Decision-making in healthcare as a complex adaptive system

Healthc Manage Forum. 2016 Jan;29(1):4-7. doi: 10.1177/0840470415614842. Epub 2015 Dec 8.


Healthcare transformation requires a change in how the business of healthcare is done. Traditional decision-making approaches based on stable and predictable systems are inappropriate in healthcare because of the complex nature of healthcare delivery. This article reviews challenges to using traditional decision-making approaches in healthcare and how insight from Complex Adaptive Systems (CAS) could support healthcare management. The article also provides a system model to guide decision-making in healthcare as a CAS.

Publication types

  • Review

MeSH terms

  • Decision Making*
  • Decision Making, Organizational
  • Delivery of Health Care / methods*
  • Diffusion of Innovation
  • Health Services Administration
  • Humans