Hospitals as complex adaptive systems: A case study of factors influencing priority setting practices at the hospital level in Kenya

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• 作者：Edwine W. Barasa^a ; ^b ; ^{edwinebarasa@gmail.com} ; Sassy Molyneux^a ; ^c ; ^{smolyneux@kemri-wellcome.org} ; Mike English^a ; ^d ; ^{menglish@kemri-wellcome.org} ; Susan Cleary^b ; ^{susan.cleary@uct.ac.za}
• 关键词：Priority setting ; Complex adaptive systems ; Systems thinking ; Hospitals ; Kenya
• 刊名：Social Science & Medicine
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：174
• 期：Complete
• 页码：104-112
• 全文大小：1067 K
• 卷排序：174

文摘

Priority setting practices reveal the complex adaptive systems (CAS) nature of hospitals. Hospital priority setting is influenced by deficiencies in both system hardware and software. Intervening in CAS requires fostering productive emergence, not simple, mechanistic solutions.