Using complexity theory to analyse the organisational response to resurgent tuberculosis across London

作者：Trenholm Susan^*; Ferlie Ewan

来源：Social Science & Medicine, 2013, 93: 229-237.

DOI：10.1016/j.socscimed.2012.08.001

• Complexity theory
• Tuberculosis
• Healthcare organisations
• NHS
• New Public Management
• UK

We employ complexity theory to analyse the English National Health Service (NHS)'s organisational response to resurgent tuberculosis across London. Tennison (2002) suggests that complexity theory could fruitfully explore a healthcare system's response to this complex and emergent phenomenon: we explore this claim here. We also bring in established New Public Management principles to enhance our empirical analysis, which is based on data collected between late 2009 and mid-2011. We find that the operation of complexity theory based features, especially self-organisation, are significantly impacted by the macro context of a New Public Management-based regime which values control, measurement and risk management more than innovation, flexibility and lateral system building. We finally explore limitations and suggest perspectives for further research.

• 出版日期2013-9