Id 680 Pre-Existing Complex Systems Concepts Among Complexity Naive Physician Peers

Conference: 
Author(s): 
Topolski S
United States
public@cottagemed.org
Text: 
Aim(s) or purpose: Successful complex systems in nature have been studied for insight to improve human health, but much of the field of complexity has grown out of mathematics and the basic sciences. The quantitative naming and conclusions which result sound foreign to practising clinicians who excel in the subjective and richly qualitative field of human health. This results in poor communication and slowed innovation in both qualitative and quantitative fields. Objective: to improve communication by determining if a novel complex systems concept of health as a dialectic tensor already exists unnamed in the thought process of physician healers.
Design and method: Design: qualitative ethnographic exploration of the internal conceptualisation of and relationship between health and illness with coding to delineate the role of balance in physician thought. Setting: rural and urban North American primary care practices. Participants: practising primary care physicians. Instruments: a qualitative structured survey tool with decision point branching and a standardized visual choice set of non-linear computer models demonstrating categories of complex behaviour.
Results: Physician healers were better able to identify common patterns in patient behaviour and complexity science when shown visual models on computer. A preliminary similarity exists between practising physicians’ health understanding and complex systems’ health principles.
Conclusions: A traditional tribal behaviour of alienation from perceived new and different world-views is not aided by the technical nature of work published in the field of complex systems. More openness of mind and less technical jargon may improve physician understanding of complexity in human health.
Literature: 
ID 680
Pre-existing complex systems concepts among complexity naive physician peers