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Contributing to Sustainable Healthcare Systems with Case Theory

机译：用案例理论为可持续医疗体系做出贡献

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摘要

Sustainability is a fundamental concern of our times and is particularly important in healthcare, since people are embedded in the healthcare systems on which their health and the viable usage of resources depend. Due to the complexity of healthcare systems, both in terms of governance and pathways from decisions to behaviours, there is no one-size-fits-all theory, but solutions have to be co-created with the actors operating within the systems. This paper proposes case theory as the methodological approach to analyse and interpret cases in order to identify theories suitable for sustainable healthcare systems. Case theory is a recent extension of case study research that includes network theory and systems theory. An example of a case from an Italian regional healthcare system dealing with stroke patients is presented to show how several methods can be mixed and how a substantive theory emerges.
机译：可持续发展是当今时代的基本问题，在医疗保健中尤其重要，因为人们已经融入了医疗保健系统，而他们的健康状况和资源的合理使用是赖以生存的。由于医疗保健系统的复杂性，无论是在治理方面还是从决策到行为的途径方面，都没有一种万能的理论，但是必须与系统内的参与者共同制定解决方案。本文提出案例理论作为分析和解释案例的方法论方法，以便确定适用于可持续医疗体系的理论。案例理论是对案例研究的最新扩展，包括网络理论和系统理论。给出了一个来自意大利地区医疗系统的中风患者案例，以说明如何混合几种方法以及如何产生实质性理论。

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