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Health Care Organizations as Complex Adaptive Systems
James W. Begun
University of Minnesota
jbegun@
Brenda Zimmerman
McGill University
Kevin Dooley
Arizona State University
Chapter published in:
S. M. Mick and M. Wyttenbach (eds.), 2003 Advances in Health Care Organization Theory
San Francisco: Jossey-Bass, pp 253-288
Health Care Organizations as Complex Adaptive Systems
ABSTRACT
From its roots in physics, mathematics, and biology, the study of complexity science, or
complex adaptive systems, has expanded into the domain of organizations and systems of
organizations. Complexity science is useful for studying the evolution of complex
organizations -- entities with multiple, diverse, interconnected elements. Evolution of complex
organizations often is accompanied by feedback effects, nonlinearity, and other conditions that
add to the complexity of existing organizations and the unpredictability of the emergence of
new entities.
Health care organizations are an ideal setting for the application of complexity
science due to the diversity of organizational forms and interactions among organizations that
are evolving. Too, complexity science can benefit from attention to the world’s most
complex human organizations. Organizations within and across the health care sector are
increasingly interdependent. Not only are new, highly powerful and diverse organizational
forms being created, but also the restructuring has occurred within very short periods of time.
In this chapter, we review the basic tenets of complexity science. We identify a
series of key differences between the complexity science and es
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