Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Jul 18;308(3):243-4.
doi: 10.1001/jama.2012.7551.

Understanding health care as a complex system: the foundation for unintended consequences

Lewis A Lipsitz  1
Affiliations

Understanding health care as a complex system: the foundation for unintended consequences

Lewis A Lipsitz. JAMA. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Disclosures: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

References

    1. Plsek P. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington DC: The National Academies Press; 2001. Redesigning health care with insights from the science of complex adaptive systems; p. 13. - PubMed
    1. Sturmberg JP, O’an DM, Martin CM. Understanding health system reform—a complex adaptive systems perspective. J Eval Clin Pract. 2012;18(1):202–208. - PubMed
    1. Jha AK, Joynt KE, Orav EJ, Epstein AM. The long-term effect of premier pay for performance on patient outcomes. N Engl J Med. 2012;366(17):1606–1615. - PubMed
    1. Nelson L. Lessons from Medicare’s demonstration projects on disease management, care coordination, and value-based payment. Washington, DC: Congressional Budget Office; 2012. CBO publication 42860.
    1. Shackelton RJ, Marceau LD, Link CL, McKinlay JB. The intended and unintended consequences of clinical guidelines. J Eval Clin Pract. 2009;15(6):1035–1042. - PMC - PubMed

Publication types

MeSH terms