Abstract

In theory, ‘systems thinking’ offers a remarkably attractive solution to the persistent challenges of preventive public health. Haynes and colleagues’ recent analysis of the Prevention Centre in Australia offers reason for optimism that it might be possible to translate this promise into action on the ground. In this commentary, we critically assess the claims from this promising case study and their broader applicability to the cause of preventive health. We argue that, in many other contexts, persistent obstacles remain, such as a lack of buy-in from senior policy actors, and a lack of tangible or concrete action following through on an abstract commitment to systems thinking.

Highlights

  • In theory, ‘systems thinking’ offers a remarkably attractive solution to the persistent challenges of preventive public health

  • Putting Systems Thinking Into Practice Haynes et al richly detailed study of the Prevention Centre in Australia conforms to the highest standards of practice in qualitative research

  • Two is that enthusiasm for systemic thinking in the Prevention Centre appears to remain limited to those already engaged in public health policy

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Summary

Introduction

In theory, ‘systems thinking’ offers a remarkably attractive solution to the persistent challenges of preventive public health. We do not engage in this discussion to call into question the value of this paper – which, as we have said, offers a rare and immensely valuable insight into a systemic approach to public health in practice.

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