Applied systems thinking: unlocking theory, evidence and practice for health policy and systems research.

Applied systems thinking: unlocking theory, evidence and practice for health policy and systems research.
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DOI:
10.1093/heapol/czab062
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发表时间:
2021-11-11
影响因子:
3.2
通讯作者:
Ghaffar A
Ghaffar A
中科院分区:
医学3区
文献类型:
--
作者:
Kwamie A;Ha S;Ghaffar A

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虽然系统思维已被普遍认为是重要的卫生政策和系统研究(HPSR)领域,它仍然没有得到充分利用。特别是,系统思维一直被认为是主要的概念,与系统思维的应用较少的文件。这篇评论提出了三个关键点,即(1)HPSR中应用系统思想的进步受到术语不精确的阻碍,将“[健康]系统方法”与复杂适应系统理论混为一谈;(2)应用系统思维的有限例子在研究中得到了强调和认可,但在政策制定和实践中没有得到充分和平等的重视;(3)明确使用理论,长期的研究政策合作和更好的证据记录可以增加应用系统思维在HPSR中的使用和有用性。通过解决这些问题,系统思维在HPSR中的潜力可以真正释放出来。
While systems thinking has been generally acknowledged as important to the field of health policy and systems research (HPSR), it remains underutilized. In particular, systems thinking has been perceived as predominantly conceptual, with fewer applications of systems thinking documented. This commentary makes three key points, namely that (1) advances in applied systems thinking in HPSR have been hindered by an imprecision in terminology, conflating ‘[health] systems approaches’ with complex adaptive systems theory; (2) limited examples of applied systems thinking have been highlighted and recognized in research, but have not been fully and equally appreciated in policymaking and practice and (3) explicit use of theory, long-term research-policy collaborations and better documentation of evidence can increase the use and usefulness of applied systems thinking in HPSR. By addressing these matters, the potentials of systems thinking in HPSR can be truly unlocked.
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