Making Healthcare Care: Managing via Simple Guiding Principles (PB) (ISCE Book Series - Managing the Complex)

Hugo K. Letiche

A volume in I.S.C.E Book Series: Managing the ComplexSeries Editors Kurt Richardson and Michael Lissack, ISCE ResearchIn this volume, Hugo Letiche tackles the all-important question, is there 'care' in healthcare? If, as Klaus Krippendorff(2006) argues, 'meaning is a structured space, a network of expected senses, a set of possibilities.[that] emerges in the use of language,' then within the healthcare systems of today, the meaning of 'care' hasbeen defined to be the eradication of a problem. We must recognize that patients do not wish to regarded merelyas a problem requiring eradication.Letiche is opposed to the very idea that complexity reduction can address the humanity of each individual healthcaresituation. He argues that, through narratives and through complexity based social theory, the complexity ofeach individual situation must be transcended through mindful listening and engaged dialogue. Letiche suggeststhat in the absence of such mindfulness, the lack of time for true listening, and the inability of providers and systemsto allow for patients and family to engage in dialogue lies both the roots of the problem and the potential forits solution. If complexity theory has a role in the analysis understanding and betterment of so

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