Complexity science - Complexity, leadership, and management in healthcare organisations
Complexity science - Complexity, leadership, and management in healthcare organisations
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DOI：
10.1136/bmj.323.7315.746
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发表时间：
2001-09-29
影响因子：
105.7
通讯作者：
Wilson, T
中科院分区：
文献类型：
--
作者：
Plsek, PE;Wilson, T
目前的管理思想在很大程度上假设一个运作良好的组织就像一台润滑良好的机器。1这就引出了这样一个概念，即当工作被详细规定并分配给不同的业务单位时，绩效就会得到优化。临床医生经常反对这些详细的规范，而管理人员则抱怨缺乏合作。3本系列的第一篇文章介绍了机器隐喻的另一种选择：复杂自适应系统（CAS）。4在这篇文章中，我们描述了复杂性思维在医疗保健组织和管理中的应用。
Current management thinking largely assumes that a well functioning organisation is akin to a well oiled machine. 1 This leads to the notion that performance is optimised when work is specified in detail and shared out to distinct operational units. 2 Clinicians often object to these detailed specifications, while managers bemoan a lack of cooperation. 3The first article in this series introduced an alternative to the machine metaphor; that of a complex adaptive system (CAS). 4 In this article we describe applications of complexity thinking in the organisation and management of health care.