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Viewing the global health system as a complex adaptive system - implications for research and practice.
Josephine Borghi1, Sharif Ismail1, James Hollway2
1Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, WC1H 9SH, UK.
F1000Research
|August 21, 2023
Summary
The global health system (GHS) requires reform to address transnational health challenges. Viewing the GHS as a complex adaptive system (CAS) offers new research and policy insights for enhanced global health resilience.
Area of Science:
- Global Health
- Systems Science
- Public Health Policy
Background:
- The global health system (GHS) faces increasing transnational challenges, necessitating reform for enhanced resilience.
- Current approaches inadequately capture the GHS's complexity and dynamism.
- The GHS is a multi-scalar, nested system with interconnected actors influencing health outcomes.
Purpose of the Study:
- To advocate for conceptualizing the GHS as a complex adaptive system (CAS).
- To introduce systems thinking and complexity science methods for GHS research.
- To highlight potential policy insights from applying CAS approaches.
Main Methods:
- Literature review of systems thinking and complexity science methods.
- Conceptual analysis of the GHS as a CAS.
- Discussion of challenges in applying these methods to research and policy.
Main Results:
- A CAS framework provides a more dynamic and comprehensive understanding of the GHS.
- Systems thinking methods can quantify challenges and evaluate reform options.
- Application of CAS approaches can yield significant policy insights.
Conclusions:
- Adopting a CAS approach is crucial for GHS research and policy.
- This approach enhances the ability to bolster resilience against transboundary health risks.
- Interdisciplinary methods are essential for navigating the complexity of global health challenges.
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