The Future of Burn Care From a Complexity Science Perspective

Paul P.M. van Zuijlen*, Halil Ibrahim Korkmaz, Vivek M. Sheraton, Tsjitske M. Haanstra, Anouk Pijpe, Annebeth de Vries, Cornelis H. van der Vlies, Eelke Bosma, Evelien de Jong, Esther Middelkoop, Fred J. Vermolen, Peter M.A. Sloot

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)
23 Downloads (Pure)


Health care is undergoing a profound technological and digital transformation and has become increasingly complex. It is important for burns professionals and researchers to adapt to these developments which may require new ways of thinking and subsequent new strategies. As Einstein has put it: "We must learn to see the world anew." The relatively new scientific discipline "Complexity science" can give more direction to this and is the metaphorical open door that should not go unnoticed in view of the burn care of the future. Complexity science studies "why the whole is more than the sum of the parts." It studies how multiple separate components interact with each other and their environment and how these interactions lead to "behavior of the system." Biological systems are always part of smaller and larger systems and exhibit the behavior of adaptivity, hence the name complex adaptive systems. From the perspective of complexity science, a severe burn injury is an extreme disruption of the "human body system." But this disruption also applies to the systems at the organ and cellular levels. All these systems follow the principles of complex systems. Awareness of the scaling process at multilevel helps to understand and manage the complex situation when dealing with severe burn cases. This paper aims to create awareness of the concept of complexity and to demonstrate the value and possibilities of complexity science methods and tools for the future of burn care through examples from preclinical, clinical, and organizational perspectives in burn care.

Original languageEnglish
Pages (from-to)1312-1321
Number of pages10
JournalJournal of burn care & research : official publication of the American Burn Association
Issue number6
Publication statusPublished - 1 Nov 2022

Bibliographical note

Publisher Copyright:
© The Author(s) 2022. Published by Oxford University Press on behalf of the American Burn Association.


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