Abstract :

The health care systems globally are undergoing constant changes and redesign processes within the framework of increasing patient expectations and increasingly challenging objectives related to the health of populations, cost reduction and improvement of health care quality. New approaches of healthcare reimbursement and payment are being implemented with the aim to contain costs. In parallel, there are relentless efforts to improve the quality of care through the reorganization of the healthcare team, increasingly relying on evidence, putting the patients at the centre of care, and greater participation of the patients in the process of healthcare. Overcoming the fragmentation of health systems is a major challenge for most countries of the world.  In this light, healthcare system innovation and transformation, in order to meet the expectations of the patients, healthcare professionals and other stakeholders involved is of critical importance. System thinking offers an opportunity for healthcare professionals and experts of health system administration, management and strategic planning to fine-tune the health system so that it can fulfil its aspirations.

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Keywords :

Health Administration, Health Management, Health system, Health System Reform, Healthcare, Innovation, Strategic Planning, System Thinking.

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References :

1. Sonymol, K., and Shankar, R, Healthcare Cost Reduction and Health Insurance Policy Improvement. Value Health Reg Issues, 2022.29: p. 93-99.
2. Sturmberg, J.P., Bircher, J, Better and fulfilling healthcare at lower costs: The need to manage health systems as complex adaptive systems. F1000Res, 2019. 8: p. 789.
3. Isola, S., Reddivari, and A.K.R, Affordable Care Act. 2022 Jul 11. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022Tavel, P. 2007 Modeling and Simulation Design. AK Peters Ltd.
4. Porter, M.E., Pabo, E.A., and Lee, T,H, Redesigning primary care: a strategic vision to improve value by organizing around patients’ needs. Health Aff (Millwood), 2013. 32(3): p. 516-25.
5. Gay, B, Rethinking the place of primary healthcare in France–role of general practice. Rev Epidemiol Sante Publique, 61(3): p. 193-198.
6. Doherty, R.B., Crowley, R.A., Health and Public Policy Committee of the American College of Physicians, Principles supporting dynamic clinical care teams: an American College of Physicians position paper. Ann Intern Med, 2013. 159(9): p. 620-626.
7. Ghorob, A., and Bodenheimer, T, Share the Care™: building teams in primary care practices. J Am Board Fam Med, 25(2): p. 143-145.
8. Wang, M.C., et al.,. Redesigning health systems for quality: Lessons from emerging practices. Jt Comm J Qual Patient Saf, 2006. 32(11): p. 599-611.
9. Moore, L.G., and DeBuono, B, Total cost of care: a discipline that leads to better care. J Ambul Care Manage, 2013. 36(3): p. 193-8.
10. Verma, A., and Bhatia, S, A Policy Framework for Health Systems to Promote Triple Aim Innovation. Healthc Pap, 15(3): p. 9-23.
11. Stange, K.C, The problem of fragmentation and the need for integrative solutions. Ann Fam Med, 2009. 7(2): p. 100-3.
12. Hirmas Adauy, M., et al., Health care access barriers and facilitators a qualitative systematic review. Rev Panam Salud Publica 3, 2013. 33: p. 223-229.
13. Brusnahan, A., et al., Identifying health care access barriers in southern rural Ecuador. Int J Equity Health, 2022. 21(1): p. 55.
14. Bedmar, M.A., et al., Health and access to healthcare in homeless people: Protocol for a mixed-methods study. Medicine (Baltimore). 2022. 101(7): p. e28816.
15. A., et al., Health care professional development: Working as a team to improve patient care. Sudan J Paediatr, 2014. 14(2): p. 9-16.
16. Rosen, M.A., et al., Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol, 2018. 73(4): p. 433-450.
17. Dinh, J.V., et al., Cross-Disciplinary Care: A Systematic Review on Teamwork Processes in Health Care. Small Group Research, 2020. 51(1): p. 125–166.
18. Zajac, S., et al., Overcoming Challenges to Teamwork in Healthcare: A Team Effectiveness Framework and Evidence-Based Guidance. Frontiers in Communication, 2021. 6, Article 606445.
19. Taylor, Y.J., et al., A Population Health Approach to Transitional Care Management for High-Risk Patients with Diabetes: Outcomes at a Rural Hospital. Popul Health Manag, 2020. 23(4): p. 278-285.
20. Caramanica, L., et al., A Concept Analysis of Transitions of Care for Population Health. Res Theory Nurs Pract, 2019. 33(3): p. 257-274.
21. Casciotti, D, We’re Witnessing a Health Data Explosion. Innovations in Health Information from the Director of the National Library of Medicine. 2017. Available at: https://nlmdirector.nlm.nih.gov/2017/01/31/ëere-ëitnessing-a-health-data-explosion/.
22. McNab, D., et al., Development and application of ‘systems thinking’ principles for quality improvement. BMJ Open Qual, 2020. 9(1): p. e000714.
23. Khalil, H., and Lakhani, A, Using systems thinking methodologies to address health care complexities and evidence implementation. JBI Evid Implement, 2021. 20(1): p. 3-9.
24. Duboz, R., et al., Systems Thinking in Practice: Participatory Modeling as a Foundation for Integrated Approaches to Health. Front Vet Sci, 2018. 5: p. 303.
25. Peters, D.H, The application of systems thinking in health: why use systems thinking? Health Res Policy Syst, 2014. 12: p. 51.