integrated Care, Vol 18, Iss 3 (2018), International Journal of Integrated Care
- Publication Year :
- 2018
- Publisher :
- Ubiquity Press, 2018.
-
Abstract
- While trying to represent patients in the design of integrated care, I have heard the words 'system', 'systemic' and 'holism' used frequently. Few of those using the words seem to be aware of the history of systems thinking, or its principles. Health interventions are instead designed using logic modelling, which is aholistic and disintegrative. This concern is illustrated in relation to the UK’s Better Care Fund, which was an attempt to reduce hospital admissions by co-ordinating care. Systems thinking is then used to provide a possible distinction between three operating systems for the UK’s National Health Service (NHS). The first, an ideal market operating system, is inherently fantastic, and doubly so when it is impossible to determine who has contributed what to which outcomes. The accountable professional operating system may re-emerge as the rational option. However, weak analysis can lead to the emergence of a quasi-market operating system, which lacks the capacity to integrate the essential elements of a viable system. The fault lies not with systems thinking, but with the failure to study how viable systems are constructed.
- Subjects :
- Health (social science)
Sociology and Political Science
Relation (database)
Computer science
media_common.quotation_subject
logic models
0211 other engineering and technologies
Psychological intervention
02 engineering and technology
Ideal (ethics)
Blame
03 medical and health sciences
0302 clinical medicine
Perspective Paper
markets
Systems thinking
030212 general & internal medicine
media_common
integrated care
lcsh:R5-920
021103 operations research
business.industry
communication
Health Policy
Public relations
National health service
systems
Integrated care
Holism
business
lcsh:Medicine (General)
Subjects
Details
- Language :
- English
- ISSN :
- 15684156
- Database :
- OpenAIRE
- Journal :
- International Journal of Integrated Care (IJIC)
- Accession number :
- edsair.doi.dedup.....ab1218f3ac508a1233152dd442d17404