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12 Primary Care Practice: Uncertainty and Surprise

  • Benjamin F. Crabtree
Section IIIC Fundamental Unce rtainty and the Delivery of Health Care
Part of the Understanding Complex Systems book series (UCS)

Abstract

I will focus my comments on uncertainty and surprise in primary care practices. I am a medical anthropologist by training, and have been a full-time researcher in family medicine for close to twenty years. In this talk I want to look at primary care practices as complex systems, particularly taking the perspective of translating evidence into practice. I am going to discuss briefly the challenges we have in primary care, and in medicine in general, of translating new evidence into the everyday care of patients. To do this, I will look at two studies that we have conducted on family practices, then think about how practices can be best characterized as complex adaptive systems. Finally, I will focus on the implications of this portrayal for disseminating new knowledge into practice.

Keywords

Primary Care Practice Continue Medical Education Fitness Landscape Complex Adaptive System Complexity Science 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Authors and Affiliations

  • Benjamin F. Crabtree
    • 1
  1. 1.Department of Family Medicine, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey 

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