医療における複雑系：臨床・研究・教育・経営に生かせる知識 Complex Systems in Medicine〈1st ed. 2020〉 : A Hedgehog’s Tale of Complexity in Clinical Practice, Research, Education, and Management

著者名：Aron, David C.

Springer（2019/08/30発売）

• 言語：ENG
• ISBN：9783030245924
• eISBN：9783030245931

Description

This unique title explores complex systems in clinical medicine and the subsequent implementation of that knowledge into practice.  Written conversationally and as a reflection on the journey of learning about complex systems, the book explores how knowledge of these systems can be applied to four key roles in academic medicine: clinical practice, education, research, and administration.  Further, this title emphasizes how gaining an understanding of complex systems can greatly help a physician deal with the many challenges found in academic medicine. Unlike other books on complexity in medicine, which tend to focus on only one aspect of the management of patients, Complex Systems in Medicine deals with the multifaceted roles of a physician. The approach in this book is uniquely qualitative rather than mathematical, and is written to make it not only of interest to physicians, trainees, and allied health providers, but also to make it more accessible to a non-medical audience. The inclusion of personal anecdotes by the author provides concrete examples of the application of knowledge of complex systems in academic medicine. A first-of-its-kind contribution to the literature, Complex Systems in Medicine: A Hedgehog’s Tale of Complexity in Clinical Practice, Research, Education, and Management is not only a novel reference for medical professionals, it is an accessible tool for the non-medical audience hoping to learn more about complex systems and their direct relevance to medicine, a field that deals with the infinite variety of humans and their ills. It illustrates the consequences of the interactive elements of patient care that make medicine both a science and an art.

Table of Contents

Introduction –A Hedgehog’s Tale of Complexity  

Part I Starting out

·         Chapter 1.  Discovering Complexity

·         Chapter 2. Models

Part II Clinician Role

·         Chapter 3. Clinical Diagnosis – “Simple” Patients

·         Chapter 4. Complex Patients

·         Chapter 5. Levels and Hierarchy in Complex Systems: What gets diabetes?

·         Chapter 6. Managing Patients – Evidence-Based Medicine Meets Human Complexity

Part III Educator Role

·         Chapter 7. Taking complexity into account when teaching about diabetes

·         Chapter 8. Using analogies to make connections between seemingly disparate systems – the case of patient safety

Part IV Research and Administrative Roles

·         Chapter 9. The Complexity of Context

·         Chapter 10. Complexity and project outcome: Why QI projects fail to deliver on their promise and even when successful initially, they are unsustainable.

·         Chapter 11. Why health services research fails to deliver: Complexity and Context 

·         Chapter 12. Complexity and Management and Policy: Why our interventions go astray. 

·         Chapter 13. Precision Medicine and Complexity

Part V. Educator Role II – Teaching Complex Systems in a Business School

·         Chapter 14. Teacher Complexity in a business school – 1 - networks 

·         Chapter 15. Drawing upon medicine to teach complex systems to business school students – 2 thinking in systems

Complex Systems Part VI. Reflections

·         Chapter 16. The Two Cultures of Complexity 

·         Chapter 17. The Two Cultures of Medicine

·         Chapter 18. Dealing with Complex Systems      

·         Chapter 19. Refraction

Appendix: Syllabus for EDMP 673: Complex Systems and Their Management, Doctorate in Management, Weatherhead School of Management, Case Western Reserve University.