Healthcare Decision-Making Ecosystem Deengineering

Decision-making in healthcare is not just a singular, straightforward process but rather a complex and continuously evolving interplay of heterogeneous interconnected factors. Decision theories and reasoning methods, stakeholders' inherent qualities, leadership models, diversity in organization culture, regulatory frameworks, and technological advancements all contribute to shaping the modern healthcare decision-making ecosystem. While each of these constituent elements intends to enhance the robustness and quality of decisions, their implicit influences often introduce additional layers of complexity. This article uses the notion of de-engineering in order to introduce an approach for setting apart and critically examining the individual components of the healthcare decision-making ecosystem. By identifying the strengths and limitations of the constituent elements, the de-engineering approach serves as a foundational step toward redesigning more resilient and effective healthcare decision-making.