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Putting systems and complexity sciences into practice : sharing the experience

Author: Joachim P Sturmberg
Publisher: Cham, Switzerland : Springer, 2018.
Edition/Format:   eBook : Document : Conference publication : EnglishView all editions and formats
Summary:
This idea-packed resource takes systems and complexity sciences out of blue-sky territory and into the concrete world of contemporary healthcare practice. Beginning with a new reframing of health and illness, its chapters redesign traditional disease-centered models of care into modern, health-centered -- and patient-centered -- health service systems. The approaches shown here combine innovation and common sense to  Read more...
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Genre/Form: Electronic books
Conference papers and proceedings
Congresses
Additional Physical Format: Printed edition:
Material Type: Conference publication, Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Joachim P Sturmberg
ISBN: 9783319736365 3319736361 3319736353 9783319736358
OCLC Number: 1031214413
Description: 1 online resource
Contents: Intro; Preface; Contents; Contributors; 1 Putting Health Back into the Healthcare System; 1.1 Exploring Our Mindsets; 1.2 Why Are Health Systems Focused on Disease?; 1.2.1 Progress at a Price; 1.3 The Need to Refocus on the Person/Patient; 1.4 The Person/Patient at the Centre: Connecting the Subjective with the Objective; 1.4.1 Complex Adaptive Health Systems; 1.4.2 Complex Adaptive ``Person-Centred'' Health Systems; 1.4.3 Connecting the Subjective with the Objective; 1.5 Conclusions; The Journey; References; Part I Patient Care. 2 Healthy Smoker: An Oxymoron? Maybe, But It Is More Complicated Than That2.1 Introduction; 2.2 Methods; 2.2.1 Participant Screening; 2.2.2 Laboratory Protocol; 2.2.3 Questionnaires; 2.2.4 Glucocorticoid Receptor Sensitivity Assay; 2.2.5 Data Analysis; 2.3 Results; 2.4 Discussion; 2.4.1 Why Loneliness?; 2.4.2 Importance of an Acute to Chronic Stress Model in Humans; 2.5 Conclusions; The Journey; References; 3 From Microbes to Models: How Coping with Ear Infections Led to a New Paradigm; 3.1 Introduction; 3.2 The Body's Defenses; 3.2.1 Airways Defenses; 3.2.2 The Role of ``Ambient Humidity'' 3.2.3 The Effects of Antihistamines and Decongestants3.2.4 The Role of Histamine; 3.3 Strengthening our Defenses: The Prototype Model; 3.4 Strengthening Nasal Defenses; 3.4.1 Initial Observations; 3.4.2 Xylitol Nasal Spray; 3.4.3 Bacterial Adherence in Infectious Disease; 3.5 Bacterial Adherence and Infectious Disease: A New Model that Honors Complexity and Adaptation; 3.5.1 Support from Other Areas; 3.6 Conclusion; The Journey; References; 4 Suspending Hierarchy, Liberating Innovation: Personal Reflections on the Triple Chronotherapy Journey; 4.1 Introduction; 4.2 Reflections. 4.2.1 Diane Hurd, Co-principal Investigator --
Triple Chronotherapy Research, Charge Nurse, Billings Clinic4.2.2 Nicholas Coombs, Data Analyst, Center for Clinical Translational Research, Billings Clinic; 4.2.3 Cara Fairbanks, Registered Nurse, Psychiatric Center, Billings Clinic; 4.2.4 Heather Landon, Nurse Clinician, Psychiatric Center, Billings Clinic; 4.2.5 Andrea Macdonald, Charge Nurse, Psychiatric Center, Billings Clinic; 4.2.6 Kyle Luraas, Mental Health Worker, Psychiatric Center, Billings Clinic; 4.2.7 Keri Cross, Nurse Manager, Psychiatric Services, Billings Clinic; Reference. 5 Supporting Complex Dynamic Health Journeys Using Conversation to Avert Hospital Readmissions from the Community: An Ecological Perspective IncorporatingInteroception5.1 Background; 5.1.1 The Changing Role of Hospitals and the Health and Welfare System; 5.1.2 ED: At the Fuzzy Boundary Between ``Medical Emergency'' and ``the Need for Social Support''; 5.1.3 The Role of Primary Care; 5.2 Health Journeys, Resilience, Interoception, and Anticipatory Systems; 5.2.1 The Journey of Vulnerable People; 5.2.2 Anticipating Tipping Points in the Journeys of Vulnerable People.
Responsibility: Joachim P. Sturmberg, editor.

Abstract:

This idea-packed resource takes systems and complexity sciences out of blue-sky territory and into the concrete world of contemporary healthcare practice. Beginning with a new reframing of health and illness, its chapters redesign traditional disease-centered models of care into modern, health-centered -- and patient-centered -- health service systems. The approaches shown here combine innovation and common sense to recognize and attend to patients' needs across areas including health education and training, information accessibility, health service organization and delivery, and disease in individual context. The variety of solutions applied to this wide spectrum of issues shows the suitability of systems, complexity, and adaptive thinking to the ongoing objectives of making health services more responsive, effective, and equitable. Highlights of the coverage: Healthy smoker: an oxymoron? Maybe, but it is more complicated than thatTransforming monitoring and improving care with variability-derived clinical decision supportLinking Gulf War illness to genome instability, somatic evolution, and complex adaptive systemsComplexity of knowledge in primary care: understanding the discipline's requisite knowledge: a bibliometric studyNew ways of knowing and researching: integrating complexity into a translational health sciences programUnderstanding the emergency department ecosystem using agent-based modelling Putting Systems and Complexity Sciences into Practice is an inspiring idea book that sill interest health policymakers, health financiers, organizational leaders, healthcare administrators, clinicians, researchers, students, and interested lay readers.

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