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Embracing the Complexity of Primary Health Care: System-Based Tools and Strategies for Researching the Case Management Process

 

Authors Graham KD , Steel A, Wardle J

Received 2 July 2021

Accepted for publication 31 August 2021

Published 6 October 2021 Volume 2021:14 Pages 2817—2826

DOI https://doi.org/10.2147/JMDH.S327260

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Abstract: The provision of health care is frequently a complex process, and favourable clinical outcomes are dependent on the effective management of this complexity. Contemporary medicine and health care practices that are biomedically aligned have been informed by a reductionist paradigm, potentially creating a misalignment between health care and the human organism as a complex adaptive system. Complexity science is increasingly gaining momentum within the academic literature and is being employed across a wide range of scientific disciplines, although this is less evident in medicine. Limited evidence was found within the literature of a complexity science framework being used to explore and inform individual health care practices; in this paper, this gap will be explored through consideration of the use of strategies and tools (specifically mind maps, computer-generated network mappings, exploratory data analysis, and computer-derived network analysis) which are congruent with a complexity science framework. This information may be useful to researchers investigating health care provision and to clinicians wishing to incorporate a complexity sensibility within their practice.
Keywords: complexity science, health care, mind map, network mapping, case management, complex adaptive systems