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Sunday, August 23, 2015

Hierarchical decomposition does not work
for complex adaptive systems
One of the main difference has declared between an old or traditional healthcare system and complex adaptive one is how communication network look like? Previously; that leaded to subsequently to what has built certain sort of gaps between them, whether from work behavior or way of thinking. Although the sort of network involved in most traditional healthcare systems used Hierarchy pattern of delivery services neglecting one of the real purposes of healthcare delivery channel values by which simplify actions of delivered steps complemented with the whole picture of healthcare value measured and to maximize the patient final outcomes related to paid cost. By the contrast; there are many other differences between both being delivery system and the hierarchy working pattern, is  one of the which open wide door to many other disadvantages with management frames and length of service capacity therefore, a lot of working errors with inferior outcomes and modest distribution government, insurance paid finances and resources,

While in the complex adaptive healthcare systems owns the hierarchy network delivery channels with more working independence and autonomy with feasible agility threshold, not only the efficiency that to clarify the patient commitment in unique working methodology but at least not as in traditional systems depending on contractual mode act.

Reforming the traditional working healthcare system has not long term uphold process along many decades whereas, the persistence willingness to do constructive changes is considered the first line of defense because there are a lot of beneficial organizations get ongoing benefits financially. Actually. we can add also the bureaucratic sort of governments and their way of thinking which reflect strongly on operational process and execution. That actually give us the meaningful point, why some countries have attained big steps forwardly while many other ones still thinking how to design or even how to implement.

It worth be mentioned; that was the main target in the early 1990s to develop new modern and find new innovative healthcare system provide good services and put scaffold to maximize the real value matching with paid costs by citizens, at the end of 2008 Estonian healthcare system became the real example express the strong will and challenge to break the routine and different government bureaucracy resistance mechanisms. Moreover; that proved the persistence of government in order to change the traditional medical systems and put Estonian healthcare system among those who achieved top healthcare welfare in very short time as Sweden and Norway.

Undoubtedly; I agree that traditional healthcare frame work does not work with adaptive complex model. Particularly ahead with appearance of Tele-medicine and M-medicine applications  which do uncovering to real working gaps hinder the final patient awaited outcome.

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