Systems Design for Health System Reform

Sturmberg, Joachim P.

doi:10.1007/978-981-15-0720-5_56

Handbook of Systems Sciences 2021

DOI: 10.1007/978-981-15-0720-5_56

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Systems Design for Health System Reform

Joachim P. Sturmberg

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2022

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The biopsychosociotechnical model: a systems-based framework for human-centered health improvement

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2022

Health Systems

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The biopsychosocial model is among the most influential frameworks for human-centered health improvement but has faced significant criticism– both conceptual and pragmatic. This paper extends and fundamentally re-structures the biopsychosocial model by combining it with sociotechnical systems theory. The resulting biopsychosociotechnical model addresses key critiques of the biopsychosocial model, providing a more “practical theory” for human-centered health improvement. It depicts the determinants of health as complex adaptive system of systems; includes the the artificial world (technology); and provides a roadmap for systems improvement by: differentiating between “health status” and “health and needs assessment”, [promoting problem framing]; explaining health as an emergent property of the biopsychosociotechnical context [imposing a systems orientation]; focusing on “interventions” vs. “treatments” to modify the biopsychosociotechnical determinants of health, [expanding the solution space]; calling for a participatory design process [supporting systems awareness and goal-orientation]; and including intervention management to support the full lifecycle of health improvement.

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The biopsychosociotechnical model: a systems-based framework for human-centered health improvement

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2022

Health Systems

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Systems Design for Health System Reform

Cited by 1 publication

References 56 publications

The biopsychosociotechnical model: a systems-based framework for human-centered health improvement

The biopsychosociotechnical model: a systems-based framework for human-centered health improvement

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