Complexity in Health System Reform

COMPLEXITY IN HEALTH SYSTEM REFORM
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(12 November 2012)
Complexity in Health System Reform
Introduction
As a matter of facts every creature as has got difference thinking capacity depending on its point of origin. This can be well pictured in the nation of Canada, where almost every people all over the world conclude that there was a big problem in the health care system all over the country. On the other hand, very little had been agreed basing on the nature of the situation. Some health specialized surveys together with the pollster suggested that at least something was wrong depending on how health system of nation appeared (Glouberman & Mintzberg, 2001). At the same time orientation carried out by survey as well as the question asked, contributed to the discovery of several different sources. This paper discusses the differences in thinking of the system as complicated versus complex. In addition, it gives examples and the approaches that would better suit addressing system reform as a complex adaptive system. It also explains the approaches presented and why they would work better.
That was actually believed to have resulted in the polarization of solution along the lines pertaining ideological as right as well as, left wing think tanks struggle to deliver their suggested solution. These maters became polarized at professional stages when health care attendance together with the doctors and nurses delivered their views.
As a result some preliminary distinction factors between complicated and simple situations as well as, complex ones were elaborated in this easy. That was well factored by considering simple problems fast. These difficulties like following a recipe could encompass basic matters of terminology and techniques, but at the same time, when the concept was understood, the recipe possessed a high assurance of success. On the other hand, complicated problems possessed subsets of simple problems which could not be reducible to them. The nature concerning their complication was associated not only to its scale of problem, but also to ideas of specialized experts (Bertelle, et al.2009). These problems in most cases were not simply an assembly of simple components. The complex situations could encompass all simple as well as, complicated subsidiaries problems but in most cases, they were non reducible. That was because they contained special needs like proper understanding of unique domestic conditions interdependency that had an added attribute of non-linearity as well as, capacity to adapt on different changes.
Additionally, it was an avoidable as complex system contained several elements of ambiguity together with the uncertainty, which were similar to the problems related with raising a daughter. Apart from this uncertainty all the problems could be approached with some degree of optimism. On the other hand, several health care specialists describe complex difficulties as complicated ones, thus employing solutions that were wedded to approaches of rational planning. These contributed to inaccurate solutions due to negligence of several aspect of complexity.
As a matter of facts, the sophisticated ways of people`s language, theories, as well as, models for complicated problems were believed to be as seductive as the lamplight. They offered good light and clarity thus leading to investigations that were ill equipped to address systems of complex adaptive. A year ago citizen of Canada received a shocking news as they realized that their health care system was ranked 30th in the world by the world health organization. This enabled some Canadians to flashback at the time when medical care was a cornerstone of their identity as well as, social policy (Glouberman, & Mintzberg, 2001).
Furthermore, some explanations were carried out to explain how health care system in the country of Canada came to its present state. A part from several specialists making some complexity concerning health care, people contend that a lot of the situation was associated with Medical care. This came as a result of lack of a theoretical frame for understanding the complex role as well as, nature of health care system in the society. This contributed to English nations and Canada intervening into their health system in a complicated manner with some negative feed backs. This was associated with changes in the system of Canada in the year of 1990 and 2000 by the use of complex filter (Glouberman, & Mintzberg, 2001).
Many people understand Canadian Medicare system as a very essential part of Canadian federalism for 30years and above. Additionally, it is highly embedded in the culture and values of Canadians. It was as well identified that the main role in Canada was specifically identified by pointing out that Medicare as part of the infrastructure of the nation. At that point, the metaphor pertaining infrastructure contained with it a complex array of values together with expectations.
On the other hand, health care represented railroads as of which holds the country together. In the entire nation, Medicare was known as an essential privilege of citizenship, as well as, social generosity. This can be well contrasted with the health status of America where health care was recognized as a good that could be purchased and sold with an aim of gaining profit. At this point, the complex result of this metaphor was more diminished desire to pay on behalf of another person health care. This could happen except in the cases of charitable act to offer health care for the poor (Kathleen, & Weick, 2001).
In addition, for the past 15 years, citizens of Canada were among the highly satisfied people on the health care system until late 1980s when some changes started taking place. In some developed nations like America, Great Britain, as well as, Canada, there was an increase fear pertaining health care inflation together with the sustainability of the system. This resulted in the retrenchment and restructuring that continued for a decade. As a result, those nations experienced fear on the WHO poor ranking, leading to serious problems with their health care systems in the existing century.
The complex problems were in the other term known as wicked situation. That was because a lot of their characteristics were non-reducible to their constitutive parts. This problem even if solved, their end result never worked as recipe that could be used to other like problems. As a result, the following are characteristics of complex and complicate systems.
As it was illustrated in this easy, the formation of Medicare was foreseen as the successive linear development of evidence based policy. On the other hand, Taylor`s classic text recognizes that real history as highly complex, as well as, non-linear. It was also elaborated in the easy that it was a comfortable idea to understand that the government process followed some neat, as well as, course which were logical but obviously it failed to succeed. At this point, there was appearance of unforeseen obstacles, unpredictable issues like election defeat and the result from the environment warns of the requirement of the changes in the strategy (Kathleen, & Weick, 2001).
According to Taylor point of explanation, the more roles of interest group were examined, the less the two tier federal system resembled concept of traditional, the more it exhibits the idiosyncratic confusion of a marble cake. That was properly elaborated in the easy basing on the factors that resulted in illness. There was an explanation that the statistical correlation that offered any form of support to those bodies will offer some causal deterministic account pertaining health. In really essence, that was not the case. There was also a continuous elaboration on a few evidence of the direction of the causality and uncertainties that were not considered. This resulted to pictures tending to ignore the exact picture of health as a complex. This was due to several interactions factors with one another (Zimmerman & Glouberman, 2002).
Additionally, the difficulties pertaining excessive use of emergency room was clarified as a complicated problem as the differences factored were narrowly considered. On the other hand, economic measures never factored the entire history of the problem and as a result, all iteration appeared to worsen the problem. As the pressure increased on the emergency rooms, there was also i...