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Journal of Epidemiology and Community Health 2005;59:394
Copyright © 2005 by the BMJ Publishing Group Ltd.
Journal of Epidemiology and Community Health 2005;59:394
© 2005 BMJ Publishing Group Ltd

THE JECH GALLERY

Relationships, context, and embedded systems: illustrating complexity science

Cary A Brown

School of Health Sciences, University of Liverpool, Johnston Building, Brownlow Hill, Liverpool L69 3GB, UK; cabrown{at}liv.ac.uk

Keywords: complexity science

Increasingly attention is focusing on the inadequacies of attempting to understand and address many contemporary healthcare problems from a reductionist biomedical paradigm.1–3 Complex adaptive systems theory redirects attention towards understanding the patterns of non-linear behaviour that emerge from contextually embedded and highly interactive agents. This picture (view from Canal Street during ManchesterPride parade 2004) shows that a broadened perspective and patterns of order can emerge from a more careful examination of the relationships between components (each window’s reflection) and the dynamic interplay of embedded contexts.


REFERENCES

  1. Wilson T, Holt T, Greenhalgh T. Complexity science: complexity and clinical care. BMJ 2001;323:685–8.[Free Full Text]
  2. Plsek PE, Greenhalgh T. Complexity science: the challenge of complexity in health care. BMJ 2001;323:625–8.[Free Full Text]
  3. Sweeney K, Griffiths F. Complexity and healthcare: an introduction. Oxford: Radcliffe Medical Press, 2002.

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