Author(s):  
Eleanor Beth Whyle ◽  
Jill Olivier

Background: Health systems are complex social systems, and values constitute a central dimension of their complexity. Values are commonly understood as key drivers of health system change, operating across all health systems components and functions. Moreover, health systems are understood to influence and generate social values, presenting an opportunity to harness health systems to build stronger, more cohesive societies. However, there is little investigation (theoretical, conceptual, or empirical) on social values in health policy and systems research (HPSR), particularly regarding the capacity of health systems to influence and generate social values. This study develops an explanatory theory for the ‘social value of health systems.’ Methods: We present the results of an interpretive synthesis of HPSR literature on social values, drawing on a qualitative systematic review, focusing on claims about the relationship between ‘health systems’ and ‘social values.’ We combined relational claims extracted from the literature under a common framework in order to generate new explanatory theory. Results: We identify four mechanisms by which health systems are considered to contribute social value to society: Health systems can: (1) offer a unifying national ideal and build social cohesion, (2) influence and legitimise popular attitudes about rights and entitlements with regard to healthcare and inform citizen’s understanding of state responsibilities, (3) strengthen trust in the state and legitimise state authority, and (4) communicate the extent to which the state values various population groups. Conclusion: We conclude that, using a systems-thinking and complex adaptive systems perspective, the above mechanisms can be explained as emergent properties of the dynamic network of values-based connections operating within health systems. We also demonstrate that this theory accounts for how HPSR authors write about the relationship between health systems and social values. Finally, we offer lessons for researchers and policy-makers seeking to bring about values-based change in health systems.


2020 ◽  
Vol 23 (1-2) ◽  
pp. 6-12
Author(s):  
Volodymyr Lisovsky

The author considers the degree of scientific development of the regional policy problem as an important component of the development of Ukraine. Conceptual principles of spatial regionalism, their essence and methods of research are substantiated. The attention is paid to the study of spatial patterns of regions development and to the features of the "center-regions" relations system development. Significant attention is paid to the study of trends in regionalization as a priority improvement of regional economic policy and mechanisms for its implementation. The greatest interest here is the institutionalization of the relations of state power with subnational territories; the division of powers between the regional authorities and the representatives of the central administration. The main goal of local authorities should be to provide a variety of quality services to communities with optimal costs in open activities and accountability to the community and the state. The modern theoretical and methodological foundations of regional social systems research are highlighted. Attention is paid to the problems of securing national interests, in particular the achievement of the unity of Ukrainian society, the observance of the integrity of the state, which is realized through the formation of a common identity of the citizens of Ukraine and is a prerequisite for the viability of the state, the effectiveness of its policy and the full implementation of national interests. It is established that the key to understanding the peculiarities of creating a single identity, which will unite the majority of Ukrainian citizens, is the prerequisite for forming a political nation in Ukraine as a community, belonging to which is based on citizenship, approval of common values of the state, unity of representatives interests of different ethnic, linguistic, regional and religious-confessional groups of Ukraine. The achievement of internal consolidation of Ukrainian society, on the one hand, is a favorable factor for qualitative and internal political transformations; and, on the other hand, to strengthen the foreign policy positions of independent Ukraine.


Author(s):  
Dariusz Nowak-Nova

This chapter presents the study of available literature describing autopoietic systems using the systematic mapping study method. Using the knowledge domain visualization technique, the areas of application for management cognitive systems and described therein self-sufficient processes responsible for the success of an organisation were presented. In the study, the research domains considered from the perspective of autopoiesis, such as cognitive computing (CC), information system (IS), communications systems, and Social Systems, were isolated. The study demonstrated that systems implemented based on CC in connection with IS are recommended for management systems. Research confirmed that CC applications using cognitive systems in autopoietic cognitive systems solutions constitute a developing field. Finally, specific and practical applications of cognitive technologies capable of being translated into the economic success of enterprises were indicated.


2011 ◽  
Vol 21 (1) ◽  
pp. 9-17
Author(s):  
Patrick R. Walden

Both educational and health care organizations are in a constant state of change, whether triggered by national, regional, local, or organization-level policy. The speech-language pathologist/audiologist-administrator who aids in the planning and implementation of these changes, however, may not be familiar with the expansive literature on change in organizations. Further, how organizational change is planned and implemented is likely affected by leaders' and administrators' personal conceptualizations of social power, which may affect how front line clinicians experience organizational change processes. The purpose of this article, therefore, is to introduce the speech-language pathologist/audiologist-administrator to a research-based classification system for theories of change and to review the concept of power in social systems. Two prominent approaches to change in organizations are reviewed and then discussed as they relate to one another as well as to social conceptualizations of power.


1976 ◽  
Vol 21 (4) ◽  
pp. 313-313
Author(s):  
KARL E. WEICK
Keyword(s):  

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