Viewing the global health system as a complex adaptive system - implications for research and practice.
complex adaptive system; global health system; health system
Journal
F1000Research
ISSN: 2046-1402
Titre abrégé: F1000Res
Pays: England
ID NLM: 101594320
Informations de publication
Date de publication:
2022
2022
Historique:
accepted:
22
09
2022
medline:
22
8
2023
pubmed:
21
8
2023
entrez:
21
8
2023
Statut:
epublish
Résumé
The global health system (GHS) is ill-equipped to deal with the increasing number of transnational challenges. The GHS needs reform to enhance global resilience to future risks to health. In this article we argue that the starting point for any reform must be conceptualizing and studying the GHS as a complex adaptive system (CAS) with a large and escalating number of interconnected global health actors that learn and adapt their behaviours in response to each other and changes in their environment. The GHS can be viewed as a multi-scalar, nested health system comprising all national health systems together with the global health architecture, in which behaviours are influenced by cross-scale interactions. However, current methods cannot adequately capture the dynamism or complexity of the GHS or quantify the effects of challenges or potential reform options. We provide an overview of a selection of systems thinking and complexity science methods available to researchers and highlight the numerous policy insights their application could yield. We also discuss the challenges for researchers of applying these methods and for policy makers of digesting and acting upon them. We encourage application of a CAS approach to GHS research and policy making to help bolster resilience to future risks that transcend national boundaries and system scales.
Identifiants
pubmed: 37600221
doi: 10.12688/f1000research.126201.1
pmc: PMC10432894
doi:
Types de publication
Journal Article
Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1147Subventions
Organisme : Medical Research Council
ID : MR/R013454/1
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 215654/Z/19/Z
Pays : United Kingdom
Informations de copyright
Copyright: © 2022 Borghi J et al.
Déclaration de conflit d'intérêts
No competing interests were disclosed.
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