Frequency of Patient Feedback to Physicians.
Abstract
Alvan Toffler (1990) described decision-making in today's environment with the terms "info-tactics," "meta-tactics," and "flex-firms" to capture the dynamics of an increasing rate of change in society. Today's health care administrators make daily strategic decisions about provider alliances, patient benefits, and other "managed care" options. Management and measurements of outcomes are sovereign (Coile 1990) . Meta-tacticians call this the WYMIWYG Principle--What You Measure Is What You Get (Toffler 1990). Increasing complexity and rates of change create chaotic turbulence in social and economic systems (Arthur, Ermoliev, and Kaniovski 1987; Arthur 1989; Waldrop 1992) . Joseph Ford, a physicist examining systems models exhibiting non-linear dynamics exclaimed, "Evolution is chaos with feedback" (Gleick 1997) The control of complex, higher-order, large-scale systems requires propinquity between feedback and processes (Lunze 1992). Health care is one of the most complex, higher-order, large-scale systems that exists. It is certainly a system in great social and economic turbulence. To competitively evolve the delivery of health care requires immediate information and feedback to enable flexible decision making at the lowest possible level: providers. pg7.. JMD
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 01, 1994
- Accession Number
- ADA293222
Entities
People
- W. C. Chambers
Organizations
- Academy of Health Sciences