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Healthcare systems are increasingly recognised as complex, in which a range of non-linear and emergent behaviours occur. China’s healthcare system is no exception. The hugeness of China, and the variation in conditions in different jurisdictions present very substantial challenges to reformers, and militate against adopting one-size-fits-all policy solutions. As a consequence, approaches to change management in China have frequently emphasised the importance of sub-national experimentation,...
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While agile approaches can be extremely effective at a project level, they can impose significant complexity and a need for adaptiveness at the project portfolio level. While this has proven to be highly problematic, there is little research on how to manage a set of agile projects at the project portfolio level. What limited research that does exist often assumes that portfolio-level agility can be achieved by simply scaling project level agile approaches such as Scrum. This study uses a...
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The Driver-Pressure-State-Impact-Response (DPSIR) framework has been applied to various environmental problems at multiple spatial and temporal scales and attempts have been made to conceptually improve the framework to encompass various stakeholder perspectives. However, recent literature experiences in the field have challenged the inclusive character of the framework applications. In particular, the framework's inability to incorporate the aggregated informal responses of people affected...
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Global development is seeing an exciting paradigm shift. Increasingly, leaders and practitioners recognize that development is not a “complicated” challenge that can be neatly parsed out into separate problems and siloed departments, like assembling a car. Rather, the various tasks of development—poverty eradication, improving governance, climate action, gender equality, and so on—are all connected, making development a “complex” challenge.
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We think that, applied well, theory of change can support charities and funders to take a systemic approach to their work. This report identifies five common pitfalls that organisations fall into when using theory of change, and walks through five rules of thumb that will help organisations to use the approach to tackle complex problems. We think that, applied well, theory of change can support charities and funders to take a systemic approach to their work. This report identifies five...
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Systems thinking is an approach to integration that is based on the belief that the component parts of a system will act differently when isolated from the system’s environment or other parts of the system. THIS PAGE PROVIDES PLENTY OF RESOURCES ON SYSTEM THINKING
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A map that provides a macroscopic, trans-disciplinary introductions to the complexity sciences.
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This Field Guide is designed to support budding systemic designers to facilitate and lead systemic design projects. It’s designed for systemic designers who have basic familiarity with SD concepts and are looking for some practical tips and tools to put theory into action. While this Guide was designed with Government of Alberta staff in mind, the content applies across a range of issue areas, sectors, and intersections. The Guide goes through a systemic design project from concept to...
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Adaptive management has been considered a valuable approach for managing social-ecological systems involving high levels of complexity and uncertainty. However, many obstacles still hamper its implementation. Law is often seen as a barrier for moving adaptive management beyond theory, although there has been no synthesis on the challenges of legal constraints or how to overcome them. We contribute to filling this knowledge gap by providing a systematic review of the peer-reviewed literature...
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Foundations involved in systems change can increase their odds for success by focusing on the least explicit but most powerful conditions for change, while also turning the lens on themselves. The Water of Systems Change aims to clarify what it means to shift these conditions. We offer the “inverted triangle” framework as an actionable model for funders and others interested in creating systems change, particularly those who are working to advance equity. Top Takeaways Systems change is...
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Based on the “inverted triangle” framework presented in The Water of Systems Change, this activity is designed to help individuals think systemically about social change, explore what is happening below the surface on issues they care about, and determine how they and their organizations can pursue large-scale change in a disciplined and holistic manner. The exercise is divided into 3 parts: Part I uses the “inverted pyramid” introduced in The Water of Systems Change to perform an...
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Drawing on action research, this paper recasts evaluation as ‘action inquiry’, an embedded evaluative learning practice that can help navigate complexity when enacting collective leadership. It is offered as an invitation to inquiry amongst a reasonably well-informed audience of policy makers and practitioners who work in and for public services. It will particularly interest those who provide research, evaluation and facilitation support, and those seeking to develop a more relational...
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