Health Science Inquiry (Journal)
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Untangling complexity as a health determinant: Wicked problems in healthcare
As the healthcare system has modernized, it has also become rich with complexity. This complexity continues to foster the creation of wicked problems that at first consideration appear inherently insoluble. To compound matters, policy-makers and decision-makers continue to view the healthcare system in a reductionistic, linear manner. This paper advocates that all stakeholders within the system (policy-makers, providers, and patients) become comfortable with complexity as a determinant of health, and offers tools for productively working with complexity, instead of trying to solve it. These tools include complexity heuristics, adjusting to an emergent decision-making paradigm, and easing the anxiety associated with ambiguity and paradox by becoming antifragile. By adopting these methods, the health determinant of complexity within the Canadian healthcare system can be effectively handled. This will lead to sustainable and scalable interventions, strong patient-partners in care, and efficient use of monetary and human resources
Reflecting on environment to understand diversifying health perspectives: My journey to researching strength-based approaches
People hold health conceptions that are shaped by their environments. In Canada, these ideas and subsequent research approaches are often developed further through academic training. Current public health perspectives and approaches are largely focused on Western worldviews of health. I share my reflections on my environments, and continued journey as a student in academia that led me to question the current standard of teaching uniform health perspectives. Fostering a singular-worldview learning environment translate to future scholars missing opportunities to learn promising discourses – such as strength-based approaches – that may be more effective in application, including in Indigenous health research. I suggest ways in which environments that foster the appreciation and comprehension of diverse health perspectives can be built