Managing Pandemic Threats—The Need for Adaptive Leadership

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Scott Worman, Joachim P. Sturmberg
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引用次数: 0

Abstract

The threat of the H5N1-influenza virus prompts reflection on COVID-19 pandemic experiences. This paper integrates insights from a first responder using the Cynefin framework to advocate for an adaptive strategic approach to future pandemics. Balancing individual freedoms with containment measures serves to leverage the human capital needed for rapid learning and resource distribution. The Cynefin framework aids in understanding complex problem-solving dynamics which involve varying degrees of order and chaos. Hierarchies in the ordered world support heterarchies which explore the unordered world. Both operate within scale free human systems which must adapt to existential challenges such as pandemics. Experience leading to knowledge and understanding occurs simultaneously at all dimensions of human existence. Ultimately, adaptive leadership and decentralized decision-making, supported by the best available knowledge, enable effective pandemic management and restoration of normal societal functions.

H5N1 流感病毒的威胁引发了对 COVID-19 大流行经验的反思。本文综合了一名第一响应者利用 Cynefin 框架提出的见解,倡导采用适应性战略方法应对未来的大流行病。在个人自由与遏制措施之间取得平衡,有助于充分利用快速学习和资源分配所需的人力资本。Cynefin 框架有助于理解复杂的问题解决动态,其中涉及不同程度的有序和混乱。有序世界中的等级制度支持探索无序世界的异等级制度。二者都在无规模的人类系统中运行,而人类系统必须适应大流行病等生存挑战。在人类生存的各个层面,通过经验获得知识和理解是同时发生的。最终,在现有最佳知识的支持下,适应性领导和分散决策能够有效管理大流行病并恢复正常的社会功能。
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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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