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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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The challenges currently facing resource managers are large-scale and complex, and demand new approaches to balance development and conservation goals. One approach that shows considerable promise for addressing these challenges is adaptive management, which by now is broadly seen as a natural, intuitive, and potentially effective way to address decision-making in the face of uncertainties. Yet the concept of adaptive management continues to evolve, and its record of success remains limited....
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In this concluding article, grounded on the exemplary contributions contained in the preceding pages, the guest editors scale the proverbial soapbox and present a manifesto to guide the pursuit and advancement of the next generation of program theorizing. Formulating ten declarations for program theory development and examination, the modest hope of the authors is to motivate and inspire reflective evaluation practitioners to broaden their views, approaches, and techniques for future program theorizing.
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ABSTRACT. We elaborate the necessary conceptual and strategic elements for developing an effective adaptive monitoring network to support Integrated Coastal Management (ICM) in a multiuser nature reserve in the Dutch Wadden Sea Region. We discuss quality criteria and enabling actions essential to accomplish and sustain monitoring excellence to support ICM. The Wadden Sea Long-Term Ecosystem Research project (WaLTER) was initiated to develop an adaptive monitoring network and online data...
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Everyone is talking about systems. Or at least, that's how it seems in my wonkish corner of the philanthropic world. You can't attend a conference or even have a meeting without hearing about systems, whether it's people trying to disrupt them, map them, learn from them, or catalyze them.
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There is growing interest in studying processes of human sensemaking, as this strongly influences human and organizational behavior as well as complex system dynamics due to the diverse lenses people use to interpret and act in the world. The Cognitive Edge SenseMaker® tool is one method for capturing and making sense of people’s attitudes, perceptions, and experiences. It is used for monitoring and evaluation; mapping ideas, mind-sets, and attitudes; and detecting trends and weak...
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Transdisciplinarity is not a new science per se, but a new methodology for doing science with society. A particular challenge in doing science with society is the engagement with non-academic actors to enable joint problem formulation, analysis and transformation. How this is achieved differs between contexts. The premise of this paper is that transdisciplinary research (TDR) methodologies designed for developed world contexts cannot merely be replicated and transferred to developing world...
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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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Two great trends are evident in the evolution of life on Earth: towards increasing diversification and towards increasing integration. Diversification has spread living processes across the planet, progressively increasing the range of environments and free energy sources exploited by life. Integration has proceeded through a stepwise process in which living entities at one level are integrated into cooperative groups that become larger-scale entities at the next level, and so on, producing...
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Systems thinking is commonly accepted as the backbone of a successful systems engineering approach. As such, the Body of Knowledge and Curriculum to Advance Systems Engineering (BKCASE) team chose to leverage a systems thinking based tool, called Systemitool, to describe our project to the vast audience that would potentially become involved directly or indirectly in the success of the project. This paper describes the process and steps used by the authors and the BKCASE team to develop the...
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This paper presents a framework for better managing policy messes and draws implications for bad and good mess management in policy analysis and management. The framework has three foci: (1) the cognitive space in which policy messes develop, particularly in terms of gaps between macro-designers and micro-operators; (2) the unique domain of competence within that space where professionals manage the resulting messes by virtue of their skills in recognizing system-wide patterns, formulating...
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Research on complex systems is becoming more prolific, and there is a need to provide some point of orientation to researchers and practitioners that are drawing on the body of literature that informs the field of complexity research. In this paper, I aim to give an overview of the development of the field and offer some overarching trends and patterns that are recognizable in research on complex systems. The paper then draws on the work to provide six organizing principles of complex...
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Responses to sustainability challenges are not delivering results at the scale and speed called for by science, international agreements, and concerned citizens. Yet there is a tendency to underestimate the large-scale impacts of small-scale, local, and contextualized actions, and particularly the role of individuals in scaling transformations. Here, we explore a fractal approach to scaling sustainability transformations based on “universal values.” Universal values are proposed as intrinsic...
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Collective impact efforts must prioritize working together in more relational ways to find systemic solutions to social problems. Sometimes we lose sight of a simple truth about systems: They are made up of people. Despite all of the frameworks and tools at our disposal and all of our learning as a field of practice, purely technical, rational approaches to systems change will not make much of a dent in shifting power or altering our most deeply held beliefs. If most collective impact...
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Today's environments of increasing business change require software development methodologies that are more adaptable. This article examines how complex adaptive systems (CAS) theory can be used to increase our understanding of how agile software development practices can be used to develop this capability. A mapping of agile practices to CAS principles and three dimensions (product, process, and people) results in several recommendations for “best practices” in systems development.
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