Abstract
ContextSystems science provides organizational principles supported by biologic findings that can be applied to any organization; any incongruence indicates an incomplete or an already failing system. U.S. health care is commonly referred to as a system that consumes an ever- increasing percentage of the gross domestic product and delivers seemingly diminishing value.ObjectiveTo perform a comparative study of U.S. health care with the principles of systems science and, if feasible, propose solutions.DesignGeneral systems theory provides the theoretical foundation for this observational research.Main Outcome MeasuresA degree of compliance of U.S. health care with systems principles and its space-time functional location within the dynamic systems model.Results of comparative analysisU.S. health care is an incomplete system further threatened by the fact that it functions in the zone of chaos within the dynamic systems model.ConclusionComplying with systems science principles and the congruence of pertinent cycles, U.S. health care would likely dramatically improve its value creation for all of society as well as its resiliency and long-term sustainability.Immediate corrective steps could be taken: Prioritize and incentivize health over care; restore fiscal soundness by combining health and life insurance for the benefit of the insured and the payer; rebalance horizontal/providers and vertical/government hierarchies.
Highlights
Results of comparative analysis: U.S health care is an incomplete system further threatened by the fact that it functions in the zone of chaos within the dynamic systems model
U.S health care is commonly referred to as a system that consumes an ever-increasing percentage of the gross domestic product while delivering seemingly diminishing value and continuously eluding remedies. [1,2,3] Such observations point to chronic fundamental systemic organizational misalignments
The purpose of this study was to examine the degree of compliance of U.S health care with systems science principles, which approximate the framework of successful organizational settings found in biology; if followed, these guidelines should optimize societal health care
Summary
To perform a comparative study of U.S health care with the principles of systems science and, if feasible, propose solutions. Design: General systems theory provides the theoretical foundation for this observational research. Main Outcome Measures: A degree of compliance of U.S health care with systems principles and its space-time functional location within the dynamic systems model. Results of comparative analysis: U.S health care is an incomplete system further threatened by the fact that it functions in the zone of chaos within the dynamic systems model
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