title: Decision-making in healthcare as a complex adaptive system.
abstract: Healthcare transformation requires a change in how the business of healthcare is done. Traditional decision-making approaches based on stable and predictable systems are inappropriate in healthcare because of the complex nature of healthcare delivery. This article reviews challenges to using traditional decision-making approaches in healthcare and how insight from Complex Adaptive Systems (CAS) could support healthcare management. The article also provides a system model to guide decision-making in healthcare as a CAS.
authors.affiliation: University of Ottawa, Ottawa, Ontario, Canada. kuziemsky@telfer.uottawa.ca.
authors.forename: Craig
authors.initials: C
authors.lastname: Kuziemsky
mesh_terms: D003657:Decision Making; D003659:Decision Making, Organizational; D003695:Delivery of Health Care / Q000379:methods*; D004059:Diffusion of Innovation; D006298:Health Services Administration; D006801:Humans