“A Systems Approach” and “Health Service Systems”: Time to Re-Think?
The stucture of the meeting derived from a systems model of a Health Service System. Sessions were organized which covered the major sub-systems of that model and their interactions. This was extremely useful as a device which gave coherence to the discussions, but during the course of the meeting several participants questioned the usefulness of this kind of view, feeling it to be constraining. It is of course one thing to use a systems model to structure a discussion, quite another to assume a real-world Health Service to be the system described in the model. The former action does not necessarily imply the latter.
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