This paper briefly discusses health systems and dynamic complexity. It examines complex adaptive systems created through the dynamic interaction of evolving contexts, health systems and institutions within health systems. The paper explores, through illustrative case studies, how adoption and diffusion of innovations are influenced in complex adaptive systems created through interaction between innovations, institutions, health systems and contexts, using a framework that helps unpack complexity, and enables systems thinking when developing solutions to address factors that hinder or enable adoption and diffusion of innovations in health systems.
Atun, R. Health systems, systems thinking and innovation. Health Policy and Planning (2012) 27 (suppl 4) iv4-iv8. [Systems thinking for health systems strengthening in LMICs: seizing the opportunity] [DOI: 10.1093/heapol/czs088]