The compatibility of reductionistic and complexity approaches in a sociomedical innovation perspective

Medical technologies, e-health and personalised medicine are rapidly changing the healthcare landscape. Successful implementation depends on interactions between the technology, the actors and the context. More traditional reductionistic approaches aim to understand isolated factors and linear cause...

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Main Authors: Jenneken Naaldenberg, Noelle Aarts
Format: Article
Language:English
Published: BMJ Publishing Group 2020-12-01
Series:BMJ Global Health
Online Access:https://gh.bmj.com/content/5/12/e003858.full
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author Jenneken Naaldenberg
Noelle Aarts
author_facet Jenneken Naaldenberg
Noelle Aarts
author_sort Jenneken Naaldenberg
collection DOAJ
description Medical technologies, e-health and personalised medicine are rapidly changing the healthcare landscape. Successful implementation depends on interactions between the technology, the actors and the context. More traditional reductionistic approaches aim to understand isolated factors and linear cause–effect relations and have difficulties in addressing inter-relatedness and interaction. Complexity theory offers a myriad of approaches that focus specifically on behaviour and mechanisms that emerge from interactions between involved actors and the environment. These approaches work from the assumption that change does not take place in isolation and that interaction and inter-relatedness are central concepts to study. However, developments are proceeding fast and along different lines. This can easily lead to confusion about differences and usefulness in clinical and healthcare research and practice. Next to this, reductionistic and complexity approaches have their own merits and much is to be gained from using both approaches complementary. To this end, we propose three lines in complexity research related to health innovation and discuss ways in which complexity approaches and reductionistic approaches can act compatibly and thereby strengthen research designs for developing, implementing and evaluating health innovations.
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spelling doaj-art-38c43d6023ee4f59a9e15d60225d1bf92025-08-20T02:20:57ZengBMJ Publishing GroupBMJ Global Health2059-79082020-12-0151210.1136/bmjgh-2020-003858The compatibility of reductionistic and complexity approaches in a sociomedical innovation perspectiveJenneken Naaldenberg0Noelle Aarts1Primary and Community care, Radboud university medical center, Radboud Institute for Health Sciences, Nijmegen, Gelderland, NetherlandsInstitute for Science in Society, Radboud University Nijmegen, Nijmegen, Gelderland, NetherlandsMedical technologies, e-health and personalised medicine are rapidly changing the healthcare landscape. Successful implementation depends on interactions between the technology, the actors and the context. More traditional reductionistic approaches aim to understand isolated factors and linear cause–effect relations and have difficulties in addressing inter-relatedness and interaction. Complexity theory offers a myriad of approaches that focus specifically on behaviour and mechanisms that emerge from interactions between involved actors and the environment. These approaches work from the assumption that change does not take place in isolation and that interaction and inter-relatedness are central concepts to study. However, developments are proceeding fast and along different lines. This can easily lead to confusion about differences and usefulness in clinical and healthcare research and practice. Next to this, reductionistic and complexity approaches have their own merits and much is to be gained from using both approaches complementary. To this end, we propose three lines in complexity research related to health innovation and discuss ways in which complexity approaches and reductionistic approaches can act compatibly and thereby strengthen research designs for developing, implementing and evaluating health innovations.https://gh.bmj.com/content/5/12/e003858.full
spellingShingle Jenneken Naaldenberg
Noelle Aarts
The compatibility of reductionistic and complexity approaches in a sociomedical innovation perspective
BMJ Global Health
title The compatibility of reductionistic and complexity approaches in a sociomedical innovation perspective
title_full The compatibility of reductionistic and complexity approaches in a sociomedical innovation perspective
title_fullStr The compatibility of reductionistic and complexity approaches in a sociomedical innovation perspective
title_full_unstemmed The compatibility of reductionistic and complexity approaches in a sociomedical innovation perspective
title_short The compatibility of reductionistic and complexity approaches in a sociomedical innovation perspective
title_sort compatibility of reductionistic and complexity approaches in a sociomedical innovation perspective
url https://gh.bmj.com/content/5/12/e003858.full
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