AbstractThe healthcare system is grappling with inherent challenges, functioning akin to a fragmented cottage‐like industry, leading to significant cost implications and compromised care quality. This paper employs a systematic approach to scrutinize the Healthcare Delivery System (HDS) comprehensively, categorizing it as a Collaborative System of Systems (SoS), where multiple independent systems operate collectively, maintaining individual autonomy. Through a detailed examination, we identify the Collaborative SoS nature of the current healthcare system as the primary cause of its fragmentation. We address a gap in the current literature on the characteristics of SoS, focusing on the often‐overlooked aspect of dependence and exploring why constituent systems collaborate to achieve common objectives. Then, we propose a hybrid SoS model where an external governing entity at the national level assumes the authority to determine objectives and drivers for the healthcare SoS. We contend that effective SoS governance is indispensable for addressing systemic issues, providing necessary coordination, allocating resources, establishing policies, fostering sustainable change, and ensuring a well‐organized and efficient healthcare system.
Read full abstract