Document Detail

Rethinking health systems strengthening: key systems thinking tools and strategies for transformational change.
MedLine Citation:
PMID:  23014154     Owner:  NLM     Status:  MEDLINE    
While reaching consensus on future plans to address current global health challenges is far from easy, there is broad agreement that reductionist approaches that suggest a limited set of targeted interventions to improve health around the world are inadequate. We argue that a comprehensive systems perspective should guide health practice, education, research and policy. We propose key 'systems thinking' tools and strategies that have the potential for transformational change in health systems. Three overarching themes span these tools and strategies: collaboration across disciplines, sectors and organizations; ongoing, iterative learning; and transformational leadership. The proposed tools and strategies in this paper can be applied, in varying degrees, to every organization within health systems, from families and communities to national ministries of health. While our categorization is necessarily incomplete, this initial effort will provide a valuable contribution to the health systems strengthening debate, as the need for a more systemic, rigorous perspective in health has never been greater.
R Chad Swanson; Adriano Cattaneo; Elizabeth Bradley; Somsak Chunharas; Rifat Atun; Kaja M Abbas; Korina Katsaliaki; Navonil Mustafee; Benjamin Mason Meier; Allan Best
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Health policy and planning     Volume:  27 Suppl 4     ISSN:  1460-2237     ISO Abbreviation:  Health Policy Plan     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-27     Completed Date:  2013-03-14     Revised Date:  2013-10-09    
Medline Journal Info:
Nlm Unique ID:  8610614     Medline TA:  Health Policy Plan     Country:  England    
Other Details:
Languages:  eng     Pagination:  iv54-61     Citation Subset:  H    
Brigham Young University, 1668 North 1590 West, Provo, UT 84604, USA.
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MeSH Terms
Delivery of Health Care / organization & administration*
Developing Countries
Efficiency, Organizational*
Health Education
Health Policy
Health Resources / organization & administration
Health Services Research
Interdisciplinary Communication
Organizational Innovation
World Health
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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