Embedding research in health systems: lessons from complexity theory

"We argue for the need to study how micro-processes of organisational dynamics may give rise to macro patterns of behaviour and strategic organisational direction and for the use of systems approaches to investigate the emergent properties of health research systems."

Embedding research in health systems: lessons from complexity theory
L Caffrey, C Wolfe, C McKevitt
Health Research Policy and Systems, 2016, 14:54

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Is bigger better? Lessons for large-scale general practice

"Traditional general practice is changing. Three-quarters of practices are now working collaboratively in larger-scale organisations – albeit with varying degrees of ambition. Policy-makers and practitioners have high hopes for these organisations and their potential to transform services both within primary care and beyond. But can we be confident that they can live up to these expectations? This research summary presents the key findings from a 15-month study of large-scale general practice organisations in England. It was informed by an extensive literature review, and combined national surveys with in-depth case studies of contrasting, largescale general practice organisations and analysis of 15 quality indicators."

Is bigger better? Lessons for large-scale general practice
R Rosen, S Kumpunen, N Curry, A Davies, L Pettigrew, L Kossarova
Nuffield Trust
July 2016

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