Primary care practices are full of surprises!

Full Abstract

Primary care practices are complex adaptive systems facing the need to respond to internal and external uncertainty and surprise. For clinicians and practices to maximize their ability to proactively evolve as they respond to uncertainty and surprise, they need to understand that their practices are nonlinear systems and create the time and space for learning and reflection. This article provides principles for clinicians and staff for negotiating uncertainty and surprise in an ever-changing health care environment.

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Author information

Author/s: Crabtree, Benjamin F (BF);

Affiliation: Department of Family Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Journal and publication information

Publication Type: Comment; Journal Article

Journal: Health care management review (Health Care Manage Rev), published in United States. (Language: eng)

Reference: -2003 Jul-Sep; vol 28 (issue 3) : pp 279-83; discussion 289-90

Dates: Created 2003/08/27; Completed 2003/10/03; Revised 2004/11/17;

PMID: 12940349, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentOn: Health Care Manage Rev. 2003 Jul-Sep;28(3):266-78. (PMID: 12940348)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Creativeness
Family Practice - organization & administration
Humans
Negotiating

Organizational Innovation
Primary Health Care - organization & administration
Systems Analysis
Uncertainty

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