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Evaluation of patient‐focused health care from a systems perspective
Author(s) -
Benkö Singa Sandelin,
Sarvimäki Anneli
Publication year - 2000
Publication title -
systems research and behavioral science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.371
H-Index - 45
eISSN - 1099-1743
pISSN - 1092-7026
DOI - 10.1002/1099-1743(200011/12)17:6<513::aid-sres340>3.0.co;2-2
Subject(s) - perspective (graphical) , outcome (game theory) , systems thinking , process (computing) , health care , healthcare system , nursing , nursing care , systems theory , nursing process , psychology , management science , computer science , process management , medicine , artificial intelligence , engineering , mathematics , mathematical economics , economics , economic growth , operating system
The purpose of this paper is to outline a hierarchic systems theory approach as a framework for patient‐focused evaluation in nursing and other health care areas. Such a framework allows for complex features of processes in health care to appear by simultaneous analyses of relationships on different levels and with different methods. In nursing and caring research mostly a ‘one‐level’ design has been employed. There is an awareness, however, that the outcome of the nursing process needs to be evaluated in a more differentiated manner. A systemic model is offered according to systems thinking where both system levels and system dynamics in the ‘downward’ as well as ‘upward’ direction are recognized as crucial in the analysis. Copyright © 2000 John Wiley & Sons, Ltd.