Complexity and health – yesterday's traditions, tomorrow's future

Context Matters: The Experience of 14 Research Teams in Systematically Reporting Contextual Factors Important for Practice Change

“…[31][32][33][34][35][36] In addition, a number of health and health care models provide important clues to domains of contextual factors. For example, the chronic care model [37][38][39] and the expanded chronic care model 40 show specific community and health care system domains that may be important influences on productive clinician-patient interactions.…”

Taxonomy for complexity theory in the context of maternity care

“…Interconnection (Sturmberg et al, 2014;Trenholm and Ferlie, 2013;Jayasinghe, 2011;Kannampallil et al, 2011;Albanese et al, 2009;Sturmberg and Martin, 2009;Edgren, 2008;Martin and Sturmberg, 2008;Patel et al, 2008;Boustani et al, 2007;Chaffee and McNeill, 2007;Lessard, 2007;Gatrell, 2005;Holden, 2005;Minas, 2005;Plsek, 2003;Sweeney and Kernick, 2002;Sweeney and Mannion, 2002;Miller et al, 2001;Anderson and McDaniel, 2000;Bujak, 1999) Complex systems have a dynamic range of agents (e.g. people) that cannot be understood as the simple sum of the individual characteristics.…”

“…The over use of some of these terms has led to accusations of naivety against those attempting to use complexity theory in a range of settings. Although there is a concept analysis in this area (Holden, 2005) and some previous publications offer an overview of a number of components in the light of health care (Chaffee and McNeill, 2007;Sturmberg and Martin, 2009), a comprehensive taxonomy for complexity theory in the context of health care has not been published to date.…”

Going for gold: A prospective assessment of the economic impacts of the Commonwealth Games 2014 on the East End of Glasgow

“…Regeneration itself, never mind allied to a multi-sports event, is considered a complex intervention comprising 'multiple, interrelated activities… delivered in different ways to different people in different places at different time periods' (Bond et al 2013, p.942). In these circumstances, it is noted that more usual research designs for studying the effectiveness of interventions, such as quasi-experimental designs (included in our study -see below), 'fail to provide valid information when applied to complex and dynamic systems' because they 'do not identify in which conditions and through which configuration of factors the outcome is achieved' (Marchal et al 2012, p.193;Sturmburg and Martin 2009).…”