tailieunhanh - báo cáo khoa học: " Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes | BioMed Central Implementation Science Research article Open Access Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes Luci K Leykum 1 Jacqueline Pugh1 Valerie Lawrence1 Michael Parchman2 Polly H Noel1 John Cornell1 and Reuben R McDaniel Jr3 Address 1South Texas Veterans Health Care System University of Texas Health Science Center at San Antonio San Antonio TX 78229 USA 2Department of Family and Community Medicine University of Texas Health Science Center at San Antonio San Antonio TX 78229 USA and 3McComb s School of Business University of Texas at Austin Austin TX USA Email Luci K Leykum - leykum@ Jacqueline Pugh - pugh@ Valerie Lawrence - vlawrence@ Michael Parchman - parchman@ Polly H Noel - noel@ John Cornell - cornell@ Reuben R McDaniel - Corresponding author Published 28 August 2007 Received 8 February 2007 Implementation Science 2007 2 28 doi 1748-5908-2-28 Accepted 28 August 2007 This article is available from http content 2 1 28 2007 Leykum et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Despite the development of several models of care delivery for patients with chronic illness consistent improvements in outcomes have not been achieved. These inconsistent results may be less related to the content of the models themselves but to their underlying conceptualization of clinical settings as linear predictable systems. The science of complex adaptive systems CAS suggests that clinical settings are non-linear and increasingly has been used as a framework for describing and .