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System based practice: a concept analysis.

Shahram Yazdani1, Fakhrolsadat Hosseini2, Soleiman Ahmady3

  • 1School of Medical Education Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

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|April 23, 2016
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This study clarifies Systems-Based Practice (SBP) by defining its core attributes for better physician training and evaluation. Understanding SBP components is crucial for improving healthcare quality and developing effective assessment tools.

Keywords:
AccreditationCompetency-based educationConceptMedical education

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Area of Science:

  • Medical Education
  • Healthcare Systems
  • Professional Competencies

Background:

  • Systems-Based Practice (SBP) is a critical ACGME competency for physicians, yet challenging in training and evaluation.
  • Clarifying SBP's concept and components is essential for differentiating it from similar concepts.
  • Operational definitions and precise component identification are needed for valid SBP assessment tools.

Purpose of the Study:

  • To clarify the concept of Systems-Based Practice (SBP).
  • To identify the essential attributes, antecedents, and consequences of SBP.
  • To facilitate the development of effective training and assessment tools for SBP.

Main Methods:

  • Utilized Walker & Avant's eight-stage concept analysis approach.
  • Identified concept uses, defined attributes, and established model, borderline, related, and contrary cases.
  • Determined antecedents and consequences, and defined empirical referents for SBP.

Main Results:

  • Key SBP attributes include system knowledge, balancing patient needs with system goals, interprofessional collaboration, health advocacy, and system improvement.
  • Antecedents identified are system thinking and a functional system; consequences include achieving system goals.
  • Model, borderline, and contrary cases of SBP were established to illustrate the concept.

Conclusions:

  • This analysis contributes to the understanding of SBP, reducing ambiguity for medical training across specialties.
  • Empirical referents identified can aid in developing more precise tools for evaluating SBP competency.
  • Clearer definition of SBP attributes supports improved physician performance and healthcare quality.