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© 2013

Handbook of Systems and Complexity in Health

  • Joachim P. Sturmberg
  • Carmel M. Martin
Book

Table of contents

  1. Front Matter
    Pages i-xxi
  2. Joachim P. Sturmberg, Carmel M. Martin
    Pages 1-17
  3. Complexity Theory and Methods

    1. Front Matter
      Pages 25-25
    2. Paul Cilliers
      Pages 27-38
    3. Joachim P. Sturmberg, Andrew Miles
      Pages 39-62
    4. Bruce J. West
      Pages 63-80
    5. Joachim P. Sturmberg, Leonid Churilov, Geoff McDonnell
      Pages 81-111
    6. A. Tsanas, M. A. Little, P. E. McSharry
      Pages 113-125
    7. Eric E. Hessler, Patrick H. Finan, Polemnia G. Amazeen
      Pages 127-146
    8. Stephen J. Guastello
      Pages 147-156
  4. Dynamics in Human Health

    1. Front Matter
      Pages 157-157
    2. Joachim P. Sturmberg, Bruce J. West
      Pages 171-192
    3. Henry H. Q. Heng
      Pages 193-208
  5. Concepts of Health

    1. Front Matter
      Pages 209-209
    2. Stephen Lewis
      Pages 211-216
    3. Stefan Topolski
      Pages 217-230
    4. Joachim P. Sturmberg
      Pages 231-242

About this book

Introduction

Systems and complexity theory plays critical roles in such varied fields as computer science, the physical sciences, meteorology, and economics--and yet health care has yet to take full advantage of what it has to offer. What the theory offers is on rich display as the Handbook of Systems and Complexity in Health presents a revolutionary approach to reforming basic practice and large-scale care delivery, based on the concept of health care as a complex, self-organized, and self-interactive system.

 

The book's opening section provides readers with a thorough grounding in systems and complexity theory from scientific, historical, epistemological, and technical perspectives, complete with the principles and mathematics behind it. From there, contributors offer models of innovation and improvement in service delivery, disease prevention and health promotion, cost-effectiveness, communication, quality control--in short, a more efficient and equitable future for health care. And one particularly intriguing chapter suggests opportunities for complexity theory in refining the drug prescription process. A sampling of the coverage:

 

  • Understanding health and illness from a complexity perspective.
  • A methodology for analyzing medical data.
  • Modeling illness and recovery with nonlinear dynamics.
  • Clinical applications: inflammation, diabetes, panic disorder, pain, domestic violence, cardiovascular disorders, and the art of the consultation.
  • Complexity science at the bedside: continuous multiorgan variability monitoring in critically ill patients.
  • Primary care as a complex adaptive system.

 

Researchers in health services research, health policy, and health administration will find in the Handbook of Systems and Complexity in Health a new way of viewing health and illness, and potentially a new way to organize health care delivery.

Keywords

Complex adaptive systems Health services research Nonlinear dynamics System dynamics Systems and complexity in health

Editors and affiliations

  • Joachim P. Sturmberg
    • 1
  • Carmel M. Martin
    • 2
  1. 1., Department of General PracticeMonash UniversityWamberalAustralia
  2. 2.Northern Ontario School of MedicineChicagoUSA

About the editors

Joachim P Sturmberg MBBS, DORACOG, MFM, PhD, FRACGP I am Adjunct A/Prof of Monash University, Melbourne, and Conjoint A/Prof of General Practice in the Department of General Practice in the Department of General Practice, General Practice, The Newcastle University, Newcastle, Australia. I am a graduate from Lübeck Medical School, Germany, where I also completed my PhD. Since 1989 I work in an urban group practice on the NSW Central Coast, with a particular interest in the ongoing patient-centred care of patients with chronic disease and the elderly. In 1994 I started to pursue systems and complexity research with an inquiry into the effects of continuity of care on the care processes and outcomes. Since then my research has expanded and includes the areas of understanding the complex notion of health, health care and healthcare reform, showing that health is an interconnected multi-dimensional construct encompassing somatic, psychological, social and semiotic or sense-making domains, that health care has to embrace the patient’s understanding of her health as the basis for effective and efficient care, and that an effective and efficient healthcare system ought to put the patient at the centre. I am joint chief editor of the Forum on Systems and Complexity in Medicine and Healthcare in the Journal of Evaluation in Clinical Practice. Together with Carmel Martin and Jim Price I chair the Complexity SIG in WONCA.

Carmel C Martin MBBS, MSc, PhD, MRCGP, FRACGP, FAFPHM I am Visiting Academic Department of Public Health and Primary Care, Trinity College, Dublin, and an Associate Professor of Family Medicine at the Northern Ontario School of Medicine. I am active in clinical general practice with a particular interest in chronic disease and illness and patient centered care and integrated care using information technology, informed by complex adaptive systems theories. I am an Australian medical graduate from the University of Queensland. I completed my Masters in Community Medicine at the London School of Hygiene, University of London and my PhD at the Australian National University. My research in Australia, Canada and Ireland has focused on reforms related to primary health care and chronic care, the nature of health in body, mind, society and the environment and meaning and sensemaking about personal health. My PhD. on the care of chronic illness in general practice, explored the nature of the experience of illness and care associated with multi-morbidity from the perspectives of those afflicted and their general practitioner/primary care physician as the key ‘users’ of care. This PhD led to a wide range of systems based interventions, underpinned by complex adaptive systems theory and social constructionist perspectives in Australia, Canada and Ireland. I am joint chief editor of the Forum on Systems and Complexity in Medicine and Healthcare in the Journal of Evaluation in Clinical Practice.

Bibliographic information

  • Book Title Handbook of Systems and Complexity in Health
  • Editors Joachim P Sturmberg
    Carmel Martin
  • DOI https://doi.org/10.1007/978-1-4614-4998-0
  • Copyright Information Springer Science+Business Media New York 2013
  • Publisher Name Springer, New York, NY
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-1-4614-4997-3
  • Softcover ISBN 978-1-4939-2255-0
  • eBook ISBN 978-1-4614-4998-0
  • Edition Number 1
  • Number of Pages XXI, 954
  • Number of Illustrations 103 b/w illustrations, 165 illustrations in colour
  • Topics Health Administration
    Complexity
    Epidemiology
  • Buy this book on publisher's site

Reviews

From the book reviews:

“The book has appeal for health professionals including practitioners, educators, researchers, policy makers, and health administrators, as well as graduate students. … It acknowledges a new role for educators -- to shake up ideas and to introduce students to networks, connections, and the contexts in which health occurs -- to instill a passion for lifelong learning. These features set this book apart and make it a welcome addition to the healthcare policy literature.” (Carole Ann Kenner, Doody’s Book Reviews, January, 2015)