Integrating System Dynamics and Action Research: Towards a Consideration of Normative Complexity Comment on “Insights Gained From a Re-analysis of Five Improvement Cases in Healthcare Integrating System Dynamics Into Action Research”

Rik Wehrens*, Lieke Oldenhof, Marjolijn Heerings, Violet Petit-Steeghs, Sander van Haperen, Roland Bal, Trisha Greenhalgh

*Corresponding author for this work

Research output: Contribution to journalComment/Letter to the editorAcademicpeer-review

1 Citation (Scopus)

Abstract

Holmström and co-authors argue for the value of integrating system dynamics into action research to deal with increasing complexity in healthcare. We argue that despite merits, the authors overlook the key aspect of normative complexity, which refers to the existence of multiple, often conflicting values that actors in healthcare systems have to pragmatically develop responses to in their daily practices. We argue that a better theoretical and empirical understanding of the multiplicity of values and how actors deal with value conflicts in daily practices can enrich discussions about complexity in healthcare. We introduce the alternative methodology of ‘value exnovation’ for action researchers to broaden the scope of system-based thinking and action research in healthcare.

Original languageEnglish
Article number7582
Number of pages3
JournalInternational Journal of Health Policy and Management
Volume12
Issue number1
DOIs
Publication statusE-pub ahead of print - 21 May 2023

Bibliographical note

Publisher Copyright:
© 2023 The Author(s); Published by Kerman University of Medical Sciences.

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