BookJoachim P. Sturmberg, editor.
Summary: This detailed volume illustrates the transformative nature of systems and complexity sciences for practice, research, education, and health system organization. Researchers highlight the fresh perspectives and novel approaches offered by these interdisciplinary fields in addressing the complexities of global, national, and community health challenges in the 21st century. With the implications that these emerging fields hold for health still relatively underexplored, researchers from a wide variety of disciplines, including physiological, social, environmental, clinical, prevention, educational, organizational, finance, and policy domains, aim in this book to suggest future directions in health care and highlight recent advances in basic and clinical physiology, education, policy-making, and leadership. Among the topics discussed: • Impact of genomic heterogeneity on bio-emergent properties • Harnessing Big Data to improve health services • Decision-making of women in violent relationships • Co-producing healthcare interventions • A socio-ecological solution to physician burnout Embracing Complexity in Health: The Transformation of Science, Practice, and Policy is a highly relevant resource to practitioners in the field, students, instructors, and policy makers, and also should find an engaged audience among health and disease researchers, healthcare planners, health system financiers, health system administrators, health services administrators, health professional educators, and other health professionals. The trans- and interdisciplinary natures of health and health care are fostering a broad discourse amongst all concerned with improving patient care in an equitable and sustainable way. .
Contents:
Intro; Preface; Acknowledgments; Contents; Contributors; Part I Introduction: A Systems and Complexity Science Understanding of Health; If You Change the Way You Look at Things, Things You Look at Change. Max Planck's Challenge for Health, Health Care, and the Healthcare System; 1 Looking Differently: At Health, Dis-ease and Disease; 1.1 Most People Are Healthy Most of the Time; 1.2 Dis-ease Versus Disease Versus Health; 1.3 The Cause of Disease; 1.3.1 The Fallacy of `Macroscopic Causation'; 1.3.2 The Emergence of a Network Physiological Understanding of Health and Disease 1.4 Disease: An Outcome of Mal-/Adaptive Regulatory Feedback1.4.1 Genome Regulation; 1.4.2 Autonomous Nervous System and HPA-Axis Regulation; 1.4.3 Mitochondrial Regulation; 1.5 Diseases as Phenotypes; 1.6 Health, Dis-ease and Disease: A `Whole of Person' Phenomenon; 1.7 Detecting Physiological Dysregulation; 1.7.1 Biomarkers of Physiological Dysregulation Have Limited Application in Clinical Practice; 1.8 … Your Appreciation of Health, Dis-ease and Disease Changes; 2 Looking Differently: At Healthcare Delivery; 2.1 Health Care: Is That Really What We Do? 2.1.1 Shifting of the-Mental-Mind Frame2.1.2 In Essence Health Professionals Are Disease Managers; 2.1.3 Disinterest in the Person with the Disease; 2.2 Disease Care at Work; 2.2.1 Communication: About Disease; 2.2.2 A Protocol-/Guideline-Driven Approach to Disease Management; 2.2.3 Disease Management Results in Wasting Scarce Resources; 2.3 Health Workforce Composition; 2.3.1 Evaluating Outcomes: Which Ones Count?; 2.4 … Your Appreciation of the Healthcare Delivery Changes; 3 Looking Differently: At the Healthcare System 3.1 The Disease Focus Diverts Attention and Resources Away from `Being Healthy' and `Staying Healthy'3.2 Reframing Our Metaphors: Achieving Health; 3.3 … Your Appreciation of the Healthcare System Changes; The Transformative Aspects of This Study;
Appendix 1: Disease Definitions and Re-definitions;
Appendix 2: Prevalence of Long-Term Conditions in the Australian National Health Survey;
Appendix 3: Annas' Analysis of the Consequences of the Military and Market Metaphors on Health Care ch1:bib144; References; Fail Small, Fail Often: An Outsider's View of Physiologic Complexity; 1 Introduction 2 Complex Is Typical Not Normal3 But Why Multifractal?; 3.1 Some Results; 4 Control of Variability; 5 Discussion and Conclusions; The Transformative Aspects of This Study; References; Part II Physiology; A Puzzling Question: How Can Different Phenotypes Possibly Have Indistinguishable Disease Symptoms?; 1 Basic Mechanisms Allowing the Emergence of Life; 1.1 The Role of the Chemical Bond; 1.2 Phase Separation; 2 Emergent Processes in Disease; 2.1 Patterns of Ventilation Defects in Asthma; 2.2 Asthma Phenotypes; 3 One Symptom: Different Mechanisms?; 4 Conclusions