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The health care system is CAS - Patient-centered change in a complex adaptive system

Hansson, Sebastian LU and Romell, David (2013) TMA820 20131
Department of Business Administration
Abstract
Overcrowded units, excessive waiting lists and overstrained
personell. Add an aging population and you have some of the
challenges facing the Swedish health care system. Change is
needed at multiple levels and it needs the involvement of a wide
variety of actors. Some researchers suggest that many of the
current change efforts fails to honor the complexity of health
care organizations.

In our thesis we develop a patient-centered framework, the
PAFFA-framework. The PAFFA-framework is intended to
facilitate change efforts in health care organizations that works
closely with the patient (e.g. hospitals and primary care units).
The framework has its foundation in the view of health care
organizations as complex adaptive systems.... (More)
Overcrowded units, excessive waiting lists and overstrained
personell. Add an aging population and you have some of the
challenges facing the Swedish health care system. Change is
needed at multiple levels and it needs the involvement of a wide
variety of actors. Some researchers suggest that many of the
current change efforts fails to honor the complexity of health
care organizations.

In our thesis we develop a patient-centered framework, the
PAFFA-framework. The PAFFA-framework is intended to
facilitate change efforts in health care organizations that works
closely with the patient (e.g. hospitals and primary care units).
The framework has its foundation in the view of health care
organizations as complex adaptive systems. It also has insights
from Lean healthcare and PCC (Person Centered Care). To
evaluate whether the framework is applicable in a complex
health care setting, it was tested through a case study at the
Department of Oncology at Karolinska Universitetssjukhuset in
Stockholm, Sweden. The framework seemed to work well in this
environment.

We agree with those researchers that suggest that health care
organizations of today need to begin viewing themselves as
complex organizations, embracing the opportunities this will
bring. Planning for the unknown might have seemed alluring in
the past, though living in this illusion is a risky way of going
forward.

Health care organizations of today, we call to action: dare to
seek new solutions that takes the unknown into account, instead
of planning as if all the variables are known and controllable. (Less)
Please use this url to cite or link to this publication:
author
Hansson, Sebastian LU and Romell, David
supervisor
organization
course
TMA820 20131
year
type
H2 - Master's Degree (Two Years)
subject
keywords
Komplexitet, Personcentrerad vård, Lean healthcare, Lean, komplexa adaptiva system, sjukvård, förändringsarbete.
ISSN
1651-0100
language
Swedish
id
3806282
date added to LUP
2015-08-19 11:18:37
date last changed
2015-08-19 11:18:37
@misc{3806282,
  abstract     = {Overcrowded units, excessive waiting lists and overstrained
personell. Add an aging population and you have some of the
challenges facing the Swedish health care system. Change is
needed at multiple levels and it needs the involvement of a wide
variety of actors. Some researchers suggest that many of the
current change efforts fails to honor the complexity of health
care organizations.

In our thesis we develop a patient-centered framework, the
PAFFA-framework. The PAFFA-framework is intended to
facilitate change efforts in health care organizations that works
closely with the patient (e.g. hospitals and primary care units).
The framework has its foundation in the view of health care
organizations as complex adaptive systems. It also has insights
from Lean healthcare and PCC (Person Centered Care). To
evaluate whether the framework is applicable in a complex
health care setting, it was tested through a case study at the
Department of Oncology at Karolinska Universitetssjukhuset in
Stockholm, Sweden. The framework seemed to work well in this
environment.

We agree with those researchers that suggest that health care
organizations of today need to begin viewing themselves as
complex organizations, embracing the opportunities this will
bring. Planning for the unknown might have seemed alluring in
the past, though living in this illusion is a risky way of going
forward.

Health care organizations of today, we call to action: dare to
seek new solutions that takes the unknown into account, instead
of planning as if all the variables are known and controllable.},
  author       = {Hansson, Sebastian and Romell, David},
  issn         = {1651-0100},
  keyword      = {Komplexitet,Personcentrerad vård,Lean healthcare,Lean,komplexa adaptiva system,sjukvård,förändringsarbete.},
  language     = {swe},
  note         = {Student Paper},
  title        = {The health care system is CAS - Patient-centered change in a complex adaptive system},
  year         = {2013},
}