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首页> 外文期刊>International journal of design & nature and ecodynamics >SELF-ORGANIZATION AND EMERGENCE IN GLOBAL HEALTH. INSIGHTS FROM PRACTICE, BLIND SPOTS AND POSSIBLE CONTRIBUTIONS FROM COMPLEXITY SCIENCE
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SELF-ORGANIZATION AND EMERGENCE IN GLOBAL HEALTH. INSIGHTS FROM PRACTICE, BLIND SPOTS AND POSSIBLE CONTRIBUTIONS FROM COMPLEXITY SCIENCE

机译：全球健康中的自我组织和出现。实践的洞察力，盲点和复杂性科学的可能贡献

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摘要

Global health as a discipline is at a moment of tremendous achievements and general optimism, but faces enduring questions, notably about the sustainability of its endeavours. The field of global health defines itself through enumerated goals, targets, and indicators to track progress of complex changes. With this comes a broad panoply of objective-driven strategies resting on assumed control over chains of cause and effect. We present areas where emergence and self-organization play an important role in determining the sustainability of positive outcomes at scale and behaviours of both the population and its service providers. The role of self-organization and emergence seem under-appreciated by the field and we consider three reasons for a possible "blind spot" of global health decision makers and influences: (1) the culture of command and control inherent to central planning, (2) the structural limitations of large complex institutional edifices in processing information (variety), and (3) epistemological/cognitive constraints. More pro-active allowance for the conditions of positive self-organization and emergence may be required to avoid unintended and negative long-term consequences of global strategies, in spite of best intentions. Observational, analytical and computational multi-disciplinary studies are needed to bring clarity to these questions, and to inform a parallel process of dialogue, provocation, and learning to evolve the institutional culture of global health at both national and international levels.
机译：全球卫生作为一门学科目前正取得巨大成就和普遍乐观，但面临着持久的问题，特别是关于其努力的可持续性。全球卫生领域通过列举的目标，指标和指标来定义自身，以跟踪复杂变化的进度。随之而来的是广泛的由目标驱动的战略，这些战略基于对因果链的假定控制。我们介绍了出现和自我组织在决定人口及其服务提供者的规模和行为的积极成果的可持续性方面起着重要作用的领域。自组织和紧急状态的作用似乎未被该领域所重视，我们考虑了可能导致全球卫生决策者“盲点”和影响的三个原因：（1）中央计划固有的指挥和控制文化，（ 2）大型复杂的机构建筑在处理信息（品种）时的结构局限性；以及（3）认识论/认知约束。尽管有最好的意图，但仍可能需要为积极的自我组织和出现的状况提供更多的主动津贴，以避免全球战略的意外和负面的长期后果。需要进行观察，分析和计算多学科研究，以使这些问题更加清晰，并为对话，挑衅和学习的并行过程提供信息，以发展国家和国际两级的全球卫生体制文化。

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