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. Jan-Feb 2015;83(1):81-6.
doi: 10.1016/j.circir.2014.03.001.

[The Dimension of the Paradigm of Complexity in Health Systems]

[Article in Spanish]
Free article

[The Dimension of the Paradigm of Complexity in Health Systems]

[Article in Spanish]
Guillermo Fajardo-Ortiz et al. Cir Cir. .
Free article


This article presents elements to better understand health systems from the complety paradigm, innovative perspective that offers other ways in the conception of the scientific knowledge prevalent away from linear, characterized by the arise of emerging dissociative and behaviors, based on the intra and trans-disciplinarity concepts such knowledges explain and understand in a different way what happens in the health systems with a view to efficiency and effectiveness. The complexity paradigm means another way of conceptualizing the knowledge, is different from the prevalent epistemology, is still under construction does not separate, not isolated, is not reductionist, or fixed, does not solve the problems, but gives other bases to know them and study them, is a different strategy, a perspective that has basis in the systems theory, informatics and cybernetics beyond traditional knowledge, the positive logics, the newtonian physics and symmetric mathematics, in which everything is centered and balanced, joint the "soft sciences and hard sciences", it has present the Social Determinants of Health and organizational culture. Under the complexity paradigm the health systems are identified with the following concepts: entropy, neguentropy, the thermodynamic second law, attractors, chaos theory, fractals, selfmanagement and self-organization, emerging behaviors, percolation, uncertainty, networks and robusteness; such expressions open new possibilities to improve the management and better understanding of the health systems, giving rise to consider health systems as complex adaptive systems.

Keywords: Complejidad; Complexity sciences; Health systems; Paradigm; Paradigma; Sistemas de salud.

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