The biopsychosociotechnical model: a systems-based framework for human-centered health improvement.
The biopsychosociotechnical model: a systems-based framework for human-centered health improvement.
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DOI：
10.1080/20476965.2022.2029584
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发表时间：
2023
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生物心理社会模型是以人为本的健康改善最有影响力的框架之一，但面临着重大批评--无论是概念上的还是务实的。本文通过将生物心理社会模型与社会技术系统理论相结合，对生物心理社会模型进行了扩展和重构。由此产生的生物心理社会技术模型解决了生物心理社会模型的关键批评，为以人为中心的健康改善提供了一个更“实用的理论”。它将健康的决定因素描述为系统的复杂适应系统;包括人工世界（技术）;并通过以下方式为系统改进提供路线图：区分“健康状况”和“健康和需求评估”，[促进问题框架];将健康解释为生物、心理和社会技术背景下的一个新出现的特性[实行系统导向];侧重于“干预”与“治疗”，以改变健康的生物心理社会技术决定因素，[扩大解决方案空间];呼吁参与式设计过程[支持系统意识和目标导向];并包括干预管理，以支持健康改善的整个生命周期。
The biopsychosocial model is among the most influential frameworks for human-centered health improvement but has faced significant criticism– both conceptual and pragmatic. This paper extends and fundamentally re-structures the biopsychosocial model by combining it with sociotechnical systems theory. The resulting biopsychosociotechnical model addresses key critiques of the biopsychosocial model, providing a more “practical theory” for human-centered health improvement. It depicts the determinants of health as complex adaptive system of systems; includes the the artificial world (technology); and provides a roadmap for systems improvement by: differentiating between “health status” and “health and needs assessment”, [promoting problem framing]; explaining health as an emergent property of the biopsychosociotechnical context [imposing a systems orientation]; focusing on “interventions” vs. “treatments” to modify the biopsychosociotechnical determinants of health, [expanding the solution space]; calling for a participatory design process [supporting systems awareness and goal-orientation]; and including intervention management to support the full lifecycle of health improvement.