{"title":"从系统治疗转向系统方法美国医疗保健可持续发展之路","authors":"N. Whitehead, W. Scherer","doi":"10.1109/SysCon.2013.6549900","DOIUrl":null,"url":null,"abstract":"In 1999, the Core Competencies, a curriculum for second-year medical residents was published by The Accreditation Council for Graduate Medical Education (ACGME) in response to safety problems, poor performance and a high rate of expenditure in the U.S. healthcare system. Systems-based Practice - the sixth core competency - was designed specifically to bring systems thinking to the practice of specialized medicine with the stated goal of providing optimal healthcare. This paper applies a systemic analysis technique called The Dimensions of Systems Thinking (DST) to Systems-based Practice. Thirteen years after publication, Systems-based Practice has failed to have the desired effect on the healthcare system due to improperly defined objectives & system boundaries, lack of defined metrics & assessment procedures and the systematic nature of the system into which it was introduced. We make recommendations for improvements to the sixth core competency that would be part of a larger effort to achieve sustainability in the U.S. healthcare system.","PeriodicalId":218073,"journal":{"name":"2013 IEEE International Systems Conference (SysCon)","volume":"22 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2013-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Moving from systematic treatment to a systemic approach A path for sustainable U.S. healthcare\",\"authors\":\"N. Whitehead, W. Scherer\",\"doi\":\"10.1109/SysCon.2013.6549900\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"In 1999, the Core Competencies, a curriculum for second-year medical residents was published by The Accreditation Council for Graduate Medical Education (ACGME) in response to safety problems, poor performance and a high rate of expenditure in the U.S. healthcare system. Systems-based Practice - the sixth core competency - was designed specifically to bring systems thinking to the practice of specialized medicine with the stated goal of providing optimal healthcare. This paper applies a systemic analysis technique called The Dimensions of Systems Thinking (DST) to Systems-based Practice. Thirteen years after publication, Systems-based Practice has failed to have the desired effect on the healthcare system due to improperly defined objectives & system boundaries, lack of defined metrics & assessment procedures and the systematic nature of the system into which it was introduced. We make recommendations for improvements to the sixth core competency that would be part of a larger effort to achieve sustainability in the U.S. healthcare system.\",\"PeriodicalId\":218073,\"journal\":{\"name\":\"2013 IEEE International Systems Conference (SysCon)\",\"volume\":\"22 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-04-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"2013 IEEE International Systems Conference (SysCon)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1109/SysCon.2013.6549900\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"2013 IEEE International Systems Conference (SysCon)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1109/SysCon.2013.6549900","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Moving from systematic treatment to a systemic approach A path for sustainable U.S. healthcare
In 1999, the Core Competencies, a curriculum for second-year medical residents was published by The Accreditation Council for Graduate Medical Education (ACGME) in response to safety problems, poor performance and a high rate of expenditure in the U.S. healthcare system. Systems-based Practice - the sixth core competency - was designed specifically to bring systems thinking to the practice of specialized medicine with the stated goal of providing optimal healthcare. This paper applies a systemic analysis technique called The Dimensions of Systems Thinking (DST) to Systems-based Practice. Thirteen years after publication, Systems-based Practice has failed to have the desired effect on the healthcare system due to improperly defined objectives & system boundaries, lack of defined metrics & assessment procedures and the systematic nature of the system into which it was introduced. We make recommendations for improvements to the sixth core competency that would be part of a larger effort to achieve sustainability in the U.S. healthcare system.