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Toward a Values‐Informed Approach to Complexity in Health Care: Hermeneutic Review

Trisha Greenhalgh, Eivind Engebretsen, Roland Bal, Sofia Kjellström

2023Milbank Quarterly29 citationsDOIOpen Access PDF

Abstract

Policy Points The concept of value complexity (complexity arising from differences in people's worldviews, interests, and values, leading to mistrust, misunderstanding, and conflict among stakeholders) is introduced and explained. Relevant literature from multiple disciplines is reviewed. Key theoretical themes, including power, conflict, language and framing, meaning-making, and collective deliberation, are identified. Simple rules derived from these theoretical themes are proposed.

Topics & Concepts

DeliberationFraming (construction)Health careMeaning (existential)Value (mathematics)EpistemologySociologyPsychologySocial psychologyPolitical scienceLawComputer scienceEngineeringMachine learningStructural engineeringPhilosophyPoliticsHealth Policy Implementation ScienceHealthcare cost, quality, practicesPublic Health Policies and Education
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