Forcing reality into inappropriate frameworks

David P Kernick

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Forcing reality into inappropriate frameworks

机译：迫使现实不恰当的框架

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The article on adapting clinical guidelines to take account of multimorbidity builds on the reductionist misconception that each disease can be identified and managed individually. Ratherthan forcing reality into the prevailing disciplinary matrix it is more appropriate to match the analytical approach to the complexity of the task within a broadertheoretical framework. For example, ordered domains (simple, complicated), transitional domains, and unordered domains (complexand chaotic).There is also a danger of creating organisational arrangements and incentive structures that lead to conditions that favour the predictions made in theory, thus reinforcing inappropriate models of care, service delivery, and clinical governance.

机译：本文在适应临床指南考虑multimorbidity构建的每个疾病都可以简化的误解分别被识别和管理。而不是迫使现实进入主流学科矩阵是更合适的匹配的复杂性的分析方法broadertheoretical内的任务框架。复杂),过渡域和无序域(complexand混乱)。创建组织安排的危险和激励结构导致条件支持预测的理论,因此加强护理不当模型、服务交付,和临床治理。

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来源
《BMJ: British medical journal》 |2012年第7882期|26-26|共1页
作者
David P Kernick;
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作者单位

Devon Primary Care Trust, St Thomas Medical Group, Exeter EX4 1HJ, UK;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Danger; network resource management; domainsUnorderedDelivery of Health CareClinical GovernanceRealityPhylaFrameworks;

机译：危险;网络资源卫生管理;domainsUnorderedDeliveryCareClinical GovernanceRealityPhylaFrameworks;

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Forcing reality into inappropriate frameworks

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