Complex consultations and the 'edge of chaos'
- PMID: 15667766
- PMCID: PMC1266243
Complex consultations and the 'edge of chaos'
Abstract
Complexity theory has attracted considerable attention in recent years, both within medicine and in the wider world. Its themes of uncertainty and non-linearity resonate deeply with the experience of working in general practice. Describing the consultation as a complex, adaptive system provides a coherent theoretical basis for understanding the consultation, which has so far been lacking. Understanding the consultation as a complex, adaptive system offers insights into the consultation of that may prove to be of practical use to clinicians.
Figures
Comment in
-
Chaotic consultations.Br J Gen Pract. 2005 Mar;55(512):232. Br J Gen Pract. 2005. PMID: 15808044 Free PMC article. No abstract available.
Similar articles
-
General practice and the new science emerging from the theories of 'chaos' and complexity.Br J Gen Pract. 1998 Oct;48(435):1697-9. Br J Gen Pract. 1998. PMID: 10071407 Free PMC article.
-
The nature of medical evidence and its inherent uncertainty for the clinical consultation: qualitative study.BMJ. 2005 Mar 5;330(7490):511. doi: 10.1136/bmj.38336.482720.8F. Epub 2005 Jan 31. BMJ. 2005. PMID: 15684026 Free PMC article.
-
Patient participation in decision-making about cardiovascular preventive drugs - resistance as agency.Scand J Prim Health Care. 2017 Sep;35(3):231-239. doi: 10.1080/02813432.2017.1288814. Epub 2017 Feb 28. Scand J Prim Health Care. 2017. PMID: 28277056 Free PMC article.
-
Systems and complexity thinking in the general practice literature: an integrative, historical narrative review.Ann Fam Med. 2014 Jan-Feb;12(1):66-74. doi: 10.1370/afm.1593. Ann Fam Med. 2014. PMID: 24445105 Free PMC article. Review.
-
[General practice--linear thinking and complexity].Rev Med Suisse. 2006 Sep 27;2(80):2150-3. Rev Med Suisse. 2006. PMID: 17063645 Review. French.
Cited by
-
"You can't eat scenery": Family medicine, industrialization, and importance of values.Can Fam Physician. 2023 Dec;69(12):819. doi: 10.46747/cfp.6912819. Can Fam Physician. 2023. PMID: 38092444 Free PMC article. No abstract available.
-
Family medicine is complexity medicine.Can Fam Physician. 2024 Jan;70(1):7. doi: 10.46747/cfp.70017. Can Fam Physician. 2024. PMID: 38262749 Free PMC article. No abstract available.
-
Chaotic consultations.Br J Gen Pract. 2005 Mar;55(512):232. Br J Gen Pract. 2005. PMID: 15808044 Free PMC article. No abstract available.
-
From Chaos to Rationality: A Contingent Meta-Model for Evidence-Informed Health Policymaking in Diverse Contexts.Med J Islam Repub Iran. 2024 Jun 18;38:69. doi: 10.47176/mjiri.38.69. eCollection 2024. Med J Islam Repub Iran. 2024. PMID: 39399597 Free PMC article.
-
Gut feelings as a third track in general practitioners' diagnostic reasoning.J Gen Intern Med. 2011 Feb;26(2):197-203. doi: 10.1007/s11606-010-1524-5. Epub 2010 Oct 22. J Gen Intern Med. 2011. PMID: 20967509 Free PMC article. Review.
References
-
- Balint M. The doctor, his patient and the illness. 2nd ed. London: Pitman; 1964.
-
- Fry J. Profiles of disease. A study in the natural history of common diseases. Edinburgh and London: E&S Livingstone; 1966.
-
- McWhinney IR. A textbook of family medicine. New York: Oxford University Press; 1989.
-
- Mechanic D. The concept of illness behaviour. J Chronic Dis. 1962;15:189–194. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical